摘要
目的 探讨盆底综合康复治疗联合生物反馈疗法在老年女性压力性尿失禁(SUI)患者中的应用效果。方法 选择2015年5月—2020年6月本院收治的老年女性SUI患者156例为研究对象,按随机数字表法分为两组,每组78例。对照组采用盆底综合康复治疗,观察组在此基础上采用生物反馈疗法,两组均持续治疗3个月。对比两组的临床疗效、尿动力学指标及盆底肌电位水平。结果 观察组的临床总有效率为96.15%,高于对照组的87.18%,差异有统计学意义(P<0.05)。观察组治疗后的最大尿道闭合压力、腹压漏尿点压、最大尿流率、最大逼尿肌压力分别为(63.62±7.89)cmH_(2)O、(115.56±13.26)cmH_(2)O、(22.24±4.02)mL/s、(52.59±6.64)cmH_(2)O,均高于对照组,组间差异有统计学意义(P<0.05)。观察组治疗后的盆底肌电位为(17.18±3.65)μV,高于对照组,差异有统计学意义(P<0.05)。结论 盆底综合康复治疗联合生物反馈疗法在老年女性SUI患者中的应用效果确切,可改善尿动力学指标及盆底肌电位水平。
Objective To investigate the effect of pelvic floor comprehensive rehabilitation combined with biofeedback therapy in elderly female patients with stress urinary incontinence(SUI).Methods 156 elderly patients with SUI admitted to our hospital from May 2015 to June 2020 were selected as the study subjects,and were divided into two groups according to random number table method,with 78 patients in each group.The control group was treated with pelvic floor comprehensive rehabilitation,and the observation group was treated with biofeedback therapy on this basis.The treatment lasted for 3 months in both groups.The clinical efficacy,urodynamic index and pelvic floor muscle potential were compared between the two groups.Results The total clinical effective rate of the observation group was 96.15%,higher than 87.18%of the control group,the difference was statistically significant(P<0.05).The maximum urethral closure pressure,abdominal leakage point pressure,maximum urine flow rate and maximum detrusor pressure in the observation group after treatment were(63.62±7.89)cmH_(2)O,(115.56±13.26)cmH_(2)O,(22.24±4.02)mL/s,(52.59±6.64)cmH_(2)O,respectively,which were higher than those in the control group,the differences between groups were statistically significant(P<0.05).The pelvic floor muscle potential of the observation group was(17.18±3.65)μV after treatment,which was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Pelvic floor comprehensive rehabilitation combined with biofeedback therapy has a definite effect in elderly female patients with SUI,which can improve urodynamic indexes and pelvic floor muscle potential level.
作者
叶顺举
YE Shunju(Department of Obstetrics and Gynecology,The Third People's Hospital of Linyi,Linyi Shandong,276023,China)
出处
《反射疗法与康复医学》
2021年第10期140-143,共4页
Reflexology And Rehabilitation Medicine
关键词
老年女性压力性尿失禁
盆底综合康复治疗
生物反馈疗法
尿动力学
盆底肌电位
Stress urinary incontinence in elderly women
Pelvic floor comprehensive rehabilitation
Biofeedback therapy
Urodynamics
Pelvic floor muscle potential
作者简介
叶顺举(1976-),女,山东临沂人,本科,副主任医师,研究方向:妇产科临床。
