六字诀呼吸训练联合生物反馈电刺激对产后尿失禁的临床疗效研究

Clinical efficacy of six character formula breathing training combined with biofeedback electrical stimulation on postpartum urinary incontinence

目的:探讨传统中医六字诀呼吸训练联合生物反馈电刺激治疗对产后尿失禁患者盆底肌表面肌电值、尿失禁症状的康复效应。方法:选取2020年9月至2021年12月于福建中医药大学附属第三人民医院就诊的产后尿失禁患者50例,采取随机数字表法分成两组,各25例。对照组采用常规的生物反馈电刺激治疗,试验组在常规盆底康复治疗基础上联合六字诀呼吸训练,10次为一个疗程,治疗4周。比较两组干预前后盆底肌表面肌电值、尿失禁临床疗效。结果:干预前,两组的盆底肌表面肌电值各指标比较,差异无统计学意义(P>0.05);干预后,两组的盆底肌表面肌电值在前静息阶段的平均值、快速收缩阶段的最大值、紧张收缩阶段的平均值和放松时间、耐力收缩的平均值上均较治疗前的差异有统计学差异(P<0.05),试验组在快速收缩的放松时间以及紧张收缩的变异性上均较治疗前有显著改善(P<0.05);两组治疗后的前静息阶段变异性、快速收缩阶段的放松时间、紧张收缩阶段的变异性以及放松时间上的差异有统计学意义(P<0.05),而临床疗效评价无统计学差异(P>0.05)。结论:六字诀呼吸训练联合生物反馈电刺激具有改善产后尿失禁患者盆底肌的静息张力,以及提高盆底肌快速收缩和紧张收缩阶段协调性和稳定性的作用。

Objective:To explore the rehabilitation effect of traditional Chinese medicine six character formula breathing training combined with biofeedback electrical stimulation treatment on pelvic floor muscle surface electromyography and urinary incontinence symptoms in postpartum urinary incontinence patients.Method:Fifty postpartum urinary incontinence patients who were treated at the Third People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from September 2020 to December 2021 were randomly divided into two groups using a random number table method,with 25 cases in each group.The control group received routine biofeedback electrical stimulation treatment,while the experimental group received a combination of six character breathing training on the basis of routine pelvic floor rehabilitation treatment.The treatment lasted for 4 weeks,with 10 sessions per course.Compare the surface electromyography values of pelvic floor muscles and the clinical efficacy of urinary incontinence between the two groups before and after intervention.Result:Before intervention,there was no statistically significant difference in the surface electromyography values of the pelvic floor muscles between the two groups(P>0.05);After intervention,the surface electromyography values of the pelvic floor muscles in the two groups showed statistical differences(P<0.05)compared to before treatment in terms of the average values in the pre rest stage,the maximum values in the rapid contraction stage,the average values and relaxation time in the tense contraction stage,and the average values of endurance contraction.The experimental group showed significant improvements in the relaxation time and variability of tense contraction compared to before treatment(P<0.05);There were significant intergroup differences(P<0.05)in the variability of the pre resting phase,relaxation time during the rapid contraction phase,variability during the tense contraction phase,and relaxation time between the two groups after treatment,while there was no significant statistical difference in clinical efficacy evaluation(P>0.05).Conclusion:The combination of six character formula breathing training and biofeedback electrical stimulation has the effect of improving the resting tension of pelvic floor muscles in postpartum urinary incontinence patients,as well as improving the coordination and stability of pelvic floor muscles during rapid contraction and tense contraction stages.