【摘要】 目的研究联合生物反馈电刺激和盆底肌肉锻炼的盆底综合疗法治疗老年女性压力性尿失禁的临床疗效及其对生活质量的影响。方法选取老年女性轻中度压力性尿失禁患者60例,随机分为使用盆底综合疗法的试验组及单独采用盆底肌肉锻炼法进行治疗的对照组,每组各30例,并随访3月,比较2组治疗前后盆底肌表面肌电位的变化、尿失禁症状的变化及生活质量。结果治疗后试验组的盆底肌收缩肌电位较对照组显著提高,1 h尿垫试验转阴率显著高于对照组,尿失禁症状评分显著低于对照组,尿失禁生活质量问卷评分较对照组显著增高。随访3月后,试验组的尿失禁症状评分仍低于对照组,生活质量评分较对照组显著增高(P均<0.05)。结论盆底综合治疗能有效地改善老年女性压力性尿失禁患者的盆底功能,减轻尿失禁的症状,同时提高其生活质量。更多还原

【Abstract】 Objective To investigate the efficacy of comprehensive treatment of pelvic floor and the influence on quality of life in elderly women with urinary incontinence.Methods Sixty elderly female patients suffering from light or moderate stress urinary incontinence were randomly divided into different therapy groups.Patients in test group received biofeedback-electrical stimulation combined with pelvic floor muscle training,while cases in control group only received pelvic floor muscle training for three months.Patients were followed up for three months after therapy.Surface electromyography value of pelvic floor muscle,symptoms of urinary incontinence and quality of life were assessed and compared between two groups.Results The value of surface electromyography of pelvic floor muscle during contraction,negative rate of one-hour pad test and score of quality of life in test group were significantly higher than those of control group.The score of symptoms of urinary incontinence in test group was significantly lower than that in control group.The score of quality of life in test group was significantly higher,and the score of symptoms of urinary incontinence was lower than that in control group after threemonth follow-up.Conclusions Comprehensive treatment of pelvic floor significantly enhances the pelvic floor function of elderly women with urinary incontinence,alleviates their symptoms and improves their life quality.更多还原