| 文礼,李海华,吴万文,等.阴道哑铃联合生物反馈技术对女性压力性尿失禁的疗效观察与评价[J].安徽医药,2018,22(10):1922-1925. |
| 阴道哑铃联合生物反馈技术对女性压力性尿失禁的疗效观察与评价 |
| Observation and evaluation of the effect of vaginal dumbbell combined with biofeedback technique on female stress urinary incontinence |
| 投稿时间：2017-03-14 |
| DOI： |
| 中文关键词: 尿失禁,压力性 神经反馈 抗阻训练 女性 阴道哑铃 |
| 英文关键词: Urinary incontinence,stress Neurofeedback Resistance training Femininity Vaginal dumbbell |
| 基金项目: |
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| 摘要点击次数: 2481 |
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| 中文摘要: |
| 目的 观察阴道哑铃联合生物反馈技术对女性压力性尿失禁的疗效。 方法 选取2011年1月至2016年1月海口市人民医院收治的300例经临床诊断为轻中度压力性尿失禁的女性患者为研究对象,按照随机数字表法将患者分为观察组和对照组,每组各150例,给予观察组患者阴道哑铃联合生物反馈技术治疗,给予对照组患者凯格尔训练法治疗,治疗6个月后,比较两组患者的盆底Ⅰ类和Ⅱ类肌纤维肌力、Ⅰ类和Ⅱ类肌纤维疲劳度、肌电位、A3反射,分析两组患者的临床治疗效果。 结果 与治疗前比较,观察组治疗后Ⅰ类和Ⅱ类肌纤维肌力(10.67%/6.67%)(P=0.002/0.018)、Ⅰ类和Ⅱ类肌纤维疲劳度(0.67%/0.67%)(P=0.032/0.018)及肌电位(18.97±3.57)mV均有明显改善(P=0.037),A3反射正常者明显增多(P＜0.001),均差异有统计学意义,而对照组治疗后Ⅰ类和Ⅱ类肌纤维肌力(4.67%/6.00%)(P=0.032/0.010)、Ⅰ类和Ⅱ类肌纤维疲劳度(2.00%/2.67%)(P=0.029/0.025)及肌电位(14.07±2.04)mV(P=0.043)均有明显改善,但A3反射正常者与治疗前比较差异无统计学意义(P>0.05)；观察组治疗后Ⅰ类和Ⅱ类肌纤维肌力上升2级或2级以上者分别为143例(95.33%)和146例(97.33%),明显多于对照组的52例(34.67%)和55例(36.67%)(P<0.05)；与对照组比较,观察组中Ⅰ类和Ⅱ类肌纤维疲劳度及肌电位改善者明显增多,A3反射正常者显著增加(P<0.05)；观察组在治疗后3个月及治疗结束时无尿失禁症状者分别为71例(47.33%)(P＜0.001)及139例(92.67%)(P＜0.001)、轻度尿失禁症状者分别为63例(42.00%)(P＜0.001)及 10例(6.67%)(P＜0.001)、中度尿失禁症状者分别为12例(8.00%)(P=0.010)及1例(0.67%)(P=0.216),与对照组同时期比较差异均有统计学意义。 结论 阴道哑铃联合生物反馈技术可有效改善女性压力性尿失禁症状,临床安全有效,值得推广应用。 |
| 英文摘要: |
| Objective To observe the effect of vaginal dumbbell combined with biofeedback technique on female stress urinary incontinence. Methods Three hundred female patients clinically who were diagnosed with mild to moderate stress urinary incontinence in Haikou Hospital Affiliated to Xiangya Medical College of Central South University from January 2011 to January 2016 as the research object.The patients were randomly assigned into experimental group and control group according to the random number table method,150 cases in each group.The experimental group was treated with vaginal dumbbell combined with biofeedback therapy,while the control group received training of Kegel therapy.After six months of treatment,type ⅠandⅡ muscle fiber strength of the pelvic floor,typeⅠandⅡpelvic floor muscle fatigue,muscle fiber potential and A3 reflection were compared between the two groups,and the clinical therapeutic effect of two groups of patients was analyzed. Results Compared with before treatment,type Ⅰ and Ⅱ muscle strength (10.67%/6.67%) (P=0.002/0.018),type Ⅰ and Ⅱ muscle fiber fatigue (0.67%/0.67%) (P=0.032/0.018) and muscle potentials(18.97±3.57)mV were significantly improved in experimental group,A3 normal reflex were significantly increased (P＜0.001),and the differences were statistically significant. While the control group after treatment, type Ⅰ and Ⅱ muscle fiber strength (4.67%/6.00%) (P=0.032/0.010),type ⅠandⅡmuscle fiber fatigue (2.00%/2.67%) (P=0.029/0.025) and muscle potentials(14.07±2.04)mV (P=0.043) were significantly improved,but patients with A3 normal reflection had no significant difference before treatment (P>0.05);after the treatment,type Ⅰ and Ⅱ muscle fibers strength increased by two or more than two grade were 143 cases (95.33%) in experimental group and 146 cases (97.33%),which was significantly more than 52 cases (34.67%) and 55 cases (36.67%) of the control group (P<0.05);Compared with the control group,type Ⅰ and Ⅱ muscle fiber fatigue and muscle potentials were significantly improved,and A3 normal reflex of patients were significantly increased in the experimental group (P<0.05);three months after treatment and the end of treatment,patients of experimental group with asymptomatic urinary incontinence were 71 cases (47.33%) (P＜0.001) and 139 cases (92.67%) (P＜0.001),respectively,the symptoms of mild urinary incontinence were 63 cases (42.00%) (P＜0.001) and 10 cases (6.67%) (P＜0.001),respectively,moderate symptoms of urinary incontinence were 12 cases (8.00%) (P=0.010) and one case (0.67%) (P=0.216),respectively,and the differences were statistically significant compared with control group at the same period. Conclusions Vaginal dumbbell combined with biofeedback technology can effectively improve the symptoms of female stress urinary incontinence,which is safe and effective in clinical practice and worthy promoting the application. |
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