康复训练结合生物反馈对老年女性压力性尿失禁患者尿动力学的影响

Effect of rehabilitation training combined with biofeedback on urodynamics in elderly female patients with stress urinary incontinence

目的研究康复训练结合生物反馈对老年女性压力性尿失禁患者尿动力学的影响。方法选取2018年1月-2019年1月在医院确诊为老年女性压力性尿失禁患者84例为研究对象随机分为观察组和对照组各42例,其中观察组采用康复训练结合生物反馈治疗,对照组采用康复训练治疗。比较两组患者临床疗效、治疗前后盆底肌电位值、治疗前后尿动力学指标情况及治疗后并发症和不良反应发生率。结果观察组患者治疗总有效率显著高于对照组,差异有统计学意义(P<0.05)。治疗前观察组和对照组盆底肌电位值差异无统计学意义(P>0.05);治疗后两组盆底肌电位值均显著高于治疗前,且观察组高于对照组,差异均有统计学意义(P<0.05)。治疗前两组尿动力学指标MUCP、ALPP、Qmax、Pdet差异均无统计学意义(P>0.05);治疗后两组指标相比于治疗前均显著上升,且观察组各项指标均高于对照组,差异均有统计学意义(P<0.05)。两组并发症及不良反应发生率差异无统计学意义(P>0.05)。结论康复训练结合生物反馈对老年女性压力性尿失禁具有良好的临床疗效,且具有与康复训练治疗相似的安全性。

Objective To research the effect of rehabilitation training combined with biofeedback on urodynamics in elderly female patients with stress urinary incontinence.Methods From January 2018 to January 2019,84 elderly female patients with stress urinary incontinence were selected and randomly divided into observation group and control group,42 patients in each group.The patients in observation group were treated by rehabilitation training combined with biofeedback,the patients in control group were treated by rehabilitation training.The clinical effects,pelvic floor muscle potentials and urodynamic indexes before and after treatment,the incidence rates of complications and adverse reactions after treatment in the two groups were compared.Results The total effective rate in observation group was statistically significantly higher than that in control group(P<0.05).Before treatment,there was no statistically significant difference in pelvic floor muscle potential between observation group and control group(P>0.05).After treatment,pelvic floor muscle potentials in the two groups were statistically significantly higher than those before treatment,pelvic floor muscle potential in observation group was statistically significantly higher than that in control group(P<0.05).Before treatment,there was no statistically significant difference in urodynamic indexes(MUCP,ALPP,Qmax,Pdet)between the two groups(P>0.05).After treatment,urodynamic indexes in the two groups increased significantly compared with before treatment,urodynamic indexes in observation group were statistically significantly higher than those in control group(P<0.05).There was no statistically significant difference in incidence rates of complications and adverse reactions between the two groups(P>0.05).Conclusion The clinical effect of rehabilitation training combined with biofeedback in treatment of elderly female patients with stress urinary incontinence is good,the safety is similar to rehabilitation training.