磁电刺激疗法联合盆底肌肉锻炼治疗女性压力性尿失禁的效果分析

Effect of magnetoelectric stimulation therapy combined with pelvic floor muscle exercise on women with stress urinary incontinence

目的分析磁电刺激疗法联合盆底肌肉锻炼治疗女性压力性尿失禁的临床效果。方法抽取2020年6月至2021年6月濮阳市妇幼保健院收治的女性压力性尿失禁患者84例,按随机数字表法分为磁电刺激组和肌肉锻炼组,每组42例。肌肉锻炼组予以盆底肌肉锻炼,磁电刺激组予以磁电刺激疗法联合盆底肌肉锻炼。比较两组临床效果、膀胱颈旋转角、后角及治疗前后漏尿量、尿流动力学、盆底功能变化。结果磁电刺激组总有效率(95.24%,40/42)高于肌肉锻炼组(80.95%,34/42),P<0.05。治疗后,磁电刺激组漏尿量[(3.62±1.17)ml]少于于肌肉锻炼组[(4.85±1.52)ml],P<0.05。治疗后,磁电刺激组最大尿道闭合压高于肌肉锻炼组,最大尿流逼尿肌压低于肌肉锻炼组(P<0.05)。治疗后,磁电刺激组持续收缩力高于肌肉锻炼组,肌肉静息状态肌电值低于肌肉锻炼组(P<0.05)。治疗后,磁电刺激组膀胱颈旋转角、膀胱后角均小于肌肉锻炼组(P均<0.05)。结论磁电刺激疗法联合盆底肌肉锻炼治疗女性压力性尿失禁患者,可提高临床治疗效果,改善尿失禁,减少漏尿量,促进盆底功能恢复。

Objective To analyze the clinical effect of magnetoelectric stimulation therapy combined with pelvic floor muscle exercise in the treatment of female stress urinary incontinence.Methods Eighty-four female patients with stress urinary incontinence treated in Puyang Maternal and Child Health Hospital from June 2020 to June 2021 were selected.And they were divided into magnetoelectric stimulation group and muscle exercise group according to the random number table method,with 42 cases in each group.The muscle exercise group received pelvic floor muscle exercise,and the magnetoelectric stimulation group received magnetoelectric stimulation therapy combined with pelvic floor muscle exercise.Clinical effect,bladder neck rotation angle,posterior angle,and urine leakage,urodynamics and pelvic floor function before and after treatment were compared between the two groups.Results The total effective rate of magnetoelectric stimulation group was 95.24%(40/42),higher than the 80.95%(34/42)of muscle exercise group(P<0.05).After treatment,the urine leakage in magnetoelectric stimulation group was(3.62±1.17)ml,lower than the(4.85±1.52)ml in muscle exercise group(P<0.05).After treatment,the maximum urethral closure pressure of the magnetic stimulation group was higher than that of the muscle exercise group,and the detrusor pressure at maximum urine flow was lower than that of the muscle exercise group(P<0.05).After treatment,the continuous contractile force in magnetoelectric stimulation group was higher than that in muscle exercise group,and the resting electromyogram value of the muscle was lower than that in muscle exercise group(P<0.05).After treatment,the rotational angle of bladder neck and posterior angle of bladder in magnetoelectric stimulation group were lower than those in muscle exercise group(all P<0.05).Conclusions The combination of magnetoelectric stimulation therapy and pelvic floor muscle exercise in the treatment of female patients with stress urinary incontinence can improve the clinical treatment effect,improve urinary incontinence,reduce urine leakage,and promote the recovery of pelvic floor function.