盆底功能锻炼联合生物反馈电刺激对绝经后女性压力性尿失禁的治疗效果

The effect of Pelvic Floor Exercise With Biofeedback For Urinary Incontinence Of Woman

目的:客观评估盆底功能锻炼联合生物反馈电刺激对压力性尿失禁(SUI)的治疗效果。方法:38例患者诊断为SUI,患者连续进行15周盆底功能锻炼联合物反馈电刺激治疗,在治疗前、治疗后及治疗后3个月分别进行尿动力学检查、尿垫实验和膀胱排尿日记等,采用KHQ健康问卷来评估治疗前后SUI对生活的影响。结果:治疗后尿垫重量显著减少(从14.21 g减少到2 g),漏尿次数从7.96次/d减少到2.6次/d,白天小便的次数从8.0次/d下降到6.0次/d,尿动力学检查,腹部漏尿点压力(从104.20 cm H2O上升到138.20 cm H2O),膀胱测压容量(从248.23上升到335.40 ml),差异有统计学意义(P=0.035),初始尿意容量(从144上升到214.8 ml),治疗前后KHQ评分显著升高。结论:盆底功能锻炼能显著改善SUI各项指标并能使尿失禁患者的生活质量改善。

Objective To evaluate the effect of pelvic floor strengthening exercises associated to biofeedback for the treatment of stress urinary incontinence. Method 38 patients diagnosed with stress urinary incontience（SUI） were selected for this study,All patients underwent a pelvic floor training associated to biofeedback for 15 consecutive weeks. Urodynamic tests,pad test and bladder diary were analyzed at the beginning of the study,at the end and after 3 months,The King＇ s Health Questionnaire（ KHQ） were applied before and after treatment to assess the impact in the impact in the quality of life. Results There was a significant reduction in the pad weight（ from 14. 21 g to 2 g）,number of uarinary leakage episodes（ from 7. 96 per day to 2. 6 per day）,and daytime frequency（ from 8. 0 per day to 6. 0 per day）,there was a significant increase in Valsalva leak-point pressure（ from 104. 20 cm H2 O to 138. 20 cm H2O）,eistometric capacity（ from 248. 23 ml to 335. 40 ml）,the difference was statistically significant（ P = 0. 035） and bladder volume at first desire to void（ from 144 ml to 214. 80 ml）. The KHQ revealed significant height in different phase. Conclusion Pelvic floor strengthening exercise can significantly improve the indicators of SUI and the quality of life of patients with urinary incontinence.