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1.
盆底生物反馈联合电刺激治疗女性压力性尿失禁   总被引:1,自引:0,他引:1  
目的探讨盆底生物反馈联合电刺激治疗女性压力性尿失禁(stress urinary incontincnce,SUI)和压力/急迫混合性尿失禁(mixed urinary incontinence,MUI)的临床效果。方法2006年5月-2007年6月对40例轻中度女性尿失禁患者(SUI 22例,MUI 18例),采用生物反馈治疗仪进行盆底生物反馈联合电刺激的训练治疗,治疗时间20-30 min,3次/周,疗程2个月。结果40例均获随访,平均8.9(3-14)个月。治愈14例(35.0%),改善16例(40.0%),无效10例(25.0%),总有效率为75.0%;其中SUI有效率为77.3%(17/22),MUI有效率为72.2%(13/18)。除少数患者插入探头时有轻微不适感外,无其他明显不适,无阴道感染等不良反应发生。但有5例治疗有效的患者症状复发。结论盆底生物反馈联合电刺激治疗女性轻中度SUI或MUI安全有效、治愈率较高。治疗后如能继续坚持Kegel操盆底肌锻炼有助于预防尿失禁的复发。  相似文献   

2.
目的探讨心理行为干预治疗在盆底电刺激生物反馈治疗中的作用。方法采用前瞻性随机对照试验,选择2017年11月至2018年5月于本院收治的40例女性压力性尿失禁患者作为研究对象。按照随机数字表法分为对照组与干预组,每组各20例,对照组采用盆底电刺激生物反馈治疗,干预组在电刺激生物反馈治疗的基础上加以心理行为干预治疗。观察两组盆底肌力评分、尿失禁生活质量量表(incontinence quality of life questionnaire,I-QOL)评分、汉密尔顿焦虑量表(hamilton anxiety scale HAMA)评分、汉密尔顿抑郁量表(hamilton depression scale,HAMD)评分。结果干预组试验后在盆底肌力评分(63.49±4.78)分,I-QOL评分为(62.27±16.16)分,HAMD评分为(13.50±4.98)分,均优于对照组,比较差异具有统计学意义(P0.05)。治疗1月后随访,干预组HAMD评分为(10.72±6.54)分,优于对照组,比较差异具有统计学意义(P0.05)。结论心理行为干预治疗可在盆底电刺激生物反馈治疗中有效提高患者盆底肌力及生活质量,降低患者抑郁心境,具有重要的临床意义。  相似文献   

3.
尿失禁是中老年妇女常见疾病,严重影响着患者的生活质量[1].2006年5月至2007年6月我院应用盆底生物反馈联合电刺激治疗女性尿失禁患者52例,疗效良好.现报告如下.  相似文献   

4.
目的探讨电刺激联合生物反馈盆底肌锻炼治疗女性压力性尿失禁的效果。方法回顾性分析2018年2月至2018年12月在本院就诊的120名压力性尿失禁患者的临床资料,分为观察组(72例)和对照组(48例)。观察组采用多媒体生物刺激反馈治疗,同时自行盆底肌肉训练(Kegel),对照组自行做Kegel锻炼盆底肌肉。随访观察治疗效果,对患者进行疗效评判和主观评分。结果治疗后观察组总漏尿事件次数(LT)、PISQ-12评分、ICI-Q-SF评分明显下降,差异有统计学意义(P0.05);治疗后观察组功能性膀胱容量(VF)较对照组有显著上升,差异有统计学意义(P0.05)。治疗后疗效观察组较对照组都有了明显的改善。结论盆底生物反馈联合电刺激治疗女性压力性尿失禁的疗效优于单纯的锻炼盆底肌肉,并且安全有效、治愈率高,是一种治愈率较高的方法,值得临床实践和推广。  相似文献   

