《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (2): 173-175.

• 论文 • 上一篇    下一篇

生物反馈联合盆底肌锻炼治疗女性压力性尿失禁的疗效评价

张琼1，管玉涛1，郑伟2，吕杰强1   

  1. 1.温州医学院附属第二医院妇产科，浙江温州市 325027；2.浙江大学医学院附属第二医院妇科，浙江杭州市 310009。
  • 收稿日期:2011-01-12 修回日期:1900-01-01 出版日期:2011-02-25 发布日期:2011-02-25

Effect of Biofeedback Combined with Pelvic Floor Muscle Training on Female Stress Urinary Incontinence

ZHANG Qiong, GUAN Yu-tao, ZHENG Wei, et al.   

  1. Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Wenzhou Medical College, Wenzhou 325027, Zhejiang, China
  • Received:2011-01-12 Revised:1900-01-01 Published:2011-02-25 Online:2011-02-25

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摘要： 目的探讨生物反馈联合盆底肌锻炼治疗不同程度女性压力性尿失禁的近期疗效及盆底肌表面肌电检测的意义。方法选取69例女性压力性尿失禁患者，依据临床症状分为轻度(26例)、中度(24例)和重度(19例)3组，进行12周的生物反馈联合盆底肌功能锻炼治疗，在治疗前、后分别记录排尿日记，填写国际尿失禁咨询委员会问卷简表(ICI-Q-SF)，并进行盆底肌表面肌电检测。结果各组治疗后总排尿次数、总漏尿次数、ICI-Q-SF评分显著低于治疗前，而盆底肌表面肌电活力值显著高于治疗前。同时，轻度组治疗后总排尿次数、总漏尿次数、ICI-Q-SF评分及盆底肌表面肌电活力值、峰值和做功值的改善值大于中度和重度组治疗后的改善值；中度组治疗后总排尿次数、ICI-Q-SF和盆底肌表面肌电峰值的改善值优于重度组。治疗结束后3个月随访有效率：轻度组为88.46%，高于中度组(62.50%)和重度组(52.63%)(P<0.05)。结论生物反馈联合盆底肌锻炼是一项简便、有效的治疗女性压力性尿失禁的方法，尤其适用于轻度女性患者；盆底肌表面肌电检测是评估其疗效的重要方法。

关键词: 压力性尿失禁, 生物反馈, 盆底肌锻炼, 表面肌电

Abstract: ObjectiveTo investigate the short-term effect of biofeedback combined with pelvic floor muscle training(PFM) on female stress urinary incontinence (SUI) and significance of the surface EMG activity of PFM.MethodsAccording to clinical symptoms, 69 women with SUI were divided into three groups: mild(n=26), moderate(n=24) and severe(n=19) groups. Biofeedback combined with PFM was performed on all patients for 12 weeks. Urinary diary, the score of International Continence Inquiring Committee's Questionnaire (ICI-Q-SF) and the surface EMG activity of PFM were recorded before and after treatment.ResultsIn all groups, the times of voiding (TOV), leakage times(LT) and the scores of ICI-Q-SF were significantly lower after treatment than those before treatment, the vigor of the surface EMG activity of the pelvic floor muscles was significantly higher than that before treatment (P<0.05). The difference value of TOV, LT, the scores of ICI-Q-SF, vigor, the peak value and energy and the efficiency in the mild group were significantly higher than those in other groups after treatment.ConclusionBiofeedback combined with PFM is a simple, effective treatment for SUI, especially for the mild ones; the surface EMG activity of PFM is important for curative effect assessment.

Key words: stress urinary incontinence, biofeedback, pelvic floor muscle training, surface EMG