浙江大学医学院附属邵逸夫医院,杭州
纸质出版:2024
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朱小莹, 胡明钰, 宋海新, 等. 盆底肌生物反馈电刺激联合抗阻夹腿训练治疗产后压力性尿失禁的疗效观察[J]. 中华物理医学与康复杂志, 2024,46(7):644-647.
朱小莹, 胡明钰, 宋海新, et al. 盆底肌生物反馈电刺激联合抗阻夹腿训练治疗产后压力性尿失禁的疗效观察[J]. 2024, 46(7): 644-647.
目的观察盆底肌生物反馈电刺激联合抗阻夹腿训练治疗产后压力性尿失禁(SUI)的临床疗效。方法采用随机分组方法将101例产后SUI患者分为观察组及对照组。2组患者均给予常规盆底肌训练(PFMT)
对照组在此基础上辅以盆底肌生物反馈电刺激
观察组则辅以抗阻夹腿训练及盆底肌生物反馈电刺激。于治疗前、治疗8周后分别检测2组患者盆底肌在不同状态时的表面肌电值
采用1 h尿垫试验评估患者SUI症状改善情况
采用尿失禁生活质量问卷(I-QOL)对2组患者生活质量进行评分。结果治疗后2组患者1 h尿垫试验漏尿量均明显减少
I-QOL评分均明显增加
盆底肌快速收缩电位、持续收缩电位及耐力收缩电位均显著增高
静息期电位均显著降低;并且观察组治疗后1 h尿垫试验漏尿量[2.20(1.45-2.80)g]、I-QOL评分[71.59(66.48-83.52)]、盆底肌快速收缩电位[41.30(33.05-49.50)μV]、持续收缩电位[31.30(25.15-42.50) μV]、耐力收缩电位[27.00(20.65-33.10)μV]及静息期电位[2.30(1.50-3.20 μV)]均显著优于对照组水平(P<0.05)。结论在常规PFMT基础上辅以盆底肌生物反馈电刺激及抗阻夹腿训练
能进一步改善产后SUI患者盆底肌功能
减轻SUI症状
提高患者生活质量
该联合疗法值得临床推广、应用。
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From the School of Medicine, University of New Mexico.,Division of Urogynecology, Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center.,Clinical and Translational Science Center, University of New Mexico, Albuquerque, NM.,Division of Urogynecology, Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center..Prevalence and Treatment of Postpartum Stress Urinary Incontinence: A Systematic Review.[J].Female pelvic medicine & reconstructive surgery,2020.
Department of Physical Therapy, Speech and Occupational Therapy, School of Medicine, University of São Paulo, São Paulo, Brazil,Department of Obstetrics and Gynecology, Urogynecology Section, University Hospital, University of São Paulo, São Paulo, Brazil,Department of Physical Therapy, Speech and Occupational Therapy, School of Medicine, University of São Paulo, São Paulo, Brazil,Department of Obstetrics and Gynecology, Urogynecology Section, Clinical Hospital, University of São Paulo, São Paulo, Brazil,Department of Obstetrics and Gynecology, Urogynecology Section, University Hospital, University of São Paulo, São Paulo, Brazil,Department of Obstetrics and Gynecology, Urogynecology Section, Clinical Hospital, University of São Paulo, São Paulo, Brazil,Department of Physical Therapy, Speech and Occupational Therapy, School of Medicine, University of São Paulo, São Paulo, Brazil.Effect of Pelvic Floor and Hip Muscle Strengthening in the Treatment of Stress Urinary Incontinence: A Randomized Clinical Trial[J].Journal of Manipulative and Physiological Therapeutics,2020.
王晓茜.改良女性自我形象评价量表(MBIS)、尿失禁生活质量问卷(I-QOL)、子宫肌瘤症状及健康相关生活质量问卷(UFS-QOL)中文版本研制与中国人群验证[D].北京协和医学院,2013(02).
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