5.
目的评价生物反馈联合电刺激治疗中老年女性压力性尿失禁的效果。方法采用便利抽样法选取2015年9月1日到2017年12月31日在复旦大学附属上海市第五人民医院就诊的168例中老年女性压力性尿失禁患者分成两组。观察组84例给予生物反馈联合电刺激锻炼盆底肌,每周2次,每次30min;对照组84例给予单纯Kegel锻炼盆底肌。比较两组患者治疗前及治疗后4周、8周的排尿相关指标:3d漏尿次数、1h尿垫试验漏尿量、尿失禁问卷简表(ICI-Q-SF)、盆底肌肉功能Glazer评估测试,评价两种方法对于盆底肌肉功能训练的效果。结果观察组治疗后4周及8周的排尿相关指标同对照组相比,尿失禁问卷简表(ICI-Q-SF)得分(5.8±2.4 vs.7.9±2.7,P0.01;7.2±2.9 vs.8.9±3.1,P0.01)、1h尿垫试验漏尿量[(4.87±1.92)g vs.(7.79±2.08)g,P0.05;(6.42±0.86)g vs.(9.43±0.94)g,P0.05)]和3d漏尿次数[(2.48±2.35)次vs.(4.86±2.17)次,P0.05;(3.15±1.26)次vs.(5.55±1.63)次,P0.05]等结果均优于对照组,差异有统计学意义。结论盆底生物反馈联合电刺激治疗中老年女性压力性尿失禁优于单纯Kegel锻炼方法,值得临床推广。  相似文献   

6.
目的探讨神经肌肉电刺激联合盆底肌训练治疗产后压力性尿失禁的效果。方法将本院2016-01—2017-12间收治的60例产后压力性尿失禁的初产妇分为2组,各30例。对照组采用盆底肌训练,观察组采用盆底肌训练联合神经肌肉电刺激治疗。观察2组的治疗效果及治疗后6个月盆底肌力的改善程度。结果 2组治疗期间均未发生不良反应。观察组治疗总有效率高于对照组,差异有统计学意义(P0.05)。治疗6个月后2组盆底肌收缩力评分均较治疗前明显改善,观察组改善程度高于对照组,差异有统计学意义(P0.05)。结论对产后压力性尿失禁患者实施神经肌肉电刺激联合盆底肌训练,可有效改善盆底肌力和尿失禁,且无不良反应,安全性高。  相似文献   

7.
生物反馈联合盆底肌训练治疗女性压力性尿失禁的疗效   总被引:1,自引:0,他引:1  
目的:探讨生物反馈联合盆底肌训练治疗女性压力性尿失禁(Stress urinary incontinence,SUI)的临床效果.方法:2005年11月~2007年3月,对11例女性SUI患者使用生物反馈治疗仪进行生物反馈电刺激联合盆底肌训练治疗.治疗前通过病史、体检、尿动力学检查诊断为尿失禁.治疗每次20 min,每天1次,5次为1个疗程.结果:11例女性SUI患者中,7例症状消失,4例症状减轻.追踪观察6个月,无一例复发.结论:生物反馈联合盆底肌训练是一种安全、有效的治疗女性SUI的方法.  相似文献   

8.
目的:分析针灸联合盆底生物反馈治疗女性轻中度压力性尿失禁(SUI)的疗效。方法:将65例轻中度女性SUI患者随机分为针灸加盆底生物反馈治疗组(32例)及生物反馈对照组(33例)治疗,分析两组不同程度SUI治疗前后1 h尿垫试验漏尿量、72 h尿失禁次数、ICI-Q-SF评分。结果:治疗组治疗后1 h尿垫试验漏尿量与对照组比较:轻度(4.7 vs 3.2)g、中度(10.5 vs 6.4)g、轻度+中度(6.3 vs 3.8)g;72 h尿失禁次数:轻度(4.2±2.0 vs 2.6±1.3)次、中度(6.9±1.7 vs 3.8±1.7)次、轻度+中度(5.3±2.3 vs 3.1±1.6)次;ICI-Q-SF评分:轻度(8.6±1.9 vs 2.4±1.2)、中度(11.4±2.2vs 4.1±1.4)、轻度+中度(9.3±2.4 vs 3.1±1.5),显著降低(P0.05),对照组仅在治疗后72 h尿失禁次数、ICI-Q-SF评分上存在统计学差异(P0.05);治疗组(轻度、中度、轻度+中度)治疗前后上述三项降低幅度明显优于对照组(P0.05),其中以中度SUI降低幅度最为显著。结论:针灸联合盆底生物反馈治疗女性轻中度SUI,临床长期效果良好。  相似文献   

