盆底肌训练联合盆底磁刺激治疗绝经后女性压力性尿失禁的疗效观察-现代医学

盆底肌训练联合盆底磁刺激治疗绝经后女性压力性尿失禁的疗效观察

单位：南京市中心医院妇科, 江苏南京 210018

分类号：R711

出版年·卷·期（页码）：2023·51·第十二期（1752-1756）

摘要：

目的：探讨盆底肌训练联合盆底磁刺激治疗绝经后女性压力性尿失禁(SUI)的临床效果。方法：采用回顾性研究方法，收集78例绝经后SUI患者为研究对象。随机分为观察组(38例)和对照组(40例)，分别接受盆底肌训练联合盆底磁刺激治疗和仅接受盆底肌训练。比较两组治愈率、总有效率以及干预前后盆底表面肌电值和尿失禁生活质量问卷评分的差异。结果：观察组SUI治愈率(86.8%)显著高于对照组(40.0%)(P<0.05)；观察组治疗后盆底表面肌电评估中快速收缩期最大值、紧张收缩期平均值和耐力收缩期平均值较治疗前均显著增加(P<0.05)，而对照组治疗前后比较差异无统计学意义。与对照组相比，观察组治疗后的盆底表面肌电值显著增加(P<0.05)。在尿失禁生活质量问卷评分中，观察组治疗后行为限制、心理影响、社会障碍和总分方面较治疗前均显著提高，且观察组治疗后尿失禁生活质量问卷评分显著优于对照组(P<0.05)。结论：盆底肌训练联合盆底磁刺激治疗可以更有效地增强绝经后SUI女性盆底肌力，极大减轻SUI症状，显著提高患者生活质量。

Objective: To investigate the clinical effects of pelvic floor muscle training combined with functional magnetic stimulation therapy on postmenopausal stress urinary incontinence(SUI) women. Methods: A total of 78 postmenopausal women with SUI were admitted and retrospectively studied. The patients were divided into observation group(n=38) and control group(n=40) randomly. The women in observation group were treated with pelvic floor muscle training and functional magnetic stimulation therapy, while the control group only received pelvic floor muscle training. The curative rate and the total effective rate of two groups were compared. The differences in surface electromyography(sEMG) of pelvic floor muscle and incontinence quality of life(I-QOL) score before and after treatment between two groups were analyzed. Results: The curative rate of observation group(86.8%) was much higher than that of control group(40.0%) (P<0.05).The sEMG assessments were improved in observation group after treatment in the fast muscle contraction maximum value, the tension contraction average value and the endurance contraction average value(P<0.05), while there was no significant difference in the control group. The difference in sEMG assessments after treatment between two groups was statistically significant(P<0.05). I-QOL score in behavioral restriction, psychological effect, social barrierand and total score were greatly increased in observation group after treatment(P<0.05). I-QOL score in observation group after treatment was superior to that in control group(P<0.05). Conclusion: Pelvic floor muscle training combined with functional magnetic stimulation therapy can more effectively enhance pelvic floor muscle strength of postmenopausal women with SUI, greatly relieve the symptoms of SUI, and significantly improve quality of life.

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