摘要
目的探讨盆底功能性磁刺激联合凯格尔运动治疗产后压力性尿失禁(SUI)的临床效果。方法选取2018年7月~2019年6月在我院就诊的136例产后轻、中度SUI患者作为研究对象,按照随机数字表法将其分为研究组与对照组,每组各68例。研究组患者进行盆底功能性磁刺激(每周2次)联合凯格尔运动(2个月),对照组患者进行凯格尔运动(2个月)。比较两组患者治疗后的盆底肌肌力改善情况、尿失禁治疗效果及复发情况。结果研究组患者治疗后的盆底肌肌力正常率高于对照组,差异有统计学意义(P<0.05)。研究组患者的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。研究组患者治疗后3、6个月的尿失禁复发率均低于对照组,差异有统计学意义(P<0.05)。结论盆底功能性磁刺激联合凯格尔运动能够明显提高产后轻、中度SUI患者的盆底肌肌力,显著改善尿失禁症状,不良反应少,复发率低,值得临床推广使用。
Objective To investigate the clinical effect of pelvic floor functional magnetic stimulation combined with Kegel exercise in the treatment of postpartum stress urinary incontinence(SUI).Methods A total of 136 cases of postpartum mild to moderate SUI patients in our hospital from July 2018 to June 2019 were selected as the research objects and divided into the study group and the control group according to the random number table method,with 68 cases in each group.The study group received pelvic floor functional magnetic stimulation(twice a week)combined with Kegel exercise(2 months),while the control group received Kegel exercise(2 months).The improvement of pelvic floor muscle strength and the clinical effect and recurrence of urinary incontinence were compared between the two groups.Results The normal rate of pelvic floor muscle strength in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The recurrence rates of the study group at 3 and 6 months after treatment were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Pelvic floor functional magnetic stimulation combined with Kegel exercise can significantly improve the pelvic floor muscle strength of postpartum mild and moderate SUI,relieve the symptoms of urinary incontinence,with less adverse reactions and low recurrence rate,which is worthy of clinical promotion and application.
作者
文红蕾
钟惠莲
刘宁
WEN Hong-lei;ZHONG Hui-lian;LIU Ning(Department of Obstetrics and Gynecology,Chancheng District Central Hospital of Foshan City,Guangdong Province,Foshan528000,China)
出处
《中国当代医药》
2020年第27期89-92,共4页
China Modern Medicine
基金
广东省佛山市卫生健康局医学科研课题(20200022)。
关键词
盆底功能性磁刺激
凯格尔运动
产后压力性尿失禁
效果
Pelvic floor functional magnetic stimulation
Kegel exercise
Postpartum stress urinary incontinence
Effect
