盆底肌电刺激加盆底功能锻炼结合穴位点压治疗更年期轻中度压力性尿失禁的效果

Effect of Pelvic Floor Muscle Electrical Stimulation Plus Pelvic Floor Functional Exercise Combined with Acupoint Point Pressure in the Treatment of Mild to Moderate Stress Urinary Incontinence in Menopausal

目的:观察盆底肌电刺激加盆底功能锻炼结合穴位点压治疗更年期轻中度压力性尿失禁(SUI)的效果。方法:选取2020年8月—2022年8月三明市沙县区总医院就诊的88例更年期轻中度SUI患者。根据红蓝球法将其分为观察组和对照组,各44例。对照组给予盆底肌电刺激加盆底功能锻炼治疗。观察组在此基础上增加穴位点压治疗。比较两组临床疗效,治疗前后盆底肌力、Ⅰ类肌纤维、Ⅱ类肌纤维肌电压、漏尿量、病情。结果:观察组总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组盆底肌力优于对照组,差异有统计学意义(P<0.05)。治疗后,两组Ⅰ类肌纤维、Ⅱ类肌纤维肌电压均高于治疗前,且观察组均高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-SF)评分和漏尿量均低于对照组,差异有统计学意义(P<0.05)。结论:盆底肌电刺激加盆底功能锻炼结合穴位点压治疗更年期轻中度SUI患者可有效提高盆底肌力,改善漏尿情况及临床症状。

Objective:To observe the effect of pelvic floor muscle electrical stimulation plus pelvic floor functional exercise combined with acupoint point pressure in the treatment of mild to moderate stress urinary incontinence(SUI)in menopausal.Method:A total of 88 menopausal with mild to moderate SUI were selected from Shaxian District General Hospital,Sanming City from August 2020 to August 2022.According to the red and blue ball method,the patients were divided into observation group and control group,44 cases in each group.The control group was treated with pelvic floor muscle electrical stimulation plus pelvic floor functional exercise.The observation group added accupoint point pressure treatment on this basis.The clinical effects,pelvic floor muscle strength,typeⅠmuscle fiber,typeⅡmuscle fiber muscle voltage,urine leakage volume and disease condition before and after treatment of the two groups were compared.Result:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the pelvic floor muscle strength of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the muscle voltage of typeⅠmuscle fiber and typeⅡmuscle fiber in the both groups were higher than those before treatment,and those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After treatment,International Consultation on Incontinence Questionnaire for Urinary Incontinence-Short Form questionnaire(ICIQ-SF)score and urine leakage volume in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Pelvic floor muscle electrical stimulation plus pelvic floor functional exercise combined with acupoint point pressure can effectively improve pelvic floor muscle strength,improve urinary leakage condition and clinical symptoms in the treatment of menopausal mild to moderate SUI.