电刺激联合生物反馈治疗中老年女性压力性尿失禁57例临床观察

Effect of electrical stimulation combined with biofeedback in treating stress urinary incontinence in 57 aged females

目的：探讨电刺激联合生物反馈治疗中老年女性压力性尿失禁的效果。方法采用法国PHENIX神经肌肉刺激治疗仪对57例中老年妇女压力性尿失禁患者治疗1-2个疗程，治疗3个月后进行随访、复诊，评价疗效。结果57例患者治愈21例（36.8％），有效24例（42.1％），无效12例（21.1％），总有效率为78.9％。子宫脱垂和阴道膨出的患者均感到脱出物有不同程度的回缩。34例性生活不满意患者均有不同程度改善。盆底肌Ⅰ类肌纤维疲劳度改善不明显（P＞0.05），Ⅱ类肌纤维疲劳度、Ⅰ类及Ⅱ类肌肌力、每周平均漏尿次数、A3反射异常、综合肌电位值均明显改善（ P＜0.05）。结论电刺激联合生物反馈是治疗中老年女性压力性尿失禁的一种有效、简便、无创伤的方法，值得推广。

Objective To investigate the effect to treat stress urinary incontinence（SUI） in the aged females by electrical stimulation combined biofeedback.Methods Fifty-seven aged patients with SUI were carried out bio-feedback electrical stinulation by the devices of PHENIX USB4 （ made by the company of Electronic Concept Lignon Innonation） for 1 or 2 period of treatment.In 3 month after treatment, the effect was evaluated by the symptom and the objective index.Results After treatment,the total efficient ratio was 78.9%,with cured ratio 36.8%,ameliorative ratio 42.1%,resultless ratio 21.1%.Those patients with uterine prolapse /cystocele/urethrocele/rectocele had a sense of abridgement of the bumps.Sex life was improving in the 34 cases with dissatisfied sex life before treatment. The muscle strength testing scores of typeⅠ-Ⅱpelvic floor muscle increased evidently（ P〈0.05） .Muscle electro-physiology average was elevated（P〉0.05）.Fatigue test improved in type-Ⅱpelvic floor muscle（P〈0.05）,but decreased in type-Ⅰpelvic floor muscle（P〉0.05）.Leakage times（LT） and abnormal A3 reaction was significantly lower after treatment than those before treatment（ P〈0.05） .Conclusion Electrical stimulation combined with bio-feedback was one kind of efficacious and harmless way for treating SUI in the aged females,worthy of using widely.