盆底肌电刺激联合盆底肌训练治疗自然分娩后压力性尿失禁的临床运用

Clinical application of pelvic floor muscle electrical stimulation combined with pelvic floor muscle training in the treatment of stress urinary incontinence after natural delivery

目的:分析盆底肌电刺激联合盆底肌训练自然分娩后压力性尿失禁(Stress urinary incontinence,SUI)的临床运用价值。方法:2019年1月~2020年6月收治的78例女性产后SUI患者,随机分为观察组、对照组,各39例,均行盆底肌训练治疗,观察组加用盆底肌电刺激,两组治疗均持续2个月。比较两组治疗前后尿失禁生活质量问卷(Incontinence quality of life Questionnaires,I-QOL)、盆底肌肉强度、漏尿量变化,并对比两组治疗效果与不良反应发生情况。结果:两组治疗后I-QOL评分均较治疗前升高,观察组高于对照组同期。两组治疗后Ⅰ类肌纤维、Ⅱ类肌纤维肌肉强度分级均较治疗前升高,观察组升高的更为显著。两组治疗后漏尿量均较治疗前下降,观察组下降的更为显著。观察组总有效率显著高于对照组。两组治疗期间均未见不良反应发生。结论:盆底肌电刺激联合盆底肌训练治疗产后妇女SUI安全、有效,较单纯盆底肌训练能够明显改善患者生活质量、盆底肌肉强度,减少漏尿量并提高治疗效果。

Objective To analyze the clinical application value of pelvic floor muscle electrical stimulation combined with pelvic floor muscle training for stress urinary incontinence(SUI)after natural delivery.Methods 78 Female postpartum SUI patients from January 2019 to June 2020 were enrolled and randomly divided into observation group and control group,39 cases in each group.All patients were treated with pelvic floor muscle training,while the observation group was treated with pelvic floor muscle electrical stimulation.The treatment lasted for 2 months in both groups.The changes of I-QOL,pelvic floor muscle strength and urine leakage were compared between the two groups before and after treatment,and the treatment effect and adverse reactions of the two groups were compared.Results After treatment,I-QOL scores in both groups were higher than those before treatment,and those in observation group were higher than those in control group.After treatment,the muscle strength grades of theⅠand the Fe muscle fibers in both groups were higher than those before treatment,and the increase in the observation group was more significant.After treatment,urine leakage in both groups decreased compared with before treatment,and the decrease in the observation group was more significant.The total effective rate of observation group was significantly higher than that of control group.No adverse reactions were found in the two groups during treatment.Conclusion Pelvic floor muscle electrical stimulation combined with pelvic floor muscle training is safe and effective in the treatment of women with SUI,which can significantly improve the quality of life,pelvic floor muscle strength,reduce urine leakage and improve the treatment effect.