9.
尿失禁 (urinarv incontinence,UI)是男性TUR-P术后常见的并发症之一,严重影响着患者的生活质量[1].我院与仁济医院联合自2007年1月至2008年12月应用盆底生物反馈联合电刺激(主动性+被动性盆底肌肉训练)治疗TUR-P术后的尿失禁患者,取得良好的治疗效果,现报道如下.  相似文献   

10.
压力性尿失禁作为困扰女性身心健康的卫生问题,近年来引起了越来越多研究者的关注。本文从诊断评估、症状与生活质量评估、性功能影响评估三个方面总结了女性压力性尿失禁的评估问卷,从内容、用时、应用情况等角度进行列表对比,以期为流行病学及临床研究者进行女性压力性尿失禁的评估提供参考依据。  相似文献   

11.
目的 通过生物反馈电刺激治疗女性压力性尿失禁30例,探讨其疗效,寻找较好的保守治疗女性压力性尿失禁的方法。方法 选择30例Ⅰ~Ⅱ度女性压力性尿失禁的患者,使用生物反馈治疗仪进行生物反馈电刺激治疗,每次20min,隔日1次,10次为1个疗程,疗程结束后3个月开始观察疗效,随访6个月。结果 30例患者中治愈20例(67%),有效7例(23%),无效但未发展的3例(10%),有效率达90%。结论 生物反馈电刺激治疗Ⅰ~Ⅱ度女性压力性尿失禁是一种有效的、治愈率较高的保守治疗方法。  相似文献   

12.
目的探讨观察电刺激联合盆底肌训练治疗压力性尿失禁(SUI)的疗效。方法选取经尿动力学检查证实为SUI患者56例,其中男9例,女47例,平均(46±5)岁。采用盆底生物反馈治疗仪进行电刺激联合盆底肌训练,每次32min,每天1次,6周为1疗程。记录治疗前、后患者排尿日记和尿动力学测定,并随访2个月疗效。结果56例全部完成治疗。其中尿失禁症状完全消失10例(17%),漏尿点压测定无漏尿发生7例(13%)。治疗后总排尿次数(8±2)次/24h、总漏尿事件次数(7±2)次/24h,显著低于治疗前的(15±4)次/24h、(12±3)次/24h(均P〈0.05);最大排尿量、正常尿意膀胱压测定容量、最大膀胱压测定容量、漏尿点压和最大尿道闭合压分别为(256±47)L、(260±48)mL、(277±46)mL、(96±10)cmH2O和(62±7)cmH,显著高于治疗前的(143±35)mL、(135±37)mL、(162±33)mL、(79±12)cmH2O和(54±6)cmH2O,差异有统计学意义(均P〈0.05)。治疗结束时和2个月后有效率为91%和88%,差异无统计学意义(P〉0.05)。结论电刺激联合盆底肌训练是治疗SUI的一种有效方法。  相似文献   

13.
目的:研究手术治疗女性压力性尿失禁(SUI)及盆底器官脱垂(POP)对健康相关生活质量的影响。方法:选择自2001年1月~2007年1月接受TVT、经闭孔无张力吊带术(TVT-O)、前路植入网带及整体植入网带的患者共142例.109例人选并同意参加本研究。采用改良PFDI-20量表评估术前3个月、术后6~12个月及术后12个月以后患者生活质量,采用方差分析对不同性功能变化情况的PFDI-20评分进行比较。结果:PFDI-20总分及POP评分术后较术前显著降低(P〈0.0167),但术后12个月以后与术后6~12个月相比差异元统计学意义(P〉0.0167)。术后6~12个月时肛直肠症状评分较术前降低,但差异无统计学意义(P;0.0169)。术后12个月以后以术前及术后6~12个月相比均显著改善(P〈0.01671。术后6~12个月及术后12个月以后泌尿系症状较术前显著降低(P〈0.0167),并且12个月以后较术后6~12个月亦显著改善(P=0.003).61例术前术后均有性生活。术后6~12个月,20例(37.0%〉术后性功能受损,11例(20.4%)改善.23例(42.6%)无变化;术后12个月以后,21例(34.4%)术后性功能受损,12例(19.7%)改善,28例(45.9%)无变化;术后12个月以后性功能与术后6~12个月相比,无进一步变化;未发现生活质量与性功能之间存在关系。105例(96.3%)患者对手术疗效满意。结论:TVT、TVT-O及经阴道网带治疗SUI及POP疗效显著,术后患者生活质量显著提高。  相似文献   

