【摘要】 目的探讨盆底肌电刺激疗法(以下简称电刺激疗法)治疗老年妇女真性压力性尿失禁(G S I)的疗效。方法对40例老年女性G S I患者行电刺激疗法治疗:将神经肌肉电刺激治疗仪(ETS)皮肤表面电极置于会阴部(阴道与肛门连线的两侧)。电刺激模式为专为盆底肌锻炼设计的一组程序化刺激。每周3次,每次60m in,12周为1个疗程。观察治疗前后主观及客观指标变化,评估治疗效果。结果尿失禁症状消失11例,改善21例,无改善8例。症状消失和改善者功能性膀胱容量、va lsa lva漏尿点压、最大尿道压和最大尿道闭合压显著高于治疗前(P<0.05),总排尿次数、总漏尿事件次数和IC I-Q-SF评分显著低于治疗前(P<0.05),总排尿量、最大尿流率、膀胱顺应性、最大膀胱压测定容量、最大尿流率时逼尿肌压力和功能性尿道长度治疗前后无明显差异(P>0.05)。结论神经肌肉电刺激疗法治疗老年女性G S I疗效显著,且具有无创性和经济方便等优点。更多还原

【Abstract】 Objective: To assess the effect of pelvic floor electrical stimulation on the elder women with genuine stress incontinence(GSI).Methods: Pelvic floor electrical stimulation was performed on 40 elder women with GSI three times a week for three months by using skin surface electrodes.Changes of urinary diary, score of International continence inquiring committee’s questionnaire(ICI-QSF) and urodynamics evaluation were recorded.Results: The incontinence disappeared in 11 cases and symptom improved in 21 cases.In those cases functional capacity,Valsalva leak point pressure,max urethral pressure and max urethral closure pressure significantly improved(P<0.05);total frequency of voiding(72h),leakage(72h) and the scores of ICI-Q-SF significantly decreased(P<0.05).8 cases had no improvement.There was no significant difference in total voiding volume(72h),max flow rate, bladder compliance,maximum cystometric capacity,the detrusor pressure at max flow rate and static urethral functional length before and after treatment(P>0.05).Conclusion: Pelvic floor electrical stimulation has therapeutic efficacy on the elder women with GSI.更多还原