阴道压力反馈盆底肌抗阻肌力训练治疗女性压力性尿失禁的疗效观察

发布时间：2018-11-18 12:32

【摘要】：目的探讨生物反馈电刺激配合盆底肌抗阻肌力训练治疗女性压力性尿失禁(SUI)的疗效。方法 2014年2月~2015年5月,将本院125例SUI女性患者分成两组,对照组(n=65)采用凯格尔盆底肌锻炼,嘱患者用力收缩盆底肌,每次持续用力10 s,休息10 s,每次30 min;试验组(n=60)用XFT-2002型盆底刺激仪进行生物反馈电刺激20 min,引导患者仔细体验盆底肌收缩的感觉后,再指导患者根据XFT-0010型盆底肌刺激仪的语音导航用力收缩盆底肌,挤压阴道内的充气探头,每次持续用力10 s,休息10 s,每次30 min。两组患者均治疗30 d。治疗前后所有患者均进行会阴肌力测试(GRRUG)和女性下尿路症状国际尿失禁标准问卷简化版(ICIQ-SF)评估。结果治疗后,两组患者的盆底肌肌力(t=-3.570)和ICIQ评分(t=4.198)均明显改善(P0.01),试验组明显优于对照组(t=6.833,t=-2.445,P0.01)。试验组的治疗有效率显著高于对照组(Z=63.954,P0.001)。结论阴道压力反馈抗阻肌力训练治疗女性SUI的疗效优于单纯盆底肌训练。
[Abstract]:Objective to investigate the effect of biofeedback electrical stimulation combined with pelvic floor muscle resistance training in the treatment of female stress urinary incontinence (SUI). Methods from February 2014 to May 2015, 125 female patients with SUI in our hospital were divided into two groups. The control group (n = 65) was treated with Kegel's pelvic floor muscle exercise. The patients were told to contract the pelvic floor muscle vigorously for 10 s, rest for 10 s, and rest for 30 min; each time. In the experimental group (NN60), the patients were given biofeedback electrical stimulation for 20 min, to guide the patients to experience the feeling of pelvic floor muscle contraction carefully, and then to guide the patients to contract the pelvic floor muscles according to the sound navigation of the XFT-0010 type pelvic floor stimulator. Squeeze the inflatable probe in the vagina, exert continuously for 10 s each time, rest for 10 s, 30 min. each time Both groups were treated for 30 days. All patients were evaluated by perineal muscle strength test (GRRUG) and international urinary incontinence questionnaire (ICIQ-SF) before and after treatment. Results after treatment, the muscle strength of pelvic floor muscle (tn-3.570) and ICIQ score (tn4.198) of the two groups were significantly improved (P0.01), and the experimental group was superior to the control group (Tet 6.833 T- 2.445U P0.01). The effective rate of treatment in the trial group was significantly higher than that in the control group (P 0.001). Conclusion the effect of vaginal pressure feedback resistance training on female SUI is better than that of pelvic floor muscle training alone.
【作者单位】：佛山市第一人民医院康复科;
【分类号】：R711.59

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