生物反馈盆底肌康复疗法联合经皮穴位电刺激治疗老年女性压力性尿失禁的疗效观察

Effect observation of biofeedback pelvic floor muscle rehabilitation therapy combined with percutaneous electrical acupoint stimulation in treatment of elderly women with stress urinary incontinence

  • 摘要:
      目的  观察生物反馈盆底肌康复疗法联合经皮穴位电刺激治疗老年女性压力性尿失禁的临床疗效。
      方法  将90例老年女性压力性尿失禁患者随机分为对照组和观察组,每组45例。对照组采用生物反馈盆底肌康复治疗,观察组在对照组基础上采用经皮穴位电刺激,2组均持续治疗4周。比较2组临床疗效、治疗前后漏尿量、尿失禁生活质量问卷(I-QOL)评分差值及盆底肌表面电信号差值。
      结果  观察组总有效率为95.56%,高于对照组的73.33%,差异有统计学意义(P < 0.05);观察组治疗前后1 h漏尿量差值、I-QOL差值以及快速收缩状态、紧张收缩状态、耐力收缩状态的电位信号差值均高于对照组,差异有统计学意义(P < 0.05)。
      结论  生物反馈盆底肌康复疗法联合经皮穴位电刺激可强化老年女性压力性尿失禁患者盆底肌电信号,促进盆底肌功能恢复,减少漏尿量。

     

    Abstract:
      Objective  To observe the clinical effect of biofeedback pelvic floor muscle rehabilitation therapy combined with percutaneous electrical acupoint stimulation in the treatment of elderly women with stress urinary incontinence.
      Methods  A total of 90 elderly women with stress urinary incontinence were randomly divided into control group and observation group, with 45 cases in each group. The control group was treated with biofeedback pelvic floor muscle rehabilitation therapy, the observation group was treated with percutaneous electrical acupoint stimulation on the basis of the control group, and both groups were treated continuously for 4 weeks. Clinical efficacy, leakage of urine before and after treatment, score of Quality of Life for Incontinence (I-QOL) and electrical signal difference of pelvic floor muscle surface were compared between the two groups.
      Results  Total effective rate was 95.56% in the observation group, which was significantly higher than 73.33% in the control group (P < 0.05). The differences of urine leakage at 1 h before and after treatment, I-QOL, potential signals at rapid systolic state, tense systolic state and endurance contractile state in the observation group were significantly higher than those in the control group (P < 0.05).
      Conclusion  Biofeedback pelvic floor muscle rehabilitation therapy combined with percutaneous electrical acupoint stimulation can strengthen the electrical signals of pelvic floor muscles in elderly women with stress urinary incontinence, promote the recovery of pelvic floor muscle function, and reduce urine leakage.

     

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