电刺激联合生物反馈治疗非产后患者压力性尿失禁疗效观察

彭信刊; 张燕萍; 黄荣芳; 高然; 杨文涓

电刺激联合生物反馈治疗非产后患者压力性尿失禁疗效观察

昆明市妇幼保健院

基金项目:

基金：昆明市卫生局科研基金资助项目(2012-28);

计量
- 文章访问数: 3456
- HTML全文浏览量: 1166
- PDF下载量: 81
- 被引次数: 0
出版历程
- 收稿日期: 2016-06-10

Effects of Bio-feedback and Pelvic Electric Stimulation on Stress Urinary Incontinence

Funds:

基金：昆明市卫生局科研基金资助项目(2012-28);

摘要

摘要: 目的探讨电刺激联合生物反馈用于非产后患者压力性尿失禁的临床效果.方法选择56例轻度及中度女性非产后压力性尿失禁患者,进行1~2个疗程的电刺激联合生物反馈锻炼盆底肌肉治疗,观察其治疗效果.结果 56名患者中,有43人完成了治疗,尿失禁症状得到了不同程度的缓解.相对于治疗前,尿失禁问卷简表(ICI-Q-SF)和膀胱颈旋转角均有改变,差异有统计学意义(P<0.05).结论电刺激联合生物反馈能有效的治疗压力性尿失禁;在治疗过程中应注意多种治疗方法联合应用,强调个体化治疗原则.
- 压力性尿失禁 /
- 电刺激 /
- 生物反馈
Abstract: Objective To investigate clinical effects of bio-feedback and pelvic electric stimulation on stress urinary incontinence(SUI). Methods Fifty-six patients with SUI were selected randomly. All the patients received one or two courses of treatment and the effects were observed. Results Forty-three patients finished the treatment and the symptoms were improved. Scores of ICI-Q-SF and rotational angle of bladder were found to be significantly different from those before the treatment. Conclusions Stress urinary incontinence could be treated by bio-feedback and pelvic electric stimulation. Both the combination of treatment and individualized treatment should be taken into account.
- Stress urinary incontinence /
- Electric stimulation /
- Bio-feedback

HTML全文

参考文献(22)

[1]朱兰.女性盆底支持组织解剖及其功能障碍性疾病的基础研究[J].中国实用妇科与产科杂志,2005,21(4):207-208.
[2]	[2]ULMSTEN U,JOHNON P,REZAPOUR M,et al.A three year follow up of tension-free vaginal tape for surgical treatment of female stress urinary incontinence,Br[J].Obstet Gynecol,1999,106(4):345-350.
[3]高继学延安市女性压力性尿失禁流行性病学调查分析[J].昆明医科大学学报,2015,36(4):31-33.
[4]	[4]MINASSIAN V A,DRUTZHP,AL-BRDRA.Urinary incontinence as a worldwide problem[J].Int J Gynecol Obstet,2003,82(3):327-338.
[5]	[5]WEINBERGER M W,GOODMAN B M,CARNES M.Long-term efficacy of nonsurgical urinary incontinence treatment in elderly women[J].Gerontol A Biol Sci Med Sci,1999,54(9):117-121.
[6]	[6]LIGHTNER D J,ITANO N M.Treatment options for women with stress urinary incontinence[J].Mayo Clin Proc,1999,74(2):1149-1156.
[7]	[7]DONOVAN J,BOSCH J L,GOTOH M,etal.Sympiorm and quality of life assesment[J].Atmospheric Measurement Tethniques Discussions,2002,1(5):7899-7921.
[8]	[8]MOURITSEN L,RASMUSSEN A.Bladder neck mobility evaluated byvaginal ultrasongraphy[J].Br J Urol,1993,71(2):166-171.
[9]李荔.生物反馈电刺激联合盆底肌锻炼在产后盆底功能康复治疗中应用效果观察[J].昆明医科大学学报,2014,35(2):90-92.
[10]	[10]WANG A C,WANG YY,CHEN M C.Single-blind,randomized trial of pelvic floor muscle training,biofeedback-assisted pelvic floor muscle training,and electrical stimulation in the management of overactive bladder[J].Urol,2005,173(7):942.
[11]	[11]SEO J T,YOON H,KIM Y H.A randomized prospective study comparing new vaginal cone and FES-Biofeedback[J].Yonsei Med,2004,45(3):879-884.
[12]梁荣丽.电刺激联合生物反馈治疗盆底脏器脱垂的疗效观察[J].中国生育健康杂志,2011,22(5):299-301.
[13]张晓薇,曲坚.盆底功能障碍性疾病康复治疗的疗效评价[J].中国实用妇科与产科杂志,2008,19(13):1618-1620.
[14]	[14]WANG A C,WANG Y Y,CHEN M C.Single-blind,randomized trial of pelvic floor muscle training,biofeedback-assisted pelvic floor muscle training,and electrical stimulation in the management of overactive bladder[J].J Urol,2004,63(1):61-66.
[15]	[15]GOODE P S,BURGIO K L,LOCHER J L,et al.Effect of behavioral training with or without pelvic floor electrical stimulation on stress incontinence in women:a randomized controlled trial[J].JAMA,2003,290(3):345-352.
[16]	[16]SUNG M S,HONG J Y,CHOI Y H,et al.FES-biofeedback versus intensive pelvic floor muscle exercise for the prevention and treatment of genuine stress incontinence[J].J Korean Med Sci,2000,15(3):303-308.
[17]	[17]MUTONE M F,TERRY C,HALE D S,et al.Factors with influence the short-term success of pessary management of pelvic organ porlapse.AM[J].Obstet Gynecol,2005,193(5):89-94.
[18]	[18]FATTON B,AMBLARD P,DEBODINANEE P,et al.Transvagina repot of genital prolapse:preliminary results of a new Tension-free Vagihal mese(Prolifl technique)-a case series Muiticentric study[J].Int Urogynerol J Pelvic Floor Dysfunct,2007,18(7):743-752.
[19]	[19]LOUKAS M,IDAIS R,TUBBS B S,et a1.Intra-abdominal laparoscopie Pudendal canal decompression-a feasibility study[J].Surg Enclose,2008,22(6):1525-1532.
[20]冯静,陈庚敏,张晓红,王建六.压力性尿失禁患者盆底电刺激治疗临床分析[J].中国妇产科临床杂志,2006,7(1):5-8.
[21]宋岩峰,林坚,李亚钦,等.女性压力性尿失禁发生的危险因素分析[J].中华妇产科杂志,2003,38(2):737-740.
[22]	[22]JOHNSON J D,LAMENSDORF H,HOLLANDER I N,et al,Use of tran svaginal endosonorgraphy in the evaluation of women with strss urinary incontinence[J].J Urol,2002,147(2):421-425.

