生物反馈电刺激+盆底肌锻炼治疗产后早期压力性尿失禁的效果

Effect of biofeedback electrical stimulation+pelvic floor muscle exercise treats early postpartum stress urinary incontinence

目的探讨生物反馈电刺激+盆底肌锻炼对产后早期压力性尿失禁的康复效果。方法选取2019年7月1日~2020年6月30日中国医科大学附属盛京医院沈阳雍森医院收治的78例产后早期压力性尿失禁患者为研究对象,根据随机数字表法分为对照组和观察组,每组各39例。对照组接受盆底肌锻炼,观察组采用生物反馈电刺激+盆底肌锻炼。比较两组的漏尿量、盆底肌力改善情况、尿失禁问卷表简表(ICIQ-SF)及女性性功能指数调查量表(FSFI)评分。结果两组治疗前漏尿量比较,差异无统计学意义(P>0.05);观察组治疗后的漏尿量少于对照组,差异有统计学意义(P<0.05);观察组治疗后的盆底肌力各指标均高于对照组,差异有统计学意义(P<0.05);两组治疗前的ICIQ-SF、FSFI评分比较,差异无统计学意义(P>0.05);两组治疗后的ICIQ-SF评分低于治疗前,FSFI评分高于治疗前,差异有统计学意义(P<0.05);观察组治疗后的ICIQ-SF评分低于对照组,FSFI评分高于对照组,差异有统计学意义(P<0.05)。结论在产后早期压力性尿失禁治疗中采用生物反馈电刺激联合盆底肌锻炼的康复模式,可使患者盆底肌功能获得显著改善,压力性尿失禁症状减轻,并促进患者性生活质量得到提升,康复效果良好,值得推荐。

Objective To explore the effect of biofeedback electrical stimulation+pelvic floor muscle exercise treats early postpartum stress urinary incontinence.Methods A total of 78 patients with early postpartum stress urinary incontinence admitted to Shenyang Yongsen Hospital,Shengjing Hospital Affiliated to China Medical University were selected as the research objects.According to the random number table method,they were divided into control group and observation group,with 39 cases in each group.The control group only received pelvic floor muscle exercise,while the observation group received biofeedback electrical stimulation+pelvic floor muscle exercise.The urine leakage,improvement of pelvic floor muscle strength,short form of urinary incontinence questionnaire(ICIQ-SF)and female sexual function index(FSFI)scores were compared between the two groups.Results There was no significant difference in urine leakage between the two groups before treatment(P>0.05).The amount of urine leakage in the observation group after treatment was less than that in the control group,and the difference was statistically significant(P<0.05).After treatment,all indexes of pelvic floor muscle strength in observation group were higher than those in control group,and the difference was statistically significant(P<0.05).There were no significant differences in ICIQ-SF and FSFI scores between the two groups before treatment(P>0.05).After treatment,the ICIQ-SF score of the two groups was lower than that before treatment,and the FSFI score was higher than that before treatment,and the differences were statistically significant(P<0.05).After treatment,the ICIQ-SF score of observation group was lower than that of control group,and the FSFI score was higher than that of control group,and the differences were statistically significant(P<0.05).Conclusion The use of biofeedback electrical stimulation combined with pelvic floor muscle exercise in the treatment of early postpartum stress urinary incontinence can significantly improve the patient′s pelvic floor muscle function,reduce the symptoms of stress urinary incontinence,and promote the quality of sexual life of patients It has a good recovery effect and is worth recommending.