运动疗法联合生物反馈治疗对老年女性压力性尿失禁的临床研究

A clinical study of exercise therapy combined with biofeedback in elderly women with stress urinary incontinence

目的探讨老年压力性尿失禁通过运动疗法结合生物反馈治疗的临床观察。方法选取2021年11月—2022年11月在鄂尔多斯中医康复医院门诊就诊患者80例,按照随机抽样法数字表法分为治疗组与对照组各40例;门诊分别给与治疗前、后康复评估,治疗组给予运动疗法结合生物反馈治疗对比疗效;对照组给予生物反馈治疗。观察患者运动肌纤维活动情况以及生活活动能力的影响。结果比较2组治疗前、后尿动力学参数与患者生活质量等方面的变化。通过尿动力学检测仪检测尿动力学参数,获得腹压漏尿点压(VLPP)以及最大尿道闭合压(PMUC)的数值。对照组治疗前(5.15±1.21);治疗组治疗前(3.07±0.92);对照组治疗后(23.12±4.07)、治疗组治疗后(20.18±3.48);2组治疗前后VLPP和PMUC指标差异有统计学意义(P<0.05);2组肌电信号在前静息状态、后静息状态、快速收缩状态、紧张收缩状态、耐力收缩状态进行对比,治疗组较对照组参数差异具有统计学意义(P<0.05)。结论运动疗法结合生物反馈治疗对提高老年压力性尿失禁有一定疗效,值得临床推广。

Objective To explore the clinical observation of exercise therapy combined with biofeedback in the treatment of elderly Stress incontinence.Method Eighty outpatients were selected from the 2021 of Erdos Traditional Chinese medicine rehabilitation hospital from November to November 2022 and randomly divided into treatment group and control group,with 40 cases in each group.Rehabilitation assessment was given before and after treatment respectively in the outpatient department.The treatment group was given exercise therapy combined with biofeedback therapy,and the control group was given biofeed⁃back therapy.The activity of motor muscle fibers and the influence of activities of daily living were observed.Results There were significant differences at the levels of urodynamic parameters and quality of life before and after treatment in the 2 groups.The main urodynamic parameters included abdominal leak point pressure(VLPP)and maximum urethral closure pressure(PMUC),the urodynamic parameters were measured by urodynamic analyzer before treatment in control group(5.15.1.21),before treatment in treatment group(3.07±0.92),after treatment in control group(23.12±4.07),after treatment in treat⁃ment group(20.18±3.48)The EMG signals of the two groups were compared in pre⁃resting state,post⁃resting state,rapid contraction state,tense contraction state and endurance contraction state,there was the statistical significance between the 2 groups was shown(P<0.05).Conclusion Exercise therapy combined with biofeedback therapy has a certain effect on im⁃proving the Stress incontinence of the elderly and is worthy of clinical promotion.