文章摘要
王陶然,周新,李晓燕,蒋丽君.老年女性尿失禁盆底康复治疗的临床分析[J].中国临床保健杂志,2020,23(2):252-255.
老年女性尿失禁盆底康复治疗的临床分析
The effect of comprehensive treatment of pelvic floor and its influence on quality of life of urinary incontinence in elderly women
投稿时间:2019-06-10  
DOI:10.3969/J.issn.1672-6790.2020.02.028
中文关键词: 尿失禁,压力性  康复  生物反馈,心理学  电刺激疗法  女性  老年人  生活质量
英文关键词: Urinary incontinence,stress  Rehabilitation  Biofeedback,Psychology  Electric stimulation therapy  Femininity  Aged  Quality of life 〖FL
基金项目:北京市属医院科研培育计划(PX2016049)
作者单位E-mail
王陶然 北京老年医院妇科,北京100095 taoranw126@163.com 
周新 中央财经大学校医院保健科  
李晓燕 北京老年医院妇科,北京100095  
蒋丽君 北京老年医院妇科,北京100095  
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中文摘要:
      目的 探讨联合生物反馈和电刺激技术的盆底肌肉锻炼法治疗老年女性压力性尿失禁近期和远期疗效。方法 110例老年女性轻中度压力性尿失禁患者按随机抽样法分为两组,每组55例,分别用联合生物反馈电刺激加盆底肌肉锻炼法以及单独的盆底肌肉锻炼法治疗3月,随访2年。分别在治疗前后、随访期间每6月观察两组患者的治愈率、尿失禁症状评分及生活质量评分的变化。结果 试验组治疗后收缩期盆底肌电位值较治疗前显著提高(P<0.05)。试验组在治疗后、随访6月及随访12月时的治愈率分别为89.1%(49/55)、83.6%(46/55) 、85.5%(47/55),对照组的治愈率分别为56.4%(31/55)、65.5%(36/55)、67.3%(37/55),试验组显著高于对照组(P<0.05)。试验组在治疗后及随访期间的尿失禁症状评分较同时期的对照组均显著降低(P<0.05),尿失禁生活质量问卷评分较同时期的对照组均显著增高(P<0.05)。结论 联合生物反馈电刺激技术的盆底康复治疗对老年女性压力性尿失禁有着良好的近期疗效,并且在较长时期内明显缓解患者的症状,显著提高老年女性患者的生活质量。
英文摘要:
      Objective To investigate the short-term and long-term effect of comprehensive treatment of combining biofeedback,electronic stimulation and pelvic muscles exercising and its influence on quality of life of urinary incontinence in elderly women.Methods A total of 110 elderly female patients suffering from light or moderate stress urinary incontinence randomly received different therapy such as comprehensive treatment or simply pelvic floor muscle training for 3 months and were followed up for 2 years after therapy.Such index as surface electromyography value of pelvic floor muscle,symptoms of urinary incontinence and quality of life of these patients were individually assessed.Results The mean surface electromyography value of contraction phase of pelvic floor muscle in control group was significantly higher than that of previous therapy(P<0.05).The cure rates of the test group during after-therapy,6 months and 12 months of follow-up periods were 89.1%(49/55),83.6%(46/55) and 85.5%(47/55) respectively,the cure rates of control group during the same periods were 56.4%(31/55),65.5%(36/55) and 67.3%(37/55).The former was significantly higher than the latter(P<0.05).The mean scores of symptoms of urinary incontinence in test group during after-therapy and follow-up periods were significantly lower than those in control group(P<0.05).The mean scores of quality of life in test group during after-therapy and follow-up periods were significantly higher than those in control group(P<0.05).Conclusion Comprehensive therapy of pelvic floor evidently has good recent effect for elderly women suffering from light or moderate stress urinary incontinence,alleviates the symptoms of urinary incontinence for a long period and significantly improves their life quality.
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