电刺激生物反馈联合综合运动疗法治疗中老年轻、中度压力性尿失禁患者的临床疗效

[目的]探讨电刺激生物反馈联合综合运动疗法治疗中老年轻、中度压力性尿失禁(SUI)患者的临床疗效.[方法]选取2018年6月至2020年6月在本院诊治的中老年轻、中度S U I患者80例为研究对象,按照随机数表法分为观察组和对照组,每组40例.观察组给予电刺激生物反馈联合综合运动疗法[腹式呼吸+桥式运动+凯格尔运动(K...

Effect of Electrical Stimulation Biofeedback Combined with Comprehensive Exercise Therapy on Stress Urinary Incontinence in Middle-aged and Elderly Women

[Obieetive]To explore the ffeet of electrical stimulate bifeedback combined with exercise therapy on.stress urinary incontinence(SUI)in midde aged and elderly women,[Methods]From June 2018 to June 2020,80 cases of women who were diagnosed as"stress urinary incontinence"were selecied as the subjects.Patients were randomly divided into the observation group(n=40 cases)and the control group(n=40 cases),Electrical stimulation biofeedback therapy combined with comprehensive exercise therapy(abdominal breathing,bridge exercise and Kegel exerise)in the observation group and electrical stimulation biofedback.therapy combined with Kegel exercise in the control group were applied for a course of treatment(2 months).The scores of urinary incontinence quality of life qustionnaire(I-QOL),total efeetive rate.muscle strength of pelvie floor type Ⅰ and typeⅡ muscle fibers and myoeleetric potential were compared between the two groups.[Results]The total efective rate of patients in the observation group was 90%(36/40).which was significantly higher than 72.5%(29/40)in the control group,and the diference was stistically significant(χ²=4.021.P=0.045).After one course of treatment,the scores of urinary Incontinencequality of life questionnaire(I-Q0L)were improved in both groups.Compared to the control group.the improvement was more significant in the observation group(P<0.05).Before treatment,there was no significant difference in muscle strength distrbution between the two groups of patients with type Ⅰ and type Ⅱ musele fibers(P>0.05).After treatment.the pelvic floor Ⅰ and Ⅱ muscle fiber muscle strength were improved in both groups.However.the observation group was better than the control group,and the dfference was statistcal significance(P<0.05).There was no sigpificant dfference in pelvie floor myolectric poten-tial between the two groups before treatment(P>0.05);after treatment.the pelvic floor myocletrie potential of the nhenrustinm grp and the enntml grrup were ignifirantly higher than buefrore treotment.and the aheprvatinn group wau higher than the control group.The dfferences were stistically signicant(P<0.05).[Conclusion]Elrie stimulation bioledbackh combined with corprehensive exercise therapy(abdominal breathing.bridge exerise and Kegel exercise)can efetively improve the symptoms of stress urinary inconinence in middle aged and elderly women and enhance pelvic floor muscle strength.which has more significant ffect than electrie stimulation feedback therapy combined with Kegel exercise.