盆底神经肌肉电刺激联合功能锻炼治疗老年女性压力性尿失禁的临床疗效

Observation of Clinical Curative Effect on Electrical Stimulation Combined with Function Exercise of Pelvic Floor in the Treatment of Elderly Female with Stress Urinary Incontinence

目的:探讨盆底神经肌肉电刺激联合功能锻炼治疗老年压力性尿失禁临床疗效。方法:选取本院60例老年女性压力性尿失禁患者,将其按随机数字表法分为观察组和对照组,每组各30例。对照组单纯给予盆低肌功能锻炼,观察组给予盆底神经肌肉电刺激联合功能锻炼治疗。观察比较两组排尿日记的最大排尿量(MVV)、总排尿次数(TOV)、总漏尿事件次数(LT)和ICI-Q-SF评分、最大逼尿肌不随意收缩压(MDUCP)、逼尿肌不随意收缩持续时间(DUCD)、Valsalva漏尿点压(PVLP)、最大尿道闭合压(MCP)和功能性尿道长度(SFL)。3个月后随访,比较两组临床疗效。结果:两组治疗后MVV、TOV、LT、ICI-Q-SF评分、MDUCP、DUCD、PVLP、MCP、SFL与治疗前比较,差异有统计学意义(P<0.05);观察组治疗后MVV、TOV、LT、ICI-Q-SF评分、MDUCP、DUCD、PVLP、MCP、SFL与对照组比较,差异有统计学意义(P<0.05);两组总有效率比较差异有统计学意义(P<0.05)。结论:盆底神经肌肉电刺激联合功能锻炼治疗老年女性压力性尿失禁疗效显著,值得临床推广应用。

Objective：To discuss the clinical curative effect on electrical stimulation combined with function exercise of pelvic floor in the treatment of elderly female with stress urinary incontinence. Method：60 elderly female with stress urinary incontinence in our hospital were selected and divided into observation group and control group according to random number table method,each group had 30 cases. The control group was given function exercise,and the observation group was given electrical stimulation combined with function exercise. MVV,TOV,LT,ICI-Q-SF,MDUCP,DUCD,PVLP, MCP and SFL of two groups were observed and compared. The total effect rate of two groups were compared after follow up of 3 mouths. Result：There were significance differences on MVV,TOV,LT,ICI-Q-SF,MDUCP,DUCD,PVLP,MCP and SFL of two groups after treatment when compared with before treatment（P〈0.05）. There were significance differences on MVV,TOV,LT,ICI-Q-SF,MDUCP,DUCD,PVLP,MCP and SFL of the observation group after treatment when compared with the control group（P〈0.05）. Conclusion：Electrical stimulation combined with function exercise in the treatment of elderly female with stress urinary incontinence has a significant efficacy,so it is worthy to use in clinic.