摘要
目的:观察生物反馈电刺激疗法联合盆底肌康复训练在产后压力性尿失禁(SUI)患者中的应用效果。方法:回顾性分析2021年3月至2022年5月该院收治的128例产后SUI患者的临床资料,根据干预方式不同将其分为研究组(n=64)和对照组(n=64)。对照组给予盆底肌康复训练,研究组在对照组基础上给予生物反馈电刺激疗法。比较两组干预前后盆底肌纤维肌电压水平、尿动力学指标[最大尿流率时逼尿肌压力(pQmax)、尿道最大闭合压力(PMUC)、尿道最大测量压(PMU)、Valsalva漏尿点压(PVLP)]水平、生命质量评分和护理满意度。结果:干预后,两组盆底Ⅰ、Ⅱ类肌纤维肌电压水平均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05);两组pQmax、PMUC、PMU、PVLP水平均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05);两组个人生活、尿失禁应对方式、社交受限、总体健康感受评分均低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05);研究组护理满意度为93.75%(60/64),高于对照组的81.25%(52/64),差异有统计学意义(P<0.05)。结论:生物反馈电刺激疗法联合盆底肌康复训练应用于产后SUI患者可提高盆底肌纤维肌电压水平、尿动力学指标水平、护理满意度和生命质量,其效果优于单纯盆底肌康复训练。
Objective:To observe application effects of biofeedback electrical stimulation therapy combined with pelvic floor muscle rehabilitation training in patients with postpartum stress urinary incontinence(SUI).Methods:The clinical data of 128 patients with postpartum SUI admitted to this hospital from March 2021 to May 2022 were retrospectively analyzed.According to different intervention methods,they were divided into study group(n=64)and control group(n=64).The control group was given the pelvic floor muscle rehabilitation training,while the study group was given the biofeedback electrical stimulation therapy on the basis of that of teh control group.The pelvic floor muscle fiber voltage level,the urodynamic indexes[detrusor pressure at maximum urinary flow rate(pQmax),maximum urethral closure force(PMUC),maximum urethral pressure(PMU),Valsalva leak point pressure(PVLP)]levels,the quality of life score,and the nursing satisfaction were compared between the two groups before and after the intervention.Results:After the intervention,the voltage levels of pelvic floor type I and type II muscle fibers in the two groups were higher than those before the intervention,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The levels of pQmax,PMUC,PMU and PVLP in the two groups were higher than those before the intervention,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of personal life,coping style of urinary incontinence,social limitation and overall health perception in the two groups were lower than those before the intervention,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 93.75%(60/64),which was higher than 81.25%(52/64)of the control group,and the difference was statistically significant(P<0.05).Conclusions:Biofeedback electrical stimulation therapy combined with pelvic floor muscle rehabilitation training can improve the voltage levels of pelvic floor muscle fibers,the urodynamic index levels,the nursing satisfaction and the quality of life in the postpartum SUI patients.Moreover,it is superior to single pelvic floor muscle rehabilitation training.
作者
王艳玲
WANG Yanling(Department of Postpartum Health Care of Puyang Maternal and Child Care Hospital,Puyang 457000 Henan,China)
出处
《中国民康医学》
2024年第10期106-108,112,共4页
Medical Journal of Chinese People’s Health
关键词
压力性尿失禁
产后
生物反馈电刺激
盆底肌康复训练
尿动力学
生命质量
Stress urinary incontinence
Postpartum
Biofeedback electrical stimulation
Pelvic floor muscle rehabilitation training
Urodynamics
Quality of life
