| 摘要: |
| ［摘要］ 目的 探讨电刺激联合生物反馈治疗中老年女性压力性尿失禁的效果。方法 采用法国PHENIX神经肌肉刺激治疗仪对57例中老年妇女压力性尿失禁患者治疗1～2个疗程，治疗3个月后进行随访、复诊，评价疗效。结果 57例患者治愈21例（36.8%），有效24例（42.1%），无效12例（21.1%），总有效率为78.9%。子宫脱垂和阴道膨出的患者均感到脱出物有不同程度的回缩。34例性生活不满意患者均有不同程度改善。盆底肌Ⅰ类肌纤维疲劳度改善不明显（P>0.05），Ⅱ类肌纤维疲劳度、Ⅰ类及Ⅱ类肌肌力、每周平均漏尿次数、A3反射异常、综合肌电位值均明显改善（P<0.05）。结论 电刺激联合生物反馈是治疗中老年女性压力性尿失禁的一种有效、简便、无创伤的方法，值得推广。 |
| 关键词: 电刺激 生物反馈 肌电位 中老年女性 压力性尿失禁 |
| DOI：10.3969/j.issn.1674-3806.2014.10.10 |
| 分类号:R 713 |
| 基金项目: |
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| Effect of electrical stimulation combined with biofeedback in treating stress urinary incontinence in 57 aged females |
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WU Yue-lian, LIN Hai-yan, ZHAO Ren-feng, et al.
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Department of Obstetrics and Gynaecology, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021,China
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| Abstract: |
| ［Abstract］ Objective To investigate the effect to treat stress urinary incontinence(SUI) in the aged females by electrical stimulation combined biofeedback.Methods Fifty-seven aged patients with SUI were carried out biofeedback electrical stinulation by the devices of PHENIX USB4(made by the company of Electronic Concept Lignon Innonation) for 1 or 2 period of treatment.In 3 month after treatment, the effect was evaluated by the symptom and the objective index.Results After treatment,the total efficient ratio was 78.9%,with cured ratio 36.8%,ameliorative ratio 42.1%,resultless ratio 21.1%.Those patients with uterine prolapse /cystocele/ urethrocele/rectocele had a sense of abridgement of the bumps.Sex life was improving in the 34 cases with dissatisfied sex life before treatment.The muscle strength testing scores of type Ⅰ～Ⅱ pelvic floor muscle increased evidently（P<0.05）. Muscle electrophysiology average was elevated（P>0.05). Fatigue test improved in type-Ⅱ pelvic floor muscle（P<0.05）,but decreased in type-Ⅰ pelvic floor muscle（P>0.05).Leakage times(LT) and abnormal A3 reaction was significantly lower after treatment than those before treatment（P<0.05）.Conclusion Electrical stimulation combined with biofeedback was one kind of efficacious and harmless way for treating SUI in the aged females，worthy of using widely. |
| Key words: Electrical stimulation Biofeedback Muscle electrophysiology Aged females Stress urinary incontinence(SUI) |