14.
目的 探讨电刺激联合全程指导盆底肌训练治疗女性压力性尿失禁(SUI)合并特发性逼尿肌过度活动(IDO)的疗效.方法选取经尿动力学检查证实为SUI合并IDO女性患者70例.平均年龄(40±7)岁.采用神经肌肉电刺激治疗仪电刺激,每次60 min,每周3次.联合盆底肌训练,每次30 min,每天2次,疗程12周.记录治疗前后患者排尿日记,填写国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)和尿动力学测定,并随访3个月疗效.结果 50例(71%)完成全程治疗.其中尿失禁症状完全消失8例(16%),IDO消失10例(20%),漏尿点压测定无漏尿发生6例(12%).治疗后总排尿次数、总漏尿事件次数、ICI-Q-SF评分、最大逼尿肌不随意收缩压和持续时间分别为(28±5)次/72 h、(10±5)次/72 h、(10±3)、(18±8)cm H2O和(8±3)s,显著低于治疗前的(43±8)次/72 h、(20±6)次/72 h、(17±3),(27±9)cm H2O和(13±6)s(P<0.01);最大排尿量、正常尿意膀胱压测定容量、最大膀胱压测定容量、漏尿点压和最大尿道闭合压分别为(225±48)、(210±48)、(247±48)ml、(94±11)和(59±8)cm H2O,显著高于治疗前的(159±37)、(141±39)、(178±36)ml、(81±15)和(55±8)cm H2O,差异有统计学意义(P<0.01).治疗结束时和3个月后有效率为66%和60%,差异无统计学意义(P>0.05).结论 电刺激联合盆底肌训练是一种治疗女性SUI合并IDO的有效方法.  相似文献   

15.
Objective To investigate the short-term efficacy of pelvic floor electrical stimulation (PFES) and pelvic floor training (PFT) for female with idiopathic detrusor overactivity (IDO) and stress urinary incontinence (SUI). Methods PFES and PFT were performed on 70 women (average age 40±7 years old) with IDO and SUI for twelve weeks. Urinary diary, International Continence In-quiring Committee's Questionnaire (ICI-Q-SF) scores were recorded and urodynamic study was per-formed before and after the treatment. Results Fifty women (71%) finally completed treatment for twelve weeks. Urinary incontinence disappeared in 8 (16%), detrusor overactivity disappeared in 10 (20 %). The leakage was not found in 6 (12 %) in leakage point pressure measurement. Moreover, the frequency of voiding (28±5 times/72 h), frequency of leakage (10±5 times/72 h), total scores of ICI-Q-SF(10±3), max detrusor uninhibited contraction pressure (18±8 cmH20) and detrusor unin-hibited contraction duration (8±3 s) were significantly lower than those before treatment (43±8 times/72 h, 20±6 times/72 h, 17±3, 27±9 cm H2O and 13±6s,P<0.01). Maximal voided vol-ume(225±48 ml), normal desired cystometric capacity (210±48 ml), maximal cystometric capacity (247±48 ml), Valsalva leak point pressure (94±11 cm H2O) and maximal urethral closure pressure (59±8 cm H2O) were significantly higher than those before treatment (159±37 ml, 141±39ml, 178±36ml, 81±15 cm H2O and 55±8 cm H2O, P<0.01). The effective rate during three months follow up was 60%, similar to time after treatment (P>0.05). Conclusions Pelvic floor electrical stimulation and pelvic floor training could be a useful therapy to treat women with IDO and SUI. It is both convenient and economical.  相似文献   

