仿生物反馈法联合核心肌群训练治疗女性SUI对照观察

A comparative observation on the treatment of female SUI by biofeedback method combined with core muscle training

目的探讨仿生物反馈法联合核心肌群训练治疗女性压力性尿失禁的临床疗效。方法将180例压力性尿失禁女性按随机数字表法分为研究组及对照组,各90例。对照组接受仿生物反馈法治疗,研究组在对照组基础上联合核心肌群训练,观察20 d。比较两组临床疗效及治疗前后盆底肌肌力、尿动力学相关指标(最大尿流率、最大尿道闭合压及腹压漏尿点压)、72 h漏尿次数及生活质量(国际尿失禁咨询委员会尿失禁问卷评分)。结果研究组总有效率为95.3%,对照组为85.1%,研究组显著高于对照组(P<0.01)。治疗后两组盆底肌肌力较治疗前显著改善(P<0.01),研究组显著优于对照组(P<0.01)。治疗后两组最大尿流率、最大尿道闭合压及腹压漏尿点压均较治疗前显著升高(P<0.01),研究组显著高于对照组(P<0.01)。治疗后两组72 h漏尿次数较治疗前显著减少(P<0.01),国际尿失禁咨询委员会尿失禁问卷评分较治疗前显著降低(P<0.01),研究组显著优于对照组(P<0.01)。结论仿生物反馈法联合核心肌群训练治疗女性压力性尿失禁疗效较佳,可以明显改善患者盆底肌肌力及尿失禁症状,提高其生活质量。

Objective To investigate the clinical effect of biofeedback method combined with core muscle training in the treatment of female stress urinary incontinence(SUI).Methods A total of 180 female with SUI were divided into study group and control group according to random number table method,with 90 cases in each group.The control group received biofeedback method,while the study group received core muscle training on the basis of the control group for 20 days.The clinical efficacy,pelvic floor muscle strength,urodynamic indicators(maximum urine flow rate,maximum urethral closure pressure,abdominal leak point pressure),frequency of urine leakage in 72 h,and quality of life[international consultation on incontinence questionnaire short form(ICI-Q-SF)score]were compared between the two groups before and after treatment.Results The total effective rate was 95.3%in the study group and 85.1%in the control group,and the study group was significantly higher than the control group(P<0.01).After treatment,pelvic floor muscle strength of the two groups was significantly improved(P<0.01),and the study group was significantly better than the control group(P<0.01).After treatment,the maximum urine flow rate,maximum urethral closure pressure,and abdominal leak point pressure in the two groups were significantly higher than those before treatment(P<0.01),and the study group was significantly higher than the control group(P<0.01).After treatment,the frequency of urine leakage in 72 h in the two groups was significantly decreased(P<0.01),and ICI-Q-SF score was significantly lower than that before treatment(P<0.01),and the study group was significantly better than the control group(P<0.01).Conclusions Biofeedback method combined with core muscle training is effective in the treatment of women with SUI,which can significantly improve pelvic floor muscle strength and urinary incontinence,and improve quality of life of the patients.