不同生物反馈电刺激方案治疗女性压力性尿失禁的疗效

发布时间：2018-03-26 02:16

本文选题：女性压力性尿失禁　切入点：生物反馈电刺激　出处：《中国医科大学学报》2015年08期

【摘要】：目的探讨不同生物反馈电刺激方案对女性压力性尿失禁的治疗效果。方法选择女性轻中度压力性尿失禁患者共40例,随机分为实验组和对照组,每组20例。2组在治疗开始时,均予以患者可耐受的阈电流强度。实验组在治疗中期,在初始阈电流强度基础上适当增加电流强度,使患者达到可耐受的新的阈刺激强度;对照组则在整个治疗过程中,予以初始阈电流强度持续治疗。通过对2组治疗前后的盆底综合肌力、1 h尿垫试验漏尿量及尿失禁生活质量评分等指标进行观察,对比2种治疗方案的疗效。结果治疗结束时,2组患者盆底综合肌力、1 h尿垫漏尿量和生活质量评分均明显改善(P0.05),且实验组优于对照组;实验组总有效率(95.0%,19/20)优于对照组(65.0%,13/20),差异有统计学意义(P0.05)。结论生物反馈电刺激治疗女性压力性尿失禁疗效肯定;治疗中期增加电流强度的方案疗效显著,值得推广及应用。
[Abstract]:Objective to investigate the effect of different biofeedback electrical stimulation on female stress urinary incontinence. Methods 40 female patients with mild and moderate stress urinary incontinence were randomly divided into experimental group and control group, 20 cases in each group at the beginning of treatment. The experimental group increased the initial threshold current intensity on the basis of the initial threshold current intensity, so that the patient could achieve the new threshold stimulation intensity, while the control group was in the whole course of treatment. Continuous treatment with initial threshold current intensity was performed. The urinary leakage volume and the quality of life score of urinary incontinence were observed before and after treatment in two groups. Results at the end of the treatment, the urinary leakage volume and the quality of life score of the patients in the two groups were significantly improved, and the experimental group was superior to the control group. The total effective rate of the experimental group was 95.0 / 20), which was better than that of the control group (65.0 / 20%), and the difference was statistically significant (P 0.05). Conclusion the effect of biofeedback electrical stimulation in the treatment of female stress urinary incontinence is definite, and the effect of increasing electric current intensity in the middle stage of treatment is obvious, which is worth popularizing and applying.
【作者单位】：中国医科大学附属盛京医院妇产科;
【基金】：中华预防医学会科研资金支持项目“中国妇女盆底功能障碍防治”专项资金(20130606)
【分类号】：R711.59

【参考文献】