盆底生物反馈电刺激治疗缺血性脑卒中尿失禁患者的临床观察

目的观察盆底生物反馈电刺激对缺血性脑卒中尿失禁患者的治疗效果。方法将80例缺血性脑卒中临床症状表现为尿失禁的患者,随机分为治疗组及对照组。治疗组予以标准护理干预联合盆底生物反馈电刺激治疗,对照组仅予以标准护理干预,并分别于治疗前、治疗4周后,行床旁B超测定膀胱残余尿量、并对泌尿症状困扰及国际下尿路症状进行评分。结果两组患者经治疗后症状均有好转,但与对照组相比,治疗组膀胱残余尿量减少、泌尿症状困扰评分及国际下尿路症状评分改善明显,且有统计学意义(P0.05)。结论盆底生物反馈电刺激能改善缺血性脑卒中患者尿失禁症状,并提高患者的生活质量。

Clinical effect of pelvic floor biofeedback electrical stimulation in treatment of urinary incontinence in patients with ischemic stroke

Objective To investigate the clinical effect of pelvic floor biofeedback electrical stimulation in the treatment of urinary incontinence in patients with ischemic stroke.Methods A total of 80 patients with urinary incontinence as the clinical symptom of ischemic stroke were randomly divided into treatment group and control group.The patients in the treatment group were given standard nursing intervention combined with pelvic floor biofeedback electrical stimulation,and those in the control group were given standard nursing intervention alone.Bedside ultrasound was performed before treatment and after 4 weeks of treatment to measure residual urine volume,and the bother of score (BS) and lower urinary tract symptoms (LUTS) score were also determined.Results Both groups had improvements in symptoms after treatment,while compared with the control group,the treatment group had a significant reduction in residual urine volume and significant improvements in BS and LUTS score (P ＜ 0.05).Conclusions Pelvic floor biofeedback electrical stimulation can improve the symptoms of urinary incontinence in patients with ischemic stroke and improve their quality of life.