悬吊训练疗法联合生物反馈电刺激对产后压力性尿失禁患者盆底功能和尿流动力学的影响

Effects of Suspension Training Therapy Combined with Biofeedback Electrical Stimulation on Pelvic Floor Function and Urodynamics in Patients with Postpartum Stress Urinary Incontinence

目的:观察悬吊训练疗法联合生物反馈电刺激对产后压力性尿失禁(PSUI)患者盆底功能和尿流动力学的影响。方法:选择2019年7月~2021年8月期间我院接收的PSUI患者96例,符合要求的患者根据信封抽签法分为对照组(48例)和研究组(48例)。对照组患者接受悬吊训练疗法,研究组患者接受悬吊训练疗法联合生物反馈电刺激,对比两组疗效、盆底功能指标和尿流动力学指标,观察两组尿垫试验漏尿量、国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)问卷评分。结果:研究组的临床总有效率高于对照组(P<0.05)。治疗1个月后,两组24 h尿垫试验漏尿量和ICI-Q-SF问卷评分降低,且研究组低于对照组(P<0.05)。研究组治疗1个月后盆底肌力改善效果优于对照组(P<0.05)。两组治疗1个月后最大尿道闭合压力(MUCP)、功能尿道长度(LES)、腹压漏尿点压(ALPP)、与最大尿流率(Qmax)升高,且研究组高于对照组(P<0.05)。结论:PSUI患者经悬吊训练疗法联合生物反馈电刺激干预,可有效改善临床症状,促进盆底功能和尿流动力学恢复,效果显著。

Objective:To observe the effects of suspension training therapy combined with biofeedback electrical stimulation on pelvic floor function and urodynamics in patients with postpartum stress urinary incontinence(PSUI).Methods:96 patients with PSUI who were received in our hospital from July 2019 to August 2021 were selected.The patients who met the requirements were divided into control group(48 cases)and study group(48 cases)by envelope lottery.The patients in the control group received suspension training therapy,and the patients in the study group received suspension training therapy combined with biofeedback electrical stimulation.The curative effects,pelvic floor function indexes and urodynamic indexes of the two groups were compared.The leakage volume of urine pad test and the score of international consultation on incontinence questionnaire-urinary incontinence-short form(ICI-Q-SF)questionnaire of the two groups were observed.Results:The total clinical effective rate of the study group was higher than that of the control group(P<0.05).1 month after treatment,the leakage volume of 24 h urine pad test and the score of ICI-Q-SF questionnaire of the two groups decreased,and the study group was lower than the control group(P<0.05).The improvement effect of pelvic floor muscle strength in the study group was better than that in the control group after one month of treatment(P<0.05).1 month after treatment,the maximum urethral closure pressure(MUCP),functional urethral length(LES),abdominal pressure,leak point pressure(ALPP)and maximum urinary flow rate(Qmax)of two groups increased,and the study group was higher than the control group(P<0.05).Conclusion:The suspension training therapy combined with biofeedback electrical stimulation intervention in patients with PSUI can effectively improve clinical symptoms and promote the recovery of pelvic floor function and urodynamics,the effect is remarkable.