生物反馈联合电刺激治疗产后压力性尿失禁结局的影响因素分析

Analysis on influencing factors of treatment outcome of biofeedback combined with electrical stimulation used for postpartum stress urinary incontinence

目的探讨影响产后压力性尿失禁(PSUI)患者接受产后生物反馈联合电刺激治疗后治疗结局的影响因素。方法以95名接受生物反馈联合电刺激治疗的PSUI患者为观察对象,运用单因素和多因素分析年龄、孕前体重指数、孕期体重增加量、分娩方式、胎儿体重、PSUI严重程度及膀胱颈移动度对治疗结局的影响。结果全组研究对象随访至产后6月,治疗的总体治愈率为50.5%。单因素分析显示孕期体重增加量、膀胱颈移动度、分娩方式和PSUI严重程度对治疗结局有影响(P<0.05),而多因素分析显示孕期体重增加量≥17.5 kg和PSUI严重程度是影响治疗结局的独立因素(P<0.05)。结论孕期体重增加量和PSUI严重程度是影响生物反馈联合电刺激疗法治疗PSUI治疗结局的重要因素。

Objective To explore the influencing factors of treatment outcome of biofeedback combined with electrical stimulation used for postpartum stress urinary incontinence （PSUI） . Methods Ninety-five PSUI patients treated by biofeedback combined with elec- trical stimulation were selected as observation objects, univariate analysis and multivariate analysis were used to analyze the effects of age, pre-pregnancy body mass index （BMI）, body weight gain during pregnancy, delivery modes, fetal weight, PSUI severity, and bladder neck mobility on treatment outcome. Results All the patients were followed up until 6 months after delivery, the total cure rate was 50. 5%. Uni- variate analysis showed that body weight gain during pregnancy, bladder fleck mobility, delivery modes, and PSUI severity had significant impacts on treatment outcome （P〈0. 05 ） . Multivariate analysis showed that body weight gain during pregnancy I〉 17. 5 kg and PSUI severity were independent influencing factors of treatment outcome （ P〈0. 05 ） . Condttsion Body weight gain during pregnancy and PSUI severity are imnortant influencing factors of treatment outcome of biofeedback combined with electrical stimulation used for PSUI.