电刺激生物反馈治疗小儿尿失禁疗效分析

Clinical observation of electrical stimulation biofeedback therapy in treatment of urinary incontinence in children

目的探讨电刺激生物反馈对不同类型尿失禁患儿的治疗效果。方法对2010年10月至2019年6月新乡医学院第一附属医院小儿外科收治的20例压力性尿失禁患儿进行电刺激生物反馈治疗,每周2次,5周为1个疗程。其中男12例,女8例;年龄2.5~7.0岁。20例患儿中,脊柱裂术后尿失禁9例,高位肛门闭锁术后尿失禁6例,非神经源性尿失禁5例。比较患儿治疗前后不自主排尿频率、尿量及盆底肌肌电压。结果1个疗程后,20例尿失禁患儿完全治愈10例(50.00%),有效4例(20.00%),无效6例(30.00%)。高位肛门闭锁术后尿失禁治愈5例(83.33%),有效1例(16.67%);脊柱裂术后有效3例(33.33%);非神经源性尿失禁治愈5例(100.00%)。盆底肌肌电压由治疗前(20.36±3.92)μV提高到治疗后(36.44±7.57)μV,差异有统计学意义(t=10.68,P<0.05)。结论电刺激生物反馈疗法是治疗尿失禁患儿的有效方法之一。

Objective To explore the therapeutic effect of electrical stimulation biofeedback in children with different types of urinary incontinence.Methods A total of 20 children with stress urinary incontinence admitted to the Department of Pediatric Surgery,the First Affiliated Hospital of Xinxiang Medical University from October 2010 and June 2019 were enrolled in this study and treated by electrical stimulation biofeedback twice a week,with 5 weeks as a course of treatment.There were 12 males and 8 females aged 2.5-7.0.Nine cases developed urinary incontinence after spina bifida operation,6 cases developed urinary incontinence after high anal atresia operation and 5 cases were non-neurogenic urinary incontinence.The frequency of involuntary urination,urinary volume and the voltage of pelvic floor muscles were compared before and after treatment.Results After 1 course of treatment,10 cases(50.00%)of urinary incontinence were cured,4 cases(20.00%)were effective,and 6 cases(30.00%)were ineffective.Among the 6 patients developing urinary incontinence after high anal atresia operation,5 cases(83.33%)were cured and 1 case(16.67%)was effective.Of 9 cases developing urinary incontinence after spina bifida operation,3 cases(33.33%)were effective.All 5 cases with non-neurogenic urinary incontinence(100.00%)were cured.The voltage of pelvic floor muscles was increased from(20.36±3.92)μV before electrical stimulation biofeedback therapy to(36.44±7.57)μV after treatment,and the difference was statistical significance(t=10.68,P<0.05).Conclusions Electrical stimulation biofeedback therapy is effective for children with urinary incontinence.