生物反馈联用盆底肌训练对产后压力性尿失禁患者生活质量的影响

Effect of biofeedback training combined with pelvic floor muscle training on quality of life of patients with postpartum stress urinary incontinence

目的观察生物反馈联用盆底肌训练对产后压力性尿失禁患者生活质量的影响。方法选取2013年1月~2014年5月入住惠州市惠阳区妇幼保健院的产后压力性尿失禁患者256例,按随机原则分为两组,各128例。对照组给予盆底肌训练干预,干预组在对照组基础上加用生物反馈盆底肌训练干预,共观察8周。比较患者的治疗效果,并对患者的生活质量进行评分。结果干预组治愈率（64.8%）和有效率（34.4%）均优于对照组（44.5%、28.9%）,差异有统计学意义（χ2=9.033、9.216,均P〈0.05）。干预前对照组和干预组限制性行为[（61.21±5.41）分比（61.54±5.37）分]、影响社会心理[（64.02±4.87）分比（64.13±4.96）分]、形成社会尴尬[（62.26±5.01）分比（62.37±5.08）分]评分比较,差异均无统计学意义（均P〉0.05）;干预后,两组限制性行为[（67.12±7.42）分比（77.31±6.28）分]、影响社会心理[（69.26±5.64）分比（78.52±6.45）分]、形成社会尴尬[（70.45±7.46）分比（77.55±7.82）分]比较,差异均有高度统计学意义（t=3.417、2.819、2.744,均P〈0.01）。结论对于产后尿失禁患者尽早给予生物反馈联用盆底肌训练干预能提高患者的治疗效果和生活质量。

Objective To observe the effect of biofeedback training combined with pelvic floor muscle training on qual-ity of life of patients with postpartum stress urinary incontinence. Methods 256 patients with postpartum stress urinary incontinence from January 2013 to May 2014 in Maternal and Child Health Hospital of Huiyang District in Huizhou City were selected and randomly divided into control group and intervention group, each group had 128 cases. The con-trol group was given pelvic floor muscle training for 8 weeks. The intervention group was given pelvic floor muscle training combined with biofeedback training for 8 weeks. The treatment effect was compared, and the scores of life quality were evaluated in the two groups. Results The cure rate （64.8%） and effective rate （34.4%） in the intervention group were better than those in the control group （44.5%, 28.9%）, the differences were statistically significant （χ2=9.033, 9.216, P〈0.05）. Before intervention in the two groups limiting behavior [（61.21±5.41） scores vs （61.54±5.37） scores], impact of social psychology [（64.02±4.87） scores vs （64.13±4.96） scores], formation of social embarrassment [（62.26±5.01） scores vs （62.37±5.08） scores] were compared, there were no significant differences （all P〉0.05）;after intervention, the scores of limiting behavior [（67.12±7.42） scores vs （77.31±6.28） scores], impact of social psychology [（69.26±5.64） scores vs （78.52±6.45） scores], formation of social embarrassment [（70.45±7.46） scores vs （77.55±7.82） scores] were compared, there were significant differences （t = 3.417, 2.819, 2.744, P 〈 0.01）. Conclusion Early biofeedback training combined with pelvic floor muscle training can improve the treatment effect and quality of life for patients with postpartum stress urinary incontinence.