盆底康复对合并代谢综合征的压力性尿失禁患者的临床疗效
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摘要
目的:评估合并代谢综合征压力性尿失禁患者应用盆底康复治疗的临床疗效。方法:选取我院2015年1月-2016年6月期间诊治的代谢综合征合并压力性尿失禁患者60例,随机分为治疗组和对照组各30人。观察组为盆底康复治疗(电刺激和生物反馈康复训练),对照组治疗方法为盆底肌训练,两组患者各治疗3月,对比分析治疗前后1h尿垫试验、手测肌力、尿失禁影响问卷简表(ⅡQ-7)与临床疗效指标。结果:与对照组相比,观察组患者治疗总有效率更高(86.7%vs. 60%),1小时尿垫试验减少(508±566g vs. 799±524g)、手测盆底肌力改善,尿失禁影响问卷简表评分降低(2.0±1.7 vs. 4.2±2.8),差异均具有统计学意义(P<0.05。结论:合并代谢综合征的压力性尿失禁患者运用盆底康复治疗后可以取得较好的临床效果,无创、安全,适宜临床广泛推广应用。
Objective: to evaluate merge pelvic floor of metabolic syndrome in patients with stress urinary incontinence applications the clinical curative effect of rehabilitation treatment. Selection methods: from January 2015 to June 2016 during the diagnosis and treatment of metabolic syndrome combination of 60 patients with stress urinary incontinence, were randomly divided into treatment group and control group 30 people each. Observation group treatment for pelvic floor rehabilitation(biofeedback electrical stimulation and rehabilitation training), control group treatment for pelvic floor muscle training, two groups of patients in each treatment in March, 1 h urine pad test analysis before and after treatment, hand muscle strength, urinary incontinence questionnaire touting(ⅡQ-7) and the clinical curative effect. Results: compared with control group, the total effective rate of observation group patients was higher(86.7% vs. 60%), 1 hour urine pad to reduce(508 + 566 g vs. 799 + 524 g), the detection of hand, pelvic floor muscle strength improved, urinary incontinence affects profile questionnaire score lower(2.0 + 2.0 +/-1.7 vs. 2.0), the differences were statistically significant(P < 0.05. Conclusion: combination of the metabolic syndrome patients with stress incontinence after the use of pelvic floor rehabilitation can achieve good clinical effect, noninvasive, safe, and suitable for clinical application widely.
Objective: to evaluate merge pelvic floor of metabolic syndrome in patients with stress urinary incontinence applications the clinical curative effect of rehabilitation treatment. Selection methods: from January 2015 to June 2016 during the diagnosis and treatment of metabolic syndrome combination of 60 patients with stress urinary incontinence, were randomly divided into treatment group and control group 30 people each. Observation group treatment for pelvic floor rehabilitation(biofeedback electrical stimulation and rehabilitation training), control group treatment for pelvic floor muscle training, two groups of patients in each treatment in March, 1 h urine pad test analysis before and after treatment, hand muscle strength, urinary incontinence questionnaire touting(ⅡQ-7) and the clinical curative effect. Results: compared with control group, the total effective rate of observation group patients was higher(86.7% vs. 60%), 1 hour urine pad to reduce(508 + 566 g vs. 799 + 524 g), the detection of hand, pelvic floor muscle strength improved, urinary incontinence affects profile questionnaire score lower(2.0 + 2.0 +/-1.7 vs. 2.0), the differences were statistically significant(P < 0.05. Conclusion: combination of the metabolic syndrome patients with stress incontinence after the use of pelvic floor rehabilitation can achieve good clinical effect, noninvasive, safe, and suitable for clinical application widely.
引文
[1]中华医学会妇产科学分会妇科盆底学组.女性压力性尿失禁诊断和治疗指南(试行)[J].中华妇产科杂志, 2011, 46(10):796-798.
[2]黄晓玉,邓海英,熊俊等.盆底康复综合疗法治疗中老年压力性尿失禁50例疗效观察[J].山东医药,2011,51(49):102-103.
[3]徐成斌.代谢综合征[J].国际内分泌代谢杂志, 2005, 25(1):3-6.
[4]陈鑫,倪观太.女性盆底功能障碍性疾病的研究进展[J].医学综述,2014,20(8):1435-1437.
[5]潘家骅,徐灵,吕坚伟,等.上海地区2410例女性压力性尿失禁流行病学研究[J].上海交通大学学报(医学版), 2012, 32(4):419-422.
[6]李红,刘晓玲,程琳.更年期女性压力性尿失禁的流行病学调查和影响因素分析[J].中国妇幼保健, 2015, 30(29):5049-5051.
[7]李峰,郑仿,宁鑫.压力性尿失禁治疗进展[J].广西中医药大学学报, 2011,14(4):64-66.
[8]张瑾,赵霞,刘丽,等.生物反馈电刺激对子宫切除术后盆底功能障碍性疾病的意义[J].中国妇幼保健,2015,19:3126-3129.
[9]苏园园,韩燕华,曹丽,等.中山地区产后42天妇女盆腔器官脱垂筛查及防治研究[J].中国妇幼保健,2015,24:4132-4134.
[10]姜卫国,洪淑惠.女性盆底功能障碍性疾病的诊治进展[J].山东医药,2015,45:26-29.
[2]黄晓玉,邓海英,熊俊等.盆底康复综合疗法治疗中老年压力性尿失禁50例疗效观察[J].山东医药,2011,51(49):102-103.
[3]徐成斌.代谢综合征[J].国际内分泌代谢杂志, 2005, 25(1):3-6.
[4]陈鑫,倪观太.女性盆底功能障碍性疾病的研究进展[J].医学综述,2014,20(8):1435-1437.
[5]潘家骅,徐灵,吕坚伟,等.上海地区2410例女性压力性尿失禁流行病学研究[J].上海交通大学学报(医学版), 2012, 32(4):419-422.
[6]李红,刘晓玲,程琳.更年期女性压力性尿失禁的流行病学调查和影响因素分析[J].中国妇幼保健, 2015, 30(29):5049-5051.
[7]李峰,郑仿,宁鑫.压力性尿失禁治疗进展[J].广西中医药大学学报, 2011,14(4):64-66.
[8]张瑾,赵霞,刘丽,等.生物反馈电刺激对子宫切除术后盆底功能障碍性疾病的意义[J].中国妇幼保健,2015,19:3126-3129.
[9]苏园园,韩燕华,曹丽,等.中山地区产后42天妇女盆腔器官脱垂筛查及防治研究[J].中国妇幼保健,2015,24:4132-4134.
[10]姜卫国,洪淑惠.女性盆底功能障碍性疾病的诊治进展[J].山东医药,2015,45:26-29.