| 廖 丹,向 睿,陈国艳,张珊珊,许 遥.电针阴部神经刺激疗法联合Kegel盆底康复训练对产后压力性尿失禁患者盆底肌力、尿流动力学和生活质量的影响[J].,2022,(20):3977-3981 |
| 电针阴部神经刺激疗法联合Kegel盆底康复训练对产后压力性尿失禁患者盆底肌力、尿流动力学和生活质量的影响 |
| Effects of Electroacupuncture Pudendal Nerve Stimulation Therapy Combined with Kegel Pelvic Floor Rehabilitation Training on Pelvic Floor Muscle Strength, Urodynamics and Quality of Life in Patients with Postpartum Stress Urinary Incontinence |
| 投稿时间：2022-03-27 修订日期：2022-04-23 |
| DOI：10.13241/j.cnki.pmb.2022.20.035 |
| 中文关键词: 电针阴部神经刺激 Kegel盆底康复训练 产后压力性尿失禁 盆底肌力 尿流动力学 生活质量 |
| 英文关键词: Electroacupuncture pudendal nerve stimulation therapy Kegel pelvic floor rehabilitation training Postpartum stress urinary incontinence Pelvic floor muscle strength Urodynamics Quality of life |
| 基金项目:四川省卫生健康委员会科研项目（19PJ211） |
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| 中文摘要: |
| 摘要 目的：探讨电针阴部神经刺激疗法联合Kegel盆底康复训练对产后压力性尿失禁（SUI）患者盆底肌力、尿流动力学和生活质量的影响。方法：选取2019年6月~2021年11月期间于我院就诊的产后SUI患者109例，按照入院就诊奇偶顺序分为两组，其中对照组54例，接受Kegel盆底康复训练，研究组55例，接受电针阴部神经刺激疗法联合Kegel盆底康复训练。对比两组疗效、漏尿量、尿失禁程度、盆底肌力、尿流动力学和生活质量。结果：研究组的临床总有效率高于对照组（P<0.05）。两组治疗后盆底肌肌力各指标（手测肌力和Ⅰ类肌纤维最大值、Ⅱ类肌纤维平均值）均升高，且研究组高于对照组（P<0.05）。两组治疗后漏尿量、尿失禁程度评分均下降，且研究组低于对照组（P<0.05）。两组治疗后尿流动力学相关指标[腹压漏尿点压（AL-PP）、最大尿流率（Qmax）和最大尿道闭合压力（MUCP）]均升高，且研究组高于对照组（P<0.05）。两组治疗后尿失禁生活质量量表（I-QOL）各维度（限制性行为、心理影响、社交活动受限）评分及总分均升高，且研究组高于对照组（P<0.05）。结论：电针阴部神经刺激疗法联合Kegel盆底康复训练可有效改善产后SUI患者的盆底肌肌力和尿失禁情况，减少漏尿量，同时可促进尿流动力学恢复，进而提高患者的生活质量。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effects of electroacupuncture pudendal nerve stimulation therapy combined with Kegel pelvic floor rehabilitation training on pelvic floor muscle strength, urodynamics and quality of life in patients with postpartum stress urinary incontinence (SUI). Methods: 109 patients with postpartum SUI who were treated in our hospital from June 2019 to November 2021 were selected. According to the odd and even order of admission, they were divided into two groups, of which 54 cases in the control group, they were received Kegel pelvic floor rehabilitation training, and 55 cases in the study group, they were received electroacupuncture pudendal nerve stimulation therapy combined with Kegel pelvic floor rehabilitation training. The curative effect, urine leakage, degree of urinary incontinence, pelvic floor muscle strength, urodynamics and quality of life were compared between the two groups. Results: The total clinical effective rate of the study group was higher than that of the control group (P<0.05). After treatment, all indexes of pelvic floor muscle strength (hand measured muscle strength, maximum value of class I muscle fiber and average value of class II muscle fiber) increased in the two groups, and the study group was higher than the control group (P<0.05). The amount of urine leakage and the score degree of urinary incontinence in the two groups decreased after treatment, and the study group was lower than the control group (P<0.05). After treatment, the related indexes of urodynamics [abdominal pressure leak point pressure (AL-PP), maximum urinary flow rate (Qmax) and maximum urethral closure pressure (MUCP)] increased in the two groups, and the study group was higher than the control group (P<0.05). After treatment, the scores and total scores of all dimensions (restrictive behavior, psychological influence and limited social activities) of urinary incontinence quality of life scale (I-QOL) increased in the two groups, and the study group was higher than the control group (P<0.05). Conclusion: Electroacupuncture pudendal nerve stimulation therapy combined with Kegel pelvic floor rehabilitation training can effectively improve pelvic floor muscle strength and urinary incontinence in postpartum SUI patients, reduce urinary leakage, promote the recovery of urodynamics, and then improve the quality of life of patients. |
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