摘要
目的探讨生物反馈电刺激疗法联合核心肌群训练在产后中度压力性尿失禁(SUI)患者中的应用效果.方法选取2020年1月—2021年2月该院收治的70例产后中度SUI患者为研究对象,以奇偶数法分为两组,各35例.对照组采用生物反馈电刺激疗法治疗,观察组在对照组基础上采用核心肌群训练.对两组干预效果进行比较.结果观察组总有效率为97.14%,高于对照组的80.00%,差异有统计学意义(P<0.05).治疗前72 h,两组各项临床指标相比,组间差异无统计学意义(P>0.05);治疗后72 h,观察组漏尿次数、1 h尿垫试验漏尿量、总排尿次数均少于对照组,功能性膀胱容量大于对照组,组间差异有统计学意义(P<0.05).治疗前,两组尿失禁生活质量问卷(I-QOL)各维度评分相比,组间差异无统计学意义(P>0.05);治疗后,观察组I-QOL各维度评分均高于对照组,组间差异有统计学意义(P<0.05).结论生物反馈电刺激疗法联合核心肌群训练治疗产后中度SUI患者的疗效确切,可减少漏尿次数及漏尿量,改善患者生活质量,值得临床推广应用.
Objective To investigate the application effect of biofeedback electrical stimulation therapy combined with core muscle group training in postpartum patients with moderate stress urinary incontinence(SUI).Methods 70 postpartum patients with moderate SUI admitted to the hospital from January 2020 to February 2021 were selected as the research objects,and divided into two groups by the odd-even method,with 35 cases in each group.The control group was treated with biofeedback electrical stimulation therapy,and the observation group was treated with core muscle group training on the basis of the control group.The intervention effects of the two groups were compared.Results The total effective rate in the observation group was 97.14%,which was higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).72 hours before treatment,there was no significant difference in the clinical indicators between the two groups(P>0.05);72 hours after treatment,the frequency of urine leakage,the amount of urine leakage in 1 hour urine pad test,and the total number of urination in the observation group were all less than those in the control group,and the functional bladder capacity was greater than that in the control group,and the differences between the groups were statistically significant(P<0.05).Before treatment,there was no significant difference between the two groups in the scores of each dimension of incontinence quality of life questionnaire(I-QOL)(P>0.05);after treatment,the scores of each dimension of IQOL in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Biofeedback electrical stimulation therapy combined with core muscle group training is effective in the treatment of postpartum patients with moderate SUI,which can reduce the number and volume of urine leakage,and improve the quality of life of patients,which is worthy of clinical application.
作者
张一倩
陈丽平
龚淑飞
邓翠珍
ZHANG Yiqian;CHEN Liping;GONG Shufei;DENG Cuizhen(Department of Gynecology,Gaozhou People’s Hospital,Guangdong Province,Gaozhou Guangdong,525200,China)
出处
《反射疗法与康复医学》
2022年第7期54-57,共4页
Reflexology And Rehabilitation Medicine
关键词
生物反馈电刺激疗法
核心肌群训练
产后
压力性尿失禁
中度
效果
Biofeedback electrical stimulation therapy
Core muscle group training
Postpartum
Stress urinary incontinence
Moderate
Effect
作者简介
张一倩(1987-),女,广东茂名人,本科,主治医师,研究方向:妇科疾病治疗。