生物反馈盆底肌肉训练治疗男性获得性尿失禁的体会

Biofeedback pelvic floor training in the treatment of male acquired urinary incontinence

目的 探讨生物反馈盆底肌肉训练治疗男性获得性尿失禁效果.方法 61例尿失禁的患者,按照各人意愿将其分为对照组（30例）和实验组（31例）.对照组行单纯盆底肌肉训练,实验组接受生物反馈盆底肌肉训练.治疗前后分别计量患者每日自觉尿失禁次数、24h尿垫重量、膀胱残余尿、盆底肌表面肌电信号值.结果 治疗前各项指标差异无统计学意义（P＞0.05）.治疗后,实验组与对照组比较,盆腔外伤术后以及神经源性尿失禁次数差异无统计学意义（P＞0.05）.余统计量均有差异（P＜0.05）.实验组治疗前后比较,神经源性的盆底肌表面肌电信号值为0.076,无差异,余统计量均有差异（P＜0.05）.对照组治疗前后比较,神经源性的尿失禁次数以及膀胱残余尿量P分别为0.09、0.05,差异无统计学意义,余统计量均有差异（P＜0.05）.结论 生物反馈系统盆底肌肉训练治疗男性获得性尿失禁是一种有效的、治愈率较高的治疗手段.

Objectives To investigate the effect of biofeedback pelvic floor training in the treatment of male acquired urinary incontinence.Methods Sixty-one cases of male urinary incontinence were randomly divided into treatment group （31 cases） and control group （30 cases）.The treatment group was selected for the treatment of biofeedback pelvic floor training,while the control group was selected for the treatment of simple pelvic floor training.The curative effect was evaluated by frequency of daily urinary incontinence,urine test evaluation,bladder residual urine and pelvic electromygraphy.Results All of the 61 patients completed the treatment.There was no significant difference in frequency of daily urinary incontinence,urine test evaluation,bladder residual urine and pelvic electromygraphy between the treatment group and control group（P 〉 0.05）.Compared with the control group,the treatment group had more improvement（P 〈 0.05）.Conclusions Biofeedback pelvic floor training is a safe and effective method in the treatment of urinary incontinence.