神经肌肉电刺激在产后尿失禁患者中的应用效果

Application effects of neuromuscular electrical stimulation in patients with postpartum urinary incontinence

目的:观察神经肌肉电刺激在产后尿失禁患者中的应用效果。方法:选取2021年2月至2023年2月该院收治的100例产后尿失禁患者进行前瞻性研究,以随机数字表法将其分为对照组与观察组各50例。对照组采用凯格尔运动+阴道哑铃治疗,观察组在对照组基础上采用神经肌肉电刺激治疗,比较两组临床疗效,治疗前后盆底肌力、漏尿量,以及治疗期间并发症发生率。结果:观察组治疗总有效率为96.00%(48/50),高于对照组的72.00%(36/50),差异有统计学意义(P<0.05);治疗后,两组阴道静息压、阴道收缩压水平均高于治疗前,且观察组高于对照组,两组阴道收缩时长均长于治疗前,且观察组长于对照组,差异有统计学意义(P<0.05);治疗后,两组漏尿量均少于治疗前,且观察组少于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为4.00%(2/50),低于对照组的20.00%(10/50),差异有统计学意义(P<0.05)。结论:在凯格尔运动+阴道哑铃治疗基础上采用神经肌肉电刺激可提高产后尿失禁患者治疗总有效率,改善盆底肌力,减少漏尿量,降低并发症发生率,效果优于单纯凯格尔运动+阴道哑铃治疗。

Objective:To observe application effects of neuromuscular electrical stimulation in patients with postpartum urinary incontinence.Methods:A prospective study was conducted on 100 patients with postpartum urinary incontinence admitted to the hospital from February 2021 to February 2023.They were divided into control group and observation group by using the random number table method,50 cases in each group.The control group was treated with Kegel exercise+vaginal dumbbell,while the observation group was treated with neuromuscular electrical stimulation on the basis of that of the control group.The therapeutic effect,the pelvic floor muscle strength and the urine leakage volume before and after the treatment,and the incidence of complications during the treatment were compared between the two groups.Results:The total effective rate of the observation group was 96.00%(48/50),which was higher than 72.00%(36/50)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of vaginal resting pressure and vaginal systolic pressure of the two groups were higher than those before the treatment,and those in the observation group were higher than those in the control group;the duration of vaginal contraction in both groups was longer than that before the treatment,and that in the observation group was longer than that in the control group;and the differences were statistically significant(P<0.05).After the treatment,the urine leakage volumes of the two groups were less than those before the treatment,that of the observation group was less than that of the control group,and the difference was statistically significant(P<0.05).Further,the incidence of complications in the observation group was 4.00%(2/50),which was lower than 20.00%(10/50)in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of Kegel exercise+vaginal dumbbell therapy,neuromuscular electrical stimulation can improve the total effective rate of the postpartum urinary incontinence patients,improve the pelvic floor muscle strength and reduce the urine leakage volume and reduce the incidence of complications.Moreover,it is superior to simple Kegel exercise+vaginal dumbbell treatment.