盆底肌肉康复器联合盆底肌抗阻肌力训练在产后压力性尿失禁患者中的应用效果

目的:观察盆底肌肉康复器联合盆底肌抗阻肌力训练在产后压力性尿失禁(SUI)患者中的应用效果。方法:选取60例SUI患者作为研究对象,按照随机数字表法分为观察组与对照组各30例。对照组实施盆底肌抗阻肌力训练,观察组在对照组基础上联合盆底肌肉康复器训练,比较两组盆底肌力、1 h尿垫试验漏尿量、膀胱残余尿量、国际尿失禁咨询委员会尿失禁问卷表(ICIQ-SF)评分、尿动力学指标最大尿道压(MUP)、最大尿道闭合压(MUCP)、功能性尿道长度(SFL)、腹压漏尿点压(ALPP)]水平和尿失禁生命质量问卷(I-QOL)评分。结果:训练后,观察组阴道动态压力、Ⅰ类及Ⅱ类盆底肌纤维平均肌电压、MUP、MUCP、ALPP和I-QOL评分高于对照组,1 h尿垫试验漏尿量、膀胱残余尿量、ICIQ-SF评分低于对照组,SFL长于对照组,差异有统计学意义(P<0.05)。结论:盆底肌肉康复器联合盆底肌抗阻肌力训练应用于产后SUI患者中可提高盆底肌力,减少漏尿量,改善患者临床症状及尿动力学指标水平,提高其生命质量,效果优于单纯盆底肌抗阻肌力训练。

Application of pelvic floor muscle rehabilitation apparatus combined with pelvic floor muscle resistance training in patients with postpartum stress urinary incontinence

Objective:To observe application effects of pelvic floor muscle rehabilitation apparatus combined with pelvic floor muscle resistance training in patients with postpartum stress urinary incontinence(SUI).Methods:60 patients with SUI were selected as the research objects,and divided into observation group and control group according to the random number table method,30 cases in each.The control group was given pelvic floor muscle resistance training,while the observation group was combined with pelvic floor muscle rehabilitation apparatus training on the basis of that of the control group.The pelvic floor muscle strength,the urine leakage volume of 1-hour urine pad test,bladder residual urine volume,the international consultation on incontinence-questionnaire:short form(ICIQ-SF)score,the urodynamic index levels(maximum urethral pressure(MUP),Maximum urethral closure pressure(MUCP),functional urethral length(SFL),abdominal leak point pressure(ALPP) and the incontinence quality of life questionnaire(I-QOL)score were compared between the two groups.Results:After the training,the vaginal dynamic pressure,the average muscle voltages of class I and class II pelvic floor muscle fibers,and the scores of MUP,MUCP,ALPP and I-QOL in the observation group were higher than those in the control group;the 1-hour urine pad test,the bladder residual urine volume and the ICIQ-SF score were lower than those of the control group;the SFL was longer than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:Pelvic floor muscle rehabilitation apparatus combined with pelvic floor muscle resistance training can improve the pelvic floor muscle strength,reduce the urine leakage,improve the clinical symptoms and the urodynamic index levels of the patients with postpartum SUI,and improve their quality of life.Moreover,it is superior to single pelvic floor muscle resistance training.