相关文章(20)

[1]	张成才, 宁蓉, 陈娜, 彭艺晨, 周丽, 杨晰宸, 卢静怡, 张彭跃, 李蕊. 正中神经电刺激对缺血性脑卒中大鼠突触可塑性的影响, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20231201
[2]	高竹薇, 陈星慧, 何军晶, 李红仙, 马丽莎. 妇科射频联合生物反馈电刺激治疗子宫脱垂疗效分析, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20220604
[3]	陈星慧, 高竹薇, 张广斌, 何军晶, 牛雅茹, 马丽莎. 射频治疗阴道前壁脱垂伴压力性尿失禁的疗效分析, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20221004
[4]	兰云艳, 冯煜然, 郑宇, 杨振东, 赵诣, 朱梅. 低强度聚焦超声刺激小鼠伏隔核的有效性, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20210703
[5]	孟春梅, 袁涛, 张义凤, 马永红, 叶珂帆, 吴晓梅, 自蓉. 生物电治疗压力性尿失禁的盆底超声评估, 昆明医科大学学报.
[6]	李勤, 姜黎黎, 史惠云, 李春梅, 李俊, 胡艳丽. 云南省女性压力性尿失禁发生的产科相关危险因素, 昆明医科大学学报.
[7]	舒芊, 兰鹰, 陈苑, 兰小曼. 神经肌肉电刺激对人工流产术后宫腔粘连及月经量减少的预防作用, 昆明医科大学学报.
[8]	李蕊, 魏鲁刚, 杨艳, 张林森, 张洪秀. 脑卒中低肌张力患者超声引导下外周神经电刺激的临床对照, 昆明医科大学学报.
[9]	李江, 刘上, 陈伟康, 张伟, 方克伟. 塞来昔布在治疗压力性尿失禁中的疗效及安全性, 昆明医科大学学报.
[10]	节会锦, 曾勇, 熊鹏, 刘卫青, 储睿, 郅晋升. 心率变异-生物反馈的研究进展, 昆明医科大学学报.
[11]	刘晋宏, 方克伟. 昆明两社区成年女性尿失禁的流行病学调查研究, 昆明医科大学学报.
[12]	施国林. 脑深部电刺激术治疗帕金森病40例报道, 昆明医科大学学报.
[13]	和茵. 脑电深部刺激法治疗帕金森病的护理体会, 昆明医科大学学报.
[14]	舒芊. 仿生物电刺激结合复方玄驹胶囊在薄型子宫内膜中的临床应用, 昆明医科大学学报.
[15]	高继学. 延安市女性压力性尿失禁流行病学调查分析, 昆明医科大学学报.
[16]	耿鑫. 脑深部电刺激治疗帕金森病1例报道, 昆明医科大学学报.
[17]	曹绍党. 琥珀酸索利那新治疗经尿道前列腺电切术后患者尿失禁20例报道, 昆明医科大学学报.
[18]	李荔. 生物反馈电刺激联合盆底肌锻炼在产后盆底功能康复治疗中应用效果观察, 昆明医科大学学报.
[19]	. 脑电双频指数反馈控制下的异丙酚闭环靶控输注在ICU镇静中的应用价值, 昆明医科大学学报.
[20]	. 电刺激大鼠小脑顶核对缺血-再灌注视网膜的保护作用实验研究, 昆明医科大学学报.