超激光穴位照射联合盆底康复治疗绝经后压力性尿失禁对盆底肌力和尿动力学的影响

发布时间：2018-05-27 05:30

本文选题：绝经后 + 压力性尿失禁　；参考：《广东医学》2017年17期

【摘要】：目的探讨超激光穴位照射联合盆底康复治疗绝经后压力性尿失禁对盆底肌力和尿动力学的影响。方法选取绝经后压力性尿失禁患者66例为研究对象,按信封法随机分为联合组(n=33)和康复组(n=33)。康复组采用盆底康复治疗仪进行治疗,联合组在对照组的基础上采用超激光穴位照射治疗,治疗周期4周。检测比较两组疗效、治疗前后盆底肌力评分、尿垫试验评分、尿动力学及不良反应和并发症发生率等。结果联合组治疗有效率为87.88%(29/33),高于康复组的57.58%(19/33),差异有统计学意义(P0.05)。与治疗前比较,联合组和康复组治疗2周和4周的尿垫试验评分降低,盆底肌力评分、控制面积、最大逼尿肌压力和最大尿道关闭压升高(P0.05)。与康复组比较,联合组治疗2周和4周的尿垫试验评分降低,盆底肌力评分、控制面积、最大逼尿肌压力和最大尿道关闭压升高,差异有统计学意义(P0.05)。两组不良反应和并发症发生率比较差异无统计学意义(P0.05)。结论超激光穴位照射联合盆底康复治疗绝经后压力性尿失禁可有效改善盆底肌力和尿动力学,且其安全性良好,值得临床推广应用。
[Abstract]:Objective to investigate the effect of hyperlaser acupoint irradiation combined with pelvic floor rehabilitation on pelvic floor muscle strength and urodynamics in postmenopausal stress urinary incontinence. Methods 66 patients with postmenopausal stress urinary incontinence were randomly divided into two groups according to the envelope method: the combined group (n = 33) and the rehabilitation group (n = 33). The rehabilitation group was treated with pelvic floor rehabilitation therapy instrument, and the combined group was treated with super laser acupoint irradiation on the basis of the control group. The treatment period was 4 weeks. The efficacy, pelvic floor muscle strength score, urinary pad test, urodynamics, adverse reactions and complications were measured and compared between the two groups before and after treatment. Results the effective rate of treatment in the combined group was 87.88 / 29 / 33, which was higher than that in the rehabilitation group (57.58 / 33 / 33), and the difference was statistically significant (P 0.05). Compared with before treatment, the scores of urinary pad test in the combined group and rehabilitation group were decreased at 2 and 4 weeks, the pelvic floor muscle strength score, the controlled area, the maximum detrusor pressure and the maximum urethral closure pressure were increased (P 0.05). Compared with the rehabilitation group, the score of urinary pad test decreased, the pelvic floor muscle strength score, the control area, the maximum detrusor pressure and the maximum urethral closure pressure increased in the combined group at 2 and 4 weeks after treatment, and the difference was statistically significant (P 0.05). There was no significant difference in the incidence of adverse reactions and complications between the two groups (P 0.05). Conclusion Ultra-laser acupoint irradiation combined with pelvic floor rehabilitation for postmenopausal stress urinary incontinence can effectively improve pelvic floor muscle strength and urodynamics, and is safe and worthy of clinical application.
【作者单位】：武汉大学附属同仁医院武汉市第三医院康复医学科;
【基金】：武汉市临床医学(中医药及中西医结合类)科研项目(编号:WZ16B06)
【分类号】：R711.59

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