基于电刺激的盆底肌功能训练对老年良性前列腺增生钬激光术后压力性尿失禁的影响

目的探讨基于电刺激的盆底肌功能训练对老年良性前列腺增生钬激光术后压力性尿失禁的影响。方法选取2016年8月至2019年8月我院收治的83例老年良性前列腺增生钬激光术后压力性尿失禁患者为研究对象,将其随机分为对照组42例和研究组41例,对照组开展盆底肌功能训练,研究组开展基于电刺激的盆底肌功能训练。比较两组患者干预前后前列腺症状、压力性尿失禁严重程度、压力性尿失禁恢复时间及住院时间。结果干预前,两组患者国际前列腺症状评分表(IPSS)、尿失禁问卷表简表(ICI-Q-SF)得分比较差异无统计学意义(P>0.05);干预后研究组IPSS,ICI-Q-SF评分均低于对照组(P<0.05)。研究组压力性尿失禁恢复时间及住院时间均短于对照组(P<0.05)。结论对老年良性前列腺增生钬激光术后压力性尿失禁患者应用基于电刺激的盆底肌功能训练,可改善其前列腺症状与尿失禁症状,缩短其康复时间。

Effects of applying the pelvic floor muscle functional training based on electrical stimulation for stress urinary incontinence after holmium laser surgery for elderly benign prostatic hyperplasia

Objective To explore the effect of pelvic floor muscle functional training based on electrical stimulation for stress urinary incontinence after holmium laser surgery for elderly benign prostatic hyperplasia.Methods To select 83 cases of elderly patients with stress urinary incontinence who was treated with holmium laser surgery for benign prostatic hyperplasia in our hospital from August 2016 to August 2019 as the study objects,and they were randomly divided into a control group of 42 cases and a study group of 41 cases,the control group carried out functional training of pelvic floor muscles,and the study group carried out functional training of pelvic floor muscles based on electrical stimulation.The prostate symptoms,the severity of stress urinary incontinence,the recovery time of stress urinary incontinence and the length of hospital stay were compared between the two groups before and after intervention.Results Before the intervention,there was no significant difference in international prostate symptom score(IPSS)and urinary incontinence questionnaire(ICI-Q-SF)scores between the two groups(P>0.05).After the intervention,the scores of IPSS and ICI-Q-SF in the study group were lower than those in the control group(P<0.05).The the recovery time of stress urinary incontinence and the length of hospital stay in the study group were shorter than those in the control group(P<0.05).Conclusion The application of electrical stimulation-based pelvic floor muscle functional training to elderly patients with stress urinary incontinence who was treated with holmium laser surgery for benign prostatic hyperplasia can improve their prostate symptoms and urinary incontinence symptoms,and shorten their recovery time.