盆底电刺激生物反馈联合心理行为干预治疗女性压力性尿失禁

Pelvic floor electrical stimulation and biofeedback combined with psychological behavior intervention for the treatment of female stress urinary incontinence

目的探讨心理行为干预治疗在盆底电刺激生物反馈治疗中的作用。方法采用前瞻性随机对照试验,选择2017年11月至2018年5月于本院收治的40例女性压力性尿失禁患者作为研究对象。按照随机数字表法分为对照组与干预组,每组各20例,对照组采用盆底电刺激生物反馈治疗,干预组在电刺激生物反馈治疗的基础上加以心理行为干预治疗。观察两组盆底肌力评分、尿失禁生活质量量表(incontinence quality of life questionnaire,I-QOL)评分、汉密尔顿焦虑量表(hamilton anxiety scale HAMA)评分、汉密尔顿抑郁量表(hamilton depression scale,HAMD)评分。结果干预组试验后在盆底肌力评分(63.49±4.78)分,I-QOL评分为(62.27±16.16)分,HAMD评分为(13.50±4.98)分,均优于对照组,比较差异具有统计学意义(P<0.05)。治疗1月后随访,干预组HAMD评分为(10.72±6.54)分,优于对照组,比较差异具有统计学意义(P<0.05)。结论心理行为干预治疗可在盆底电刺激生物反馈治疗中有效提高患者盆底肌力及生活质量,降低患者抑郁心境,具有重要的临床意义。

Objective To explore the efficacy of psychological behavior intervention in pelvic floor electrical stimulation and biofeedback therapy of female stress urinary incontinence(SUI).Methods A total of 40 female SUI cases treated during Nov.2017 and May 2018 were enrolled in the prospective randomized controlled trial.According to the random number table method,the 40 cases were divided into the control group and intervention group,with 20 patients in either group.The control group was treated with pelvic floor electrical stimulation biofeedback therapy,and the intervention group was treated with psychological intervention on the basis of electrical stimulation biofeedback therapy.The pelvic floor muscle strength score,incontinence quality of life questionnaire(I-QOL)score,Hamilton anxiety scale(HAMA)score,and Hamilton depression scale(HAMD)score of the two groups were observed.Results In the intervention group,the pelvic floor muscle strength score was 63.49±4.78,the I-QOL score was 62.27±16.16,and the HAMD score was 13.50±4.98.All of these indexes were superior to those in the control group,and the differences were statistically significant(P<0.05).During the 1-month follow-up,the HAMD score was 10.72±6.54 in the intervention group,which was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Psychological intervention therapy can effectively improve the pelvic floor muscle strength and quality of life,and reduce depression in patients undergoing pelvic floor electrical stimulation and biofeedback therapy.It has important clinical significance.