低频电刺激联合盆底康复训练治疗中老年女性压力性尿失禁的临床效果

Clinical effect of low frequency electrical stimulation combined with pelvic floor rehabilitation training treating stress urinary incontinence in middle-aged and elderly women

目的探讨低频电刺激联合盆底康复训练治疗中老年女性压力性尿失禁的临床效果。方法选取2023年1月至9月贵阳市乌当区人民医院收治的428例中老年女性压力性尿失禁患者作为研究对象,按照不同治疗方案将其分为对照组(214例)与研究组(214例)。对照组采用盆底康复训练,研究组采用低频电刺激联合盆底康复训练治疗,比较两组的治疗效果。结果两组治疗总有效率比较,研究组更高(P<0.05);治疗后,与对照组相比,研究组盆底肌力及阴道最大压力更高(P<0.05);治疗后,与对照组相比,研究组排尿与漏尿次数更少,最大排尿量更多,1 h尿垫试验漏尿量更少(P<0.05);治疗后,与对照组相比,研究组尿失禁生活质量量表评分更高,尿失禁问卷表简表评分更低(P<0.05)。结论低频电刺激联合盆底康复训练治疗中老年女性压力性尿失禁患者可有效改善盆底肌力,缓解尿失禁症状,对提高治疗效果及生活质量有积极作用。

Objective To explore the clinical effect of low frequency electrical stimulation combined with pelvic floor rehabilitation training treating stress urinary incontinence in middle-aged and elderly women.Methods A total of 428 middle-aged and elderly female patients with stress urinary incontinence admitted to the Wudang District People’s Hospital in Guiyang City from January to September 2023 were selected as the research objects.According to different treatment plans,they were divided into control group(214 cases)and study group(214 cases).The control group was treated with pelvic floor rehabilitation training,and the study group was treated with low frequency electrical stimulation combined with pelvic floor rehabilitation training.The therapeutic effect of the two groups was compared.Results The total effective rate of the study group was higher than that of the control group(P<0.05).After treatment,the pelvic floor muscle strength and vaginal maximum pressure in the study group were higher than those in the control group(P<0.05).After treatment,the frequencies of urination and leakage of urine in the study group were fewer than those in the control group,the maximum voiding volume in the study group was more,and the urine leakage volume in one-hour pad test in the study group was less(P<0.05).After treatment,compared with the control group,the incontinence quality of life scale was higher in the study group,and the international consultation on incontinence questionnaire urinary incontinence short form score was lower in the study group(P<0.05).Conclusion Low frequency electrical stimulation combined with pelvic floor rehabilitation training in the treatment of stress urinary incontinence in middle-aged and elderly women can effectively improve pelvic floor muscle strength,relieve the symptoms of urinary incontinence,and have a positive effect on improving the treatment effect and quality of life.