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1、盆底功能康復(fù)治療產(chǎn)后壓力性尿失禁的研究觀察【摘要】目的:評(píng)價(jià)電刺激+盆底肌生物反饋治療及電刺激+盆底肌生物反饋+場(chǎng)景生物反饋治療兩種盆底功能康復(fù)治療模式對(duì)產(chǎn)后壓力性尿失禁的療效觀察及預(yù)后的影響。方法:選取2012年3-10月筆者所在醫(yī)院自然分娩、產(chǎn)后5?6周復(fù)診時(shí)發(fā)現(xiàn)壓力性尿失禁的產(chǎn)婦120例,隨機(jī)分為觀察組和對(duì)照組,各60例。對(duì)照組給予電刺激+盆底肌生物反饋治療,觀察組給予電刺激+盆底肌生物反饋+場(chǎng)景生物反饋治療。于產(chǎn)后6個(gè)月隨訪,通過(guò)兩組盆底肌電生理指標(biāo)測(cè)定及尿墊試驗(yàn)進(jìn)行評(píng)估。結(jié)果:兩組經(jīng)過(guò)治療后盆底肌電生理指標(biāo)測(cè)定都有明顯
2、的提高,治療尿失禁有效率兩組比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P〉0.05)o但產(chǎn)后6個(gè)月隨訪尿失禁復(fù)發(fā)率觀察組較對(duì)照組明顯低,差異有統(tǒng)計(jì)學(xué)意義(P〈0?05)。結(jié)論:產(chǎn)后早期進(jìn)行生物反饋電刺激治療結(jié)合盆底肌訓(xùn)練對(duì)產(chǎn)后盆底肌功能的康復(fù)有顯著意義,根據(jù)個(gè)體差異選擇不同的治療方案,對(duì)鞏固療效,預(yù)防復(fù)發(fā)有良好的作用?!娟P(guān)鍵詞】壓力性尿失禁;電刺激;生物反饋;盆底功能障礙性疾病中圖分類(lèi)號(hào)R694文獻(xiàn)標(biāo)識(shí)碼A文章編號(hào)1674-6805(2014)14-0001-02StudyofPelvicFloorFunctionRehabilitationint
3、heTreatmentofPostpartumStressUrinaryIncontinence/DONGYu-nan,LENGXiu-lan,RUANLi-ni,etal.//ChineseandForeignMedicalResearch,2014,12(14):1-2[Abstract】Objective:Toevaluationthecurativeeffectandprognosisofelectricalstimulation,pelvicfloormusclebiofeedbackandelectricalstim
4、ulation,pelvicfloorbiofeedback,sceneofbiologicalfeedbacktherapyinthetreatmentofpostpartumstressurinaryincontinenee.Method:120casesofnaturalchildbirthprimiparainauthor?sHospitalfromMarch2012toOctober2012whowerefoundwithpostpartumstressurinaryincontinencepostpartum5-6w
5、eeks,weredividedintoobservationgroupandcontrolgroup,60casesineachgroup.Thecontrolgroupwasgivenelectricalstimulationandpelvicfloorbiofeedbacktherapy,theobservationgroupwasgivenelectricalstimulation,pelvicfloorbiofeedbacktherapyandsceneofbiologicalfeedbacktherapy.At6mo
6、nthspostpartumfollowup,assessedbypadtestmeasuredandpelvicfloorelectricalphysiologicalindexintwogroups?Result:Thepelvicfloorelectricalmeasurementofphysiologicalindