盆底康复疗法治疗绝经过渡期压力性尿失禁的效果观察

Effect Observation of Pelvic Floor Rehabilitation Therapy for Stress Urinary Incontinence at Menopausal Transition Period

目的探讨绝经过渡期压力性尿失禁病人予以盆底康复训练疗法的临床效果。方法选取到本院就诊的绝经过渡期轻、中度压力性尿失禁患者100例,按患者意愿分为观察组和对照组各50例。观察组进行Kegel盆底肌锻炼及盆底电刺激生物反馈疗法,对照组进行Kegel盆底肌锻炼与基础行为干预联合疗法。比较两组的临床效果、治疗前后的盆底肌张力强度以及1 h尿垫试验情况。结果观察组的临床总有效率为94.0%,显著高于对照组的76.0%,差异有统计学意义(P<0.05)。观察组治疗后的1 h尿垫试验评分、盆底肌张力强度等指标均显著优于对照组,差异有统计学意义(P<0.05)。结论绝经过渡期压力性尿失禁病人进行盆底神经肌肉刺激、盆底肌锻炼与生物反馈联合疗法,临床效果较佳,具有无创性,安全可靠,值得临床推广。

Objective To explore the clinical effect of pelvic floor rehabilitation therapy for patients with stress urinary incontinence at menopausal transition period. Methods 100 cases of patients with mild and moderate stress urinary incontinence at menopausal transition period were selected and divided into observation group and control group according to patients＇ intention, with 50 cases in each group. The observation group was given kegel pelvic floor muscle exercise and pelvic floor electrical stimulation biofeedback therapy, and the control group was given kegel pelvic floor muscle exercise and basic behavior intervention therapy. The clinical effects, tension strength of pelvic f/oor muscle before and after treatment, results of 1 h urine pad test were compared between two groups. Results The total effective rate of observation group was 94.0%, significantly higher than 76.0% of control group, with statistically significant difference （P 〈0.05）. The 1 h urine pad test score and tension strength of pelvic floor muscle in observation group after treatment were significantly better than those in control group, with statistically significant difference （P〈0.05）. Conclusions Pelvic neuromuscular stimulation combined with pelvic floor muscle exercise and biofeedback therapy for patients with stress urinary incontinence at menopause transition period has better clinical effect, which is non-invasive, safe and reliable, and deserves clinical promotion.