生物反馈电刺激联合阴道哑铃训练对自然分娩产后压力性尿失禁患者疗效观察

doi:10.3969/j.issn.1006-6233.2021.08.022

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摘要 目的: 探讨生物反馈电刺激联合阴道哑铃训练对自然分娩产后压力性尿失禁患者临床疗效、盆底肌力、性生活质量的影响。方法: 选择2018年10月至2020年6月在我院接受治疗的114例自然分娩产后尿失禁患者进行研究。采用随机数字表法将患者分为两组,各57例。对照组行阴道哑铃训练,观察组在此基础上行生物反馈电刺激。比较两组患者临床疗效、盆底肌力、性生活质量、尿动力学参数及氧化应激反应指标。结果: 与对照组比较,观察组好转率明显升高,有统计学差异(96.49%vs85.96% P<0.05)。治疗后两组患者快肌收缩最大值、10s慢肌收缩平均值及60s慢肌收缩平均值均明显升高,但观察组升高幅度更大,差异有统计学意义(P<0.05)。治疗后两组患者性生活质量、平均尿流率及最大膀胱容量均明显升高,但观察组升高幅度更大,治疗后两组患者残余尿量均明显下降,但观察组下降幅度更大,差异有统计学意义(P<0.05)。治疗后两组患者SOD及GSH水平均明显升高,但观察组升高幅度更大,治疗后两组患者MDA水平均明显下降,但观察组下降更明显,差异有统计学意义(P<0.05)。结论: 生物反馈电刺激联合阴道哑铃训练较单独进行阴道哑铃训练可有效提高自然分娩产后压力性尿失禁患者疗效,提高盆底肌力及性生活质量,改善尿动力学参数、缓解氧化应激反应。

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关键词 ：生物反馈电刺激, 阴道哑铃, 自然分娩, 压力性尿失禁

Abstract：Objective: To explore the effect of biofeedback electrical stimulation combined with vaginal dumbbell training on the clinical efficacy, pelvic floor muscle strength and quality of sexual life in patients with postpartum stress urinary incontinence after natural childbirth. Methods: 114 cases of postpartum urinary incontinence patients who received treatment in our hospital from October 2018 to June 2020 were selected for research. The patients were divided into 2 groups by random number table method, 57 cases in each group. The control group received vagina dumbbell training, and the observation group performed biofeedback electrical stimulation on this basis. The clinical efficacy, pelvic floor muscle strength, quality of sexual life, urodynamic parameters and oxidative stress response indexes were compared between the two groups. Results: Compared with the control group, the improvement rate of the observation group was significantly higher, with statistical difference (96.49%vs85.96% P<0.05). After treatment, the maximum value of fast muscle contraction, the average value of slow muscle contraction in 10s and the average value of slow muscle contraction in 60s were significantly increased in the two groups, but the increase was greater in the observation group, the difference was statistically significant (P<0.05). After treatment, the quality of sexual life, average urine flow rate and maximum bladder volume of the two groups were significantly increased, but the increase in the observation group was greater. After treatment, the residual urine volume of the two groups decreased significantly, but the decrease in the observation group was greater, the difference was statistically significant (P<0.05). After treatment, the SOD and GSH levels of the two groups were significantly increased, but the increase in the observation group was greater. After treatment, the MDA levels of the two groups of patients decreased significantly, but the observation group decreased more significantly, the difference was statistically significant (P<0.05). Conclusion: Biofeedback electrical stimulation combined with vaginal dumbbell training can effectively improve the efficacy of postpartum stress urinary incontinence in patients with postpartum natural childbirth, improve pelvic floor muscle strength and quality of sexual life, improve urodynamic parameters, and relieve oxidative stress.

Key words： Biofeedback electrical stimulation Vaginal dumbbell Natural delivery Stress urinary incontinence

基金资助:四川省卫生和计划生育委员会科研课题,(编号:16PJ528)

通讯作者: 刘晓芳

引用本文:

明雪, 刘晓芳, 卢宗杰, 何泉江, 唐乐. 生物反馈电刺激联合阴道哑铃训练对自然分娩产后压力性尿失禁患者疗效观察[J]. 河北医学, 2021, 27(8): 1334-1338.
MING Xue, LIU Xiaofang, LU Zongjie, et al. Effect of Biofeedback Electrical Stimulation Combined with Vaginal Dumbbell Training on Clinical Efficacy Pelvic Floor Muscle Strength and Quality of Sexual Life in Patients with Postpartum Stress Urinary Incontinence After Natural Delivery. HeBei Med, 2021, 27(8): 1334-1338.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2021.08.022 或 http://www.hbyxzzs.cn/CN/Y2021/V27/I8/1334

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