阴道锥体训练联合生物反馈盆底肌治疗尿失禁老年人盆底肌康复研究现状

Research status of rehabilitation of pelvic floor muscle in elderly with urinary incontinence treated by vaginal cone training combined with biofeedback of pelvic floor muscle

目的研究阴道锥体训练联合生物反馈盆底肌治疗尿失禁老年人的临床疗效及对盆底肌的影响。方法选取84例从2016年9月至2018年3月本院收治的尿失禁老年患者进行研究,以随机抽签法将其均分为联合组及对照组,每组42例。对照组予以常规盆底肌训练治疗,联合组则予以阴道锥体训练联合生物反馈盆底肌治疗。对比两组在临床疗效、治疗前后盆底肌力情况、治疗前后尿动力学参数指标水平以及生活质量变化情况等方面的差异。结果联合组与对照组在总有效率方面比较,前者高于后者(P<0.05)。治疗后联合组盆底肌力分级为Ⅳ级、Ⅴ级的人数占比相比对照组较高(P<0.05)。治疗后联合组与对照组在VLPP、PMUC水平方面比较,前者高于后者(P<0.05)。治疗后联合组与对照组I-QOL评分相比治疗前较高,且联合组相比对照组较高(P<0.05)。结论阴道锥体训练联合生物反馈盆底肌治疗老年尿失禁患者的疗效显著,有利于促进盆底肌力的恢复,且有效改善患者尿动力学参数,提高生活质量,具有较高的临床推广应用价值。

Objective To study the clinical effect of vaginal cone training combined with biofeedback pelvic floor muscle in the treatment of urinary incontinence in the elderly and the effect on pelvic floor muscle.Methods From September 2016 to March 2018,84 elderly patients with urinary incontinence treated in our hospital were selected for study,and all were divided into combined group and control group by random lottery.The control group received conventional pelvic floor muscle training and the combined group received vaginal cone training combined with biofeedback pelvic floor muscle therapy.The clinical efficacy,muscle strength of pelvic floor before and after treatment,urinary kinetic parameters and changes in quality of life before and after treatment were compared between the two groups.Results The total efficiency of the combined group was higher than the control group(P<0.05).Joint group after treatment of pelvic floor muscle class forⅣ,Ⅴnumber was higher than the proportion(P<0.05).After treatment,VLPP and PMUC levels in the combined group and the control group were higher than the control group(P<0.05).The scores of I-QOL in the combined group and the control group after treatment were higher than before treatment,and the combined group was higher than the control group(P<0.05).Conclusions Vaginal cone training combined with biofeedback pelvic floor muscle is effective in the treatment of elderly patients with urinary incontinence,which is conducive to promoting the restoration of pelvic floor muscle strength,effectively improving the urodynamic parameters of patients and improving quality of life,and has a high clinical application value.