仿生物理治疗女性轻、中度压力性尿失禁的疗程及疗效分析

Analysis of the Course and Efficacy of Bionics-physics Method for the Treatment of Female Patients with Mild and Moderate Stress Urinary Incontinence

【目的】探讨仿生物理治疗女性轻、中度压力性尿失禁（SUI）的疗程及疗效。【方法】来本院就诊的SUI患者93例，其中轻度组62例，根据治疗意愿分为轻度1组31例，轻度2组31例；中度组31例。轻度1组应用PHENIX USB 4盆底功能治疗仪行系统仿生物理治疗1疗程（基础治疗，每次30 min ，每周2次，共15次），轻度2组及中度组予系统仿生物理治疗三疗程（巩固治疗），疗程间间隔1个月，于基础治疗后及巩固治疗一年后判定疗效。【结果】一个疗程治疗后，轻度组62例中61例（98．39％）有效，其中57例（91．94％）治愈；中度组31例中24例（77．42％）有效，19例（61．29％）治愈。轻度2组及中度组继续行巩固治疗。疗程结束后一年评估：轻度1组中25例（80．65％）仍有效，其中23例（74．19％）治愈；轻度2组30例（96．77％）有效，29例（93．55％）治愈；中度组28例（90．32％）有效，26例（83．87％）治愈。轻度组有效率及治愈率显著高于中度组（ P ＜0．05， P ＜0．01）；轻度2组一年有效率及治愈率均稍高于中度组，但差异均无统计学意义（ P ＞0．05）；轻度2组一年后治愈率高于轻度1组，差异有统计学意义（ P ＜0．05）。【结论】仿生物理治疗对轻、中度SUI均能有效缓解症状甚至治愈，应用三个疗程的巩固治疗的疗效优于一个疗程的基础治疗。

[Objective] To explore the course and efficacy of bionics-physics method for the treatment of fe-male patients with mild and moderate stress urinary incontinence （SUI） .[Methods]Totally 93 patients with SUI in our hospital were divided into mild group（ n=62） and moderate group（ n=31） .According to treatment will ,the mild group was divided into mild I group（ n =31） and mild II group（ n=31） .The mild I group received bionics-physics treatment by using PHENIX USB 4 pelvic floor function instrument for one course （basic course ,30 min for one time ,twice every week ,total 15 times） .The mild II group and moderate group received bionics-physics for 3 courses（intensified treatment） .The interval between two course was 1 month .The efficacy was assessed af-ter basic treatment and 1 year after the intensified treatment .[Results]After one course of treatment ,61 patient （98 .39% ） in mild group were effective in which 57 patients（91 .94% ） were cured ,and 24 patients（77 .42% ） in moderate group were effective and 19 patients（61 .29% ） were cured .The mild II group and moderate group con-tinued the intensified treatment . The assessment results after one year of the course showed that 25 patients （80 .65% ） of mild I group were still effective in which 23 patients（74 .19% ） were cured ,and 30 patients（96 . 77% ） of mild II group were effective and 29 patients（93 .55% ） were cured ,and 28 patients（90 .32% ） of moderate group were effective and 26 patients（83 .87% ） were cured .Both the effective rate and the curative rate in mild group were markedly higher than those in moderate group （ P〈0 .05 ,P〈0 .01） .After one year later ,the effec-tive rate and curative rate in mild II group were slightly higher than those in moderate group ,but there was no sig-nificant difference（ P 〉0 .05 ,P 〉0 .05） .After one year later ,the curative rate in mild II group was higher than that in mild I group ,and there was significant difference（ P〈0 .05） .[Conclusion]The bionics-physics method for the treatment of mild and moderate SUI can effectively relieve the symptoms and even heal them well .The efficacy of the intensified treatment for 3 courses is better than basic therapy for one course .