盆底肌肉生物反馈康复锻炼方案在不同类型压力性尿失禁患者中的应用价值

目的] 探讨盆底肌肉生物反馈康复锻炼方案在不同类型压力性尿失禁(Stress urinary incontinence,SUI)患者中的应用价值.方法] 选择2013年1月至2016年1月在本院收治的SUI患者146例,按照不同类型分为围绝经期SUI(围绝经期组)和产后SUI(产后组),每组73例,均采用盆底肌肉生物反馈康复锻炼治疗8周,比较两组治疗前后盆底肌力、1 h尿垫实验结果、总体疗效、国际尿失禁咨询委员会尿失禁问卷表简表(ICI-Q-SF)评分、盆底障碍影响简易问卷7(PFIQ-7)评分及依从性.结果] 治疗后两组患者的盆底肌力、1 h尿垫实验结果、总体疗效、ICI-Q-SF评分、PFIQ-7评分与治疗前比较均有显著改善,且产后组患者改善的幅度较大;两组患者在合理用药、定期复查、合理饮食等五项医生要求的项目上依从性情况较好,但产后组患者的依从性情况更好(P<0.05).结论] 盆底肌肉生物反馈康复锻炼法有助于SUI盆底肌力的恢复,依从性较好,相对围绝经期SUI,产后SUI效果更好,值得在临床推广应用.

Curative Effects of Pelvic Floor Muscle Biofeedback Rehabilitation Exercise Schemes on Patients with Stress Urinary Incontinence of Different Types of Pressure

Objective]To explore the curative effects of pelvic floor muscle biofeedback rehabilitation exercise schemes in patients with stress urinary incontinence of different types of pressure.Methods]One hundred and forty-six patients with SUI in our hospital from January 2013 to January 2016 were selected and divided into four groups according to different types of SUI (perimenopausal group) and postpartum SUI (postpartum group), 73 cases in each group.Patients were treated with pelvic floor muscle biofeedback rehabilitation exercise for 8 weeks.The two groups were compared in the items of pelvic floor muscle strength of the experimental results before and after treatment, the 1h urine pad overall curative effect, the overall efficacy, ICI-Q-SF (The International Consultation on Incontinence Questionnaire-Short Form) score, PFIQ-7 (Pelvic Floor Impact Questionnaire-Short form7) score and the compliance status.Results]After treatment, pelvic floor muscle strength, 1h urine pad test results, overall efficacy, ICI-Q-SF score, PFIQ-7 score of the two groups of patients were significantly improved compared with those before treatment and those of the postpartum group were even better;the compliance in the rational use of drugs, regular review, reasonable diet and other items of the two groups of patients were good, but the compliance of postpartum group was more superior(P<0.05).Conclusion]Pelvic floor muscle biofeedback rehabilitation exercise is helpful to the recovery of SUI pelvic floor muscle strength with better compliance.Compared with perimenopausal SUI, postpartum SUI effect is better and worthy of clinical application.