盆底肌电刺激生物反馈治疗对产后压力性尿失禁的疗效观察

摘要

Objective To compare the effect of the electrical stimulation biological feedback treatment with pelvic floor muscle on postpartum stress urinary incontinence (SUI). Methods The data of 102 patients with mild or moderate postpartum stress urinary incontinence was retrospectively analysed. The primary outcome was a comparison of the therapeutic efficacy between the electrical stimulation biological feedback therapy (ESBFT) and Kegel pelvic floor muscle training (KPFMT). Results The effecive rate and the curative rate of ESBFT of the moderate patients was higher (75% and 50% respectively) than those of the KPFMT (54.6% and 36.4%respectively). The curative rate of ESBFT of the mild patients was 73.8%, higher than that of the KPFMT (45.5%). Conclusions ESBFT is effective for patients with mild or moderate SUI and significantly improves the therapeutic efficacy of postpartum SUI, especially for the patients who suffer from SUI after one child delivery with no complications of metroptosis and BMI index less than 25.%目的：比较盆底肌电刺激生物反馈治疗与单纯的盆底肌训练(Kegel运动)对产后压力性尿失禁(stress urinary in-continence,SUI)的治疗效果。方法回顾性分析在我院妇科门诊102例轻中度产后压力性尿失禁患者的临床资料，比较盆底肌电刺激生物反馈治疗与单纯的Kegel盆底肌训练的疗效。结果中度尿失禁盆底肌电刺激生物反馈治疗的有效率及治愈率(75%和50%)高于Kegel盆底肌训练(54.6%和36.4%)，轻度尿失禁盆底肌电刺激生物反馈治疗治愈率(73.8%)高于Kegel盆底肌训练(45.5%)。结论盆底肌电刺激生物反馈治疗对产后中度压力性尿失禁的疗效更确切，与单纯的Kegal盆底肌训练比较，能明显改善产后压力性尿失禁的治疗效果，尤其对一胎分娩后、无合并子宫脱垂、体高体重指数(BMI)小于25的患者疗效更为明显。