16.
Objective To investigate the short-term efficacy of pelvic floor electrical stimulation (PFES) and pelvic floor training (PFT) for female with idiopathic detrusor overactivity (IDO) and stress urinary incontinence (SUI). Methods PFES and PFT were performed on 70 women (average age 40±7 years old) with IDO and SUI for twelve weeks. Urinary diary, International Continence In-quiring Committee's Questionnaire (ICI-Q-SF) scores were recorded and urodynamic study was per-formed before and after the treatment. Results Fifty women (71%) finally completed treatment for twelve weeks. Urinary incontinence disappeared in 8 (16%), detrusor overactivity disappeared in 10 (20 %). The leakage was not found in 6 (12 %) in leakage point pressure measurement. Moreover, the frequency of voiding (28±5 times/72 h), frequency of leakage (10±5 times/72 h), total scores of ICI-Q-SF(10±3), max detrusor uninhibited contraction pressure (18±8 cmH20) and detrusor unin-hibited contraction duration (8±3 s) were significantly lower than those before treatment (43±8 times/72 h, 20±6 times/72 h, 17±3, 27±9 cm H2O and 13±6s,P<0.01). Maximal voided vol-ume(225±48 ml), normal desired cystometric capacity (210±48 ml), maximal cystometric capacity (247±48 ml), Valsalva leak point pressure (94±11 cm H2O) and maximal urethral closure pressure (59±8 cm H2O) were significantly higher than those before treatment (159±37 ml, 141±39ml, 178±36ml, 81±15 cm H2O and 55±8 cm H2O, P<0.01). The effective rate during three months follow up was 60%, similar to time after treatment (P>0.05). Conclusions Pelvic floor electrical stimulation and pelvic floor training could be a useful therapy to treat women with IDO and SUI. It is both convenient and economical.  相似文献   

17.
Objective To investigate the short-term efficacy of pelvic floor electrical stimulation (PFES) and pelvic floor training (PFT) for female with idiopathic detrusor overactivity (IDO) and stress urinary incontinence (SUI). Methods PFES and PFT were performed on 70 women (average age 40±7 years old) with IDO and SUI for twelve weeks. Urinary diary, International Continence In-quiring Committee's Questionnaire (ICI-Q-SF) scores were recorded and urodynamic study was per-formed before and after the treatment. Results Fifty women (71%) finally completed treatment for twelve weeks. Urinary incontinence disappeared in 8 (16%), detrusor overactivity disappeared in 10 (20 %). The leakage was not found in 6 (12 %) in leakage point pressure measurement. Moreover, the frequency of voiding (28±5 times/72 h), frequency of leakage (10±5 times/72 h), total scores of ICI-Q-SF(10±3), max detrusor uninhibited contraction pressure (18±8 cmH20) and detrusor unin-hibited contraction duration (8±3 s) were significantly lower than those before treatment (43±8 times/72 h, 20±6 times/72 h, 17±3, 27±9 cm H2O and 13±6s,P<0.01). Maximal voided vol-ume(225±48 ml), normal desired cystometric capacity (210±48 ml), maximal cystometric capacity (247±48 ml), Valsalva leak point pressure (94±11 cm H2O) and maximal urethral closure pressure (59±8 cm H2O) were significantly higher than those before treatment (159±37 ml, 141±39ml, 178±36ml, 81±15 cm H2O and 55±8 cm H2O, P<0.01). The effective rate during three months follow up was 60%, similar to time after treatment (P>0.05). Conclusions Pelvic floor electrical stimulation and pelvic floor training could be a useful therapy to treat women with IDO and SUI. It is both convenient and economical.  相似文献   

18.
Objective To investigate the short-term efficacy of pelvic floor electrical stimulation (PFES) and pelvic floor training (PFT) for female with idiopathic detrusor overactivity (IDO) and stress urinary incontinence (SUI). Methods PFES and PFT were performed on 70 women (average age 40±7 years old) with IDO and SUI for twelve weeks. Urinary diary, International Continence In-quiring Committee's Questionnaire (ICI-Q-SF) scores were recorded and urodynamic study was per-formed before and after the treatment. Results Fifty women (71%) finally completed treatment for twelve weeks. Urinary incontinence disappeared in 8 (16%), detrusor overactivity disappeared in 10 (20 %). The leakage was not found in 6 (12 %) in leakage point pressure measurement. Moreover, the frequency of voiding (28±5 times/72 h), frequency of leakage (10±5 times/72 h), total scores of ICI-Q-SF(10±3), max detrusor uninhibited contraction pressure (18±8 cmH20) and detrusor unin-hibited contraction duration (8±3 s) were significantly lower than those before treatment (43±8 times/72 h, 20±6 times/72 h, 17±3, 27±9 cm H2O and 13±6s,P<0.01). Maximal voided vol-ume(225±48 ml), normal desired cystometric capacity (210±48 ml), maximal cystometric capacity (247±48 ml), Valsalva leak point pressure (94±11 cm H2O) and maximal urethral closure pressure (59±8 cm H2O) were significantly higher than those before treatment (159±37 ml, 141±39ml, 178±36ml, 81±15 cm H2O and 55±8 cm H2O, P<0.01). The effective rate during three months follow up was 60%, similar to time after treatment (P>0.05). Conclusions Pelvic floor electrical stimulation and pelvic floor training could be a useful therapy to treat women with IDO and SUI. It is both convenient and economical.  相似文献   

19.
Objective To investigate the short-term efficacy of pelvic floor electrical stimulation (PFES) and pelvic floor training (PFT) for female with idiopathic detrusor overactivity (IDO) and stress urinary incontinence (SUI). Methods PFES and PFT were performed on 70 women (average age 40±7 years old) with IDO and SUI for twelve weeks. Urinary diary, International Continence In-quiring Committee's Questionnaire (ICI-Q-SF) scores were recorded and urodynamic study was per-formed before and after the treatment. Results Fifty women (71%) finally completed treatment for twelve weeks. Urinary incontinence disappeared in 8 (16%), detrusor overactivity disappeared in 10 (20 %). The leakage was not found in 6 (12 %) in leakage point pressure measurement. Moreover, the frequency of voiding (28±5 times/72 h), frequency of leakage (10±5 times/72 h), total scores of ICI-Q-SF(10±3), max detrusor uninhibited contraction pressure (18±8 cmH20) and detrusor unin-hibited contraction duration (8±3 s) were significantly lower than those before treatment (43±8 times/72 h, 20±6 times/72 h, 17±3, 27±9 cm H2O and 13±6s,P<0.01). Maximal voided vol-ume(225±48 ml), normal desired cystometric capacity (210±48 ml), maximal cystometric capacity (247±48 ml), Valsalva leak point pressure (94±11 cm H2O) and maximal urethral closure pressure (59±8 cm H2O) were significantly higher than those before treatment (159±37 ml, 141±39ml, 178±36ml, 81±15 cm H2O and 55±8 cm H2O, P<0.01). The effective rate during three months follow up was 60%, similar to time after treatment (P>0.05). Conclusions Pelvic floor electrical stimulation and pelvic floor training could be a useful therapy to treat women with IDO and SUI. It is both convenient and economical.  相似文献   

20.
Objective To investigate the short-term efficacy of pelvic floor electrical stimulation (PFES) and pelvic floor training (PFT) for female with idiopathic detrusor overactivity (IDO) and stress urinary incontinence (SUI). Methods PFES and PFT were performed on 70 women (average age 40±7 years old) with IDO and SUI for twelve weeks. Urinary diary, International Continence In-quiring Committee's Questionnaire (ICI-Q-SF) scores were recorded and urodynamic study was per-formed before and after the treatment. Results Fifty women (71%) finally completed treatment for twelve weeks. Urinary incontinence disappeared in 8 (16%), detrusor overactivity disappeared in 10 (20 %). The leakage was not found in 6 (12 %) in leakage point pressure measurement. Moreover, the frequency of voiding (28±5 times/72 h), frequency of leakage (10±5 times/72 h), total scores of ICI-Q-SF(10±3), max detrusor uninhibited contraction pressure (18±8 cmH20) and detrusor unin-hibited contraction duration (8±3 s) were significantly lower than those before treatment (43±8 times/72 h, 20±6 times/72 h, 17±3, 27±9 cm H2O and 13±6s,P<0.01). Maximal voided vol-ume(225±48 ml), normal desired cystometric capacity (210±48 ml), maximal cystometric capacity (247±48 ml), Valsalva leak point pressure (94±11 cm H2O) and maximal urethral closure pressure (59±8 cm H2O) were significantly higher than those before treatment (159±37 ml, 141±39ml, 178±36ml, 81±15 cm H2O and 55±8 cm H2O, P<0.01). The effective rate during three months follow up was 60%, similar to time after treatment (P>0.05). Conclusions Pelvic floor electrical stimulation and pelvic floor training could be a useful therapy to treat women with IDO and SUI. It is both convenient and economical.  相似文献   

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