阴道压力反馈盆底肌抗阻肌力训练治疗女性压力性尿失禁的疗效观察

Effect of Vaginal Pressure Feedback Combined with Pelvic Floor Muscle Resistant Training on Stress Urinary Incontinence

目的探讨生物反馈电刺激配合盆底肌抗阻肌力训练治疗女性压力性尿失禁（SUI）的疗效。方法 2014年2月~2015年5月,将本院125例SUI女性患者分成两组,对照组（n=65）采用凯格尔盆底肌锻炼,嘱患者用力收缩盆底肌,每次持续用力10 s,休息10 s,每次30 min;试验组（n=60）用XFT-2002型盆底刺激仪进行生物反馈电刺激20 min,引导患者仔细体验盆底肌收缩的感觉后,再指导患者根据XFT-0010型盆底肌刺激仪的语音导航用力收缩盆底肌,挤压阴道内的充气探头,每次持续用力10 s,休息10 s,每次30 min。两组患者均治疗30 d。治疗前后所有患者均进行会阴肌力测试（GRRUG）和女性下尿路症状国际尿失禁标准问卷简化版（ICIQ-SF）评估。结果治疗后,两组患者的盆底肌肌力（t=-3.570）和ICIQ评分（t=4.198）均明显改善（P〈0.01）,试验组明显优于对照组（t=6.833,t=-2.445,P〈0.01）。试验组的治疗有效率显著高于对照组（Z=63.954,P〈0.001）。结论阴道压力反馈抗阻肌力训练治疗女性SUI的疗效优于单纯盆底肌训练。

Objective To explore the effect of vaginal pressure feedback combined with pelvic floor muscle resistant training on stress urinary incontinence （SUI）. Methods 125 women with SUI in our hospital from February, 2014 to May, 2015 were randomized into control group （n=65） and experimental group （n=60）. The control group took Kegel exercise, which asked for patients to contract their pelvic floor muscles, while the experimental group first received biofeedback electrical stimulation for 20 minutes with XFT-2002 pelvic floor stimulator, then instructed the patients to contract their pelvic floor muscles and pressed the pneumatic probe which placed in vagina according to the voice navigation of XFT-0010 pelvic floor muscle stimulator after they learnt the contraction skill. Both groups received training with 10 seconds＇ contraction and 10 seconds＇ rest 30 minutes per day for 30 days in total. They were assessed by GRRUG and International Consultation Incontinence Questionnaire-UI Short Form （ICIQ-SF）. Results After treatment, the muscle strength of the pelvic floor （t=-3.570） and the scores of ICIQ （t=-4.198） improved significantly in both groups （P〈0.01）, and was higher in the experimental group than in the control group （t=6.833, t=-2.445, P〈0.01）, as well as the therapeutic efficiency （Z=63.954, P〈0.001）. Conclusion Vaginal pressure feedback combined with pelvic floor muscle resistant training can further improve stress urinary incontinence in women.