经阴道CO2激光联合盆底肌康复训练对轻中度压力性尿失禁女性患者生活质量的影响

Effect of Transvaginal CO Laser Combined with Pelvic Floor Muscle Rehabilitation Training on Quality of Life of Female Patients with Mild to Moderate Stress Urinary Incontinence

目的:探讨经阴道CO2激光联合盆底肌康复训练对轻中度压力性尿失禁(SUI)女性患者生活质量的影响。方法:选取2018年12月-2019年12月本院收治的76例轻中度SUI女性患者,按随机数字表法分为观察组和对照组,每组38例。对照组进行盆底肌康复训练,观察组在对照组基础上进行经阴道CO2激光治疗。比较两组临床疗效、治疗前后1 h尿垫试验漏尿量、国际尿失禁委员会尿失禁问卷简表评分(ICI-Q-SF)、盆底肌纤维肌力及尿失禁生活质量问卷(I-QOL)。结果:观察组治疗总有效率为94.74%,高于对照组的78.95%(P<0.05);治疗后,观察组1 h尿垫试验漏尿量少于对照组(P<0.05);治疗后观察组尿失禁ICI-Q-SF评分低于对照组(P<0.05);治疗后观察组Ⅰ类与Ⅱ类肌纤维肌力均高于对照组(P<0.05);治疗后,观察组行为限制、心理影响、社会障碍评分及I-QOL总分均高于对照组(P<0.05)。结论:经阴道CO2激光治疗结合盆底肌康复训练能够有效改善SUI患者漏尿症状,增强盆底肌力,提升患者生活质量,具有良好临床疗效。

Objective:To investigate the effect of transvaginal CO2 laser combined with pelvic floor muscle rehabilitation training on quality life of female patients with mild to moderate stress urinary incontinence(SUI).Method:A total of 76 female patients with mild to moderate SUI admitted to our hospital from December 2018 to December 2019 were selected.They were divided into observation group and control group according to the random number table method,38 cases in each group.The control group was treated with pelvic floor muscle rehabilitation training,and the observation group was treated with transvaginal CO2 laser on the basis of the control group.The clinical curative effect,urine leakage volume in 1 h pad test,scores of international consultation on incontinence questionnaire-short form(ICU-Q-SF),muscle strength of pelvic floor muscle fibers and incontinence quality of life(I-QOL)were compared between the two groups.Result:The total effective rate of treatment in the observation group was 94.74%,it was higher than 78.95%in the control group(P<0.05).After treatment,the urine leakage volume in 1 h pad test of the observation group was less than that in the control group(P<0.05).After treatment,the score of IC-Q-SF in the observation group was lower than that in the control group(P<0.05).After treatment,ⅠandⅡclass muscle fiber strength of the observation group were higher than those of the control group(P<0.05).After treatment,behavioral restriction,psychological influence,social disorder score and total score of I-QOL in the observation group were higher than those in the control group(P<0.05).Conclusion:Transvaginal CO2 laser therapy combined with pelvic floor muscle rehabilitation training can effectively improve urinary leakage in SUI patients,enhance pelvic floor muscle strength,and improve quality of life,with good clinical curative effect.