骶四针疗法配合盆底肌锻炼对产后压力性尿失禁患者盆底功能及性生活质量的影响

Effects of sacral four-needle therapy combined with pelvic floor muscle exercise on pelvic floor function and sexual quality of patients with postpartum stress urinary incontinence

目的探讨骶四针疗法配合盆底肌锻炼对产后压力性尿失禁患者盆底功能及性生活质量的影响。方法选取2017年5月至2020年5月新疆医科大学第一附属医院收治的98例产后压力性尿失禁患者作为研究对象。采用随机数字表法分为研究组和对照组,各49例。两组均接受常规护理,对照组在常规护理的基础上给予盆底肌锻炼,研究组在对照组的基础上给予骶四针疗法,比较两组的临床疗效､1 h漏尿量､盆底肌力恢复情况及性生活情况。结果治疗后,研究组总有效率为91.84%,明显高于对照组的69.39%,差异具有统计学意义(P<0.05);与治疗前比较,治疗后两组1 h漏尿量减少,且研究组1 h漏尿量少于对照组,差异具有统计学意义(P<0.05);治疗后,两组盆底肌力分级均升高,且研究组盆底肌力分级高于对照组,差异具有统计学意义(P<0.05);治疗后,研究组性生活质量高水平比率为38.78%,高于对照组的20.41%,差异具有统计学意义(P<0.05)。结论骶四针疗法配合盆底肌锻炼用于产后压力性尿失禁患者,能改善患者的漏尿情况,提高其盆底肌力及性生活质量,临床疗效较好。

Objective To investigate the influences of sacral four-needle therapy combined with pelvic floor muscle exercise on pelvic floor function and quality of sexual life in patients with postpartum stress urinary incontinence.Methods 98 patients with postpartum stress urinary incontinence admitted in the First Affiliated Hospital of Xinjiang Medical University from May 2017 to May 2020 were selected and randomly divided into a control group(49 cases)and a study group(49 cases)using a random number table method.All patients received routine care.The control group was edded pelvic floor muscle exercises,and the study group was added sacral four-needle therapy on the basis of the control group.The two groups were compared in terms of clinical efficacy,1 h urine leakage,recovery of pelvic floor muscle strength and quality of sexual life.Results After the patients of two groups were treated,the total effective rate of the study group was 91.84%,which was significantly higher than 69.39%of the control group(P<0.05).Compared with before treatment,the 1 h urine leakage decreased in the two groups after treatment(P<0.05),and the 1 h urine leakage in the study group was less than that in the control group(P<0.05).After treatment,the pelvic floor muscle strength classification of the two groups increased(P<0.05),and the pelvic floor muscle strength classification of the study group was higher than that of the control group(P<0.05).After treatment,the high-level ratio of quality of sexual life was 38.78%in the study group and 20.41%in the control group,the study group was higher than the control group(P<0.05).Conclusions Sacral four-needle therapy combined with pelvic floor muscle exercise can improve urinary leakage,pelvic floor muscle strength and sexual life quality of patients with postpartum stress urinary incontinence,with good clinical efficacy.