| 蔡文智,张 焱,陈 玲,陈晓敏,胡英杰.电刺激联合生物反馈治疗初产妇和经产妇压力性尿失禁的疗效观察[J].中国康复医学杂志,2020,(2):141~145 |
| 电刺激联合生物反馈治疗初产妇和经产妇压力性尿失禁的疗效观察 点此下载全文 |
| 蔡文智 张 焱 陈 玲 陈晓敏 胡英杰 |
| 南方医科大学深圳医院，深圳，518000 |
| 基金项目：国家自然科学青年基金项目（71904075）；南方医科大学深圳医院“苗苗”培育项目（2018MM03）；深圳市“三名工程”护理专科教育(SZSM201612018) |
| DOI：10.3969/j.issn.1001-1242.2020.02.003 |
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| 摘要： |
| 摘要
目的：探讨压力性尿失禁的初产妇和经产妇在电刺激联合生物反馈治疗后的表面肌电变化及治疗效果。
方法：我们对接受电刺激联合生物反馈的压力性尿失禁的初产妇和经产妇进行了回顾性队列研究。运用SA9800治疗仪进行生物反馈联合电刺激治疗，分别测量治疗前后初产妇和经产妇盆底肌表面肌电信号进行客观评估，运用国际尿失禁简表（international consultation on incontinence questionnaire short form-Chinese，ICIQ -SF- Chinese），以及患者自觉症状改善情况进行主观评估。
结果：盆底肌表面肌电变化：初产妇组治疗后前静息阶段表面肌电平均值，初产妇组和经产妇组的快肌测试阶段表面肌电最大值、慢肌测试阶段表面肌电平均值以及耐力评估阶段表面肌电平均值和后静息阶段表面肌电平均值较治疗前均明显升高（P<0.05）；初产妇组经产妇组疗效观察：初产妇组快肌测试阶段的表面肌电最大值、慢肌测试阶段的表面肌电平均值以及耐力评估阶段的表面肌电平均值变化比经产妇显著（P<0.05）；治疗前后两组的ICIQ-SF-Chinese评分均有显著性变化，且初产妇组的评分差高于经产妇组；初产妇组自觉症状好转率为91.96%，经产妇组自觉好转率为83.95%。
结论：电刺激联合生物反馈治疗能有效治疗初产妇和经产妇压力性尿失禁，两者盆底肌表面肌电信号均升高。初产妇盆底肌功能恢复快，治疗效果优于经产妇。 |
| 关键词：电刺激 生物反馈 盆底康复 压力性尿失禁 盆底肌表面肌电信号 |
| Therapeutic effect of electric stimulation combined with biofeedback on primipara and multipara with stress urinary incontinence Download Fulltext |
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| Shenzhen Hospital of Southern Medical University，Shenzhen，518000 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To investigate the changes of surface electromyography and the therapeutic effects of primipara and multipara with stress urinary incontinence after electrical stimulation combined with biofeedback therapy.
Method： We performed a retrospective cohort study of primipara and multipara undergoing electrical stimulation with biofeedback for stress urinary incontinence. The SA9800 therapeutic apparatus was used for biofeedback combined with electrical stimulation to measure the surface EMG signals of pelvic floor muscles before and after treatment. The ICIQ -SF- Chinese and the improvement of patients' self-conscious symptoms were subjectively evaluated.
Result： The changes on the sEMG of the pelvic floor muscles：The mean surface electromyography during the pre-quiet phase after treatment in the primipara group， the maximum surface electromyography during the fast muscle test phase，the mean surface electromyography after the resting phase， the sEMG of the slow muscle test phase and the endurance evaluation phase were significantly higher than those before treatment in both groups (P<0.01). The efficacy observation：the maximal surface EMG in the fast muscle test phase of the primipara group， the surface EMG mean in the slow muscle test phase， and the mean changes in the surface EMG in the endurance evaluation phase were significantly higher than those in the multipara (P<0.01)， the difference of ICIQ-SF-Chinese in the primipara group was higher than that in the multipara group before and after treatment. The rate of improvement in the conscious symptoms of primipara group was 91.96%， and the rate of improvement in multipara group was 83.95%.
Conclusion: Electrical stimulation combined with biofeedback therapy can effectively treat primipara and multipara stress urinary incontinence， and both surface pelvic floor muscle EMG signals are elevated. The primipara pelvic floor muscle function recovers quickly with the better effect than the multipara. |
| Keywords:electrical stimulation biofeedback pelvic floor rehabilitation stress urinary incontinence surface electromyography of pelvic floor muscle |
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