产后压力性尿失禁患者应用盆底康复治疗仪联合盆底肌训练的疗效观察

Observation on the effect of pelvic floor rehabilitation therapy apparatus combined with pelvic floor muscle training on postpartum stress urinary incontinence patients

目的观察盆底康复治疗仪联合盆底肌训练对产后压力性尿失禁患者的临床疗效。方法选取80例年龄>20岁的产后压力性尿失禁患者为调查对象,以随机数字表法分成观察组及对照组,每组40例。对照组患者从产后42 d恶露排净后进行盆底肌训练指导,观察组在对照组基础上联合盆底康复治疗仪治疗。比较两组患者治疗前后的盆底肌张力指标(盆底肌静息压、盆底肌收缩压、盆底肌力收缩持续时间)、漏尿量以及治疗效果。结果治疗后,两组患者盆底肌静息压、盆底肌收缩压、盆底肌力收缩持续时间均较治疗前改善,且观察组盆底肌静息压(44.45±5.11)mm Hg(1 mm Hg=0.133 kPa)、盆底肌收缩压(47.07±3.01)mm Hg、盆底肌力收缩持续时间(3.31±0.63)s优于对照组的(40.75±4.22)mm Hg、(41.16±2.02)mm Hg、(2.72±0.54)s(P<0.05)。两组患者漏尿量均较治疗前改善,且观察组患者漏尿量(2.11±0.13)g优于对照组的(3.48±0.25)g(P<0.05)。观察组患者治疗总有效率97.50%高于对照组的80.00%(P<0.05)。结论盆底康复治疗仪联合盆底肌训练,可改善产后压力性尿失禁患者盆底肌力指标,减少漏尿量,可作为非手术治疗产后压力性尿失禁的首选治疗方案。

Objective To observe the clinical efficacy of pelvic floor rehabilitation therapy apparatus combined with pelvic floor muscle training on postpartum stress urinary incontinence patients.Methods A total of 80 cases of postpartum stress urinary incotinence patients aged>20 years were selected and divided into an observation group and a control group using a random number table method,with 40 cases in each group.The control group received pelvic floor muscle training guidance after lochia elimination from 42 d postpartum,and the observation group was treated with pelvic floor rehabilitation therapy apparatus on the basis of the control group.Comparison was made on pelvic floor muscle strength indicators(pelvic floor muscle resting blood pressure,pelvic floor muscle contraction pressure,pelvic floor muscle contraction duration),urine leakage volume,and therapeutic effect between two groups.Results After treatment,the pelvic floor muscle resting blood pressure,pelvic floor muscle contraction pressure,pelvic floor muscle contraction duration in both groups were improved compared with those before treatment;in the observation group,the pelvic floor muscle resting blood pressure was(44.45±5.11)mm Hg(1 mm Hg=0.133 kPa),the pelvic floor muscle contraction pressure was(47.07±3.01)mm Hg and the pelvic floor muscle contraction pressure duration was(3.31±0.63)s,which were better than(40.75±4.22)mm Hg,(41.16±2.02)mm Hg and(2.72±0.54)s in the control group(P<0.05).The urine leakage volume in the two groups was improved compared with that before treatment,and the urine leakage volume of(2.11±0.13)g in the observation group was better than(3.48±0.25)g in the control group(P<0.05).The total effective rate of 97.50%in the observation group was higher than 80.00%in the control group(P<0.05).Conclusion The application of pelvic floor rehabilitation therapy apparatus combined with pelvic floor muscle training can improve the pelvic floor muscle strength indicators of postpartum stress urinary incontinence patients,reduce urine leakage volume,and can be used as the first choice for non-surgical treatment of postpartum stress urinary incontinence.