盆底康复治疗仪联合盆底肌锻炼对产后压力性尿失禁患者的应用效果

Effect of Pelvic Floor Rehabilitation Apparatus Combined with Pelvic Floor Muscle Exercise in Postpartum Patients with Stress Urinary Incontinence

目的探究盆底康复治疗仪与盆底肌锻炼联合治疗产后压力性尿失禁(PSUI)患者的临床效果及对盆底肌力等级分布、盆底肌肌电值、血清相关指标的影响。方法收集2020年5月至2022年4月南阳市宛城区第一人民医院108例PSUI患者的临床资料,依据治疗方法分为两组,将行盆底肌锻炼治疗的51例设为对照组,行盆底康复治疗仪联合盆底肌锻炼治疗的57例设为观察组。比较两组临床疗效、治疗前与治疗2个月后盆底肌力等级分布、盆底肌肌电值、血清相关指标[基质金属蛋白酶-1(MMP-1)、结缔组织生长因子(CTGF)、骨桥蛋白(OPN)]及预后情况。结果观察组总有效率较对照组高(P<0.05);观察组治疗2个月后盆底肌力等级分布优于对照组,盆底耐力收缩值、紧张收缩值、快速收缩最大值均高于对照组(P<0.05);观察组治疗2个月后血清MMP-1、CTGF、OPN水平低于对照组(P<0.05);治疗2个月后,观察组漏尿量低于对照组,尿失禁生活质量评定量表(I-QOL)评分高于对照组(P<0.05)。结论盆底康复治疗仪联合盆底肌锻炼治疗PSUI,能抑制病情因子表达,促进盆底肌收缩能力恢复,进而增强疗效,改善患者预后。

Objective To investigate the clinical efficacy of combining pelvic floor rehabilitation therapy with pelvic floor muscle exercise in the treatment of postpartum stress urinary incontinence(PSUI)patients,as well as its impact on the distribution of pelvic floor muscle strength levels,pelvic floor muscle electromyography values,and serum-related indicators.Methods Clinical data of 108 patients with PSUI in the First People’s Hospital of Wancheng District in Nanyang City from May 2020 to April 2022 were collected and retrospectively analyzed.The patients were divided into two groups based on the treatment methods:the control group of 51 patients receiving pelvic floor muscle exercise therapy and the observation group of 57 patients receiving pelvic floor rehabilitation therapy combined with pelvic floor muscle exercise therapy.The clinical efficacy,pelvic floor muscle strength grade distribution,pelvic floor electromyography value,serum related indexes[matrix metalloproteinase-1(MMP-1),connective tissue growth factor(CTGF),osteopontin(OPN)]and prognosis of the two groups were compared before and after treatment.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).The pelvic floor muscle strength grade distribution of the observation group was better than that of the control group after 2 months of treatment,and the values of pelvic floor endurance contraction,tense contraction,and rapid contraction maxima were higher than those of the control group(P<0.05).The serum levels of MMP-1,CTGF and OPN in the observation group were lower than those in the control group after 2 months of treatment(P<0.05).After 2 months of treatment,urine leakage in the observation group was lower than that in the control group,and incontinence quality of life questionnaire(I-QOL)score was higher than that in the control group(P<0.05).Conclusion Pelvic floor rehabilitation therapy instrument combined with pelvic floor muscle exercise in the treatment of PSUI can inhibit the expression of disease factors,promote the recovery of pelvic floor muscle contraction ability,and then enhance the curative effect and improve the prognosis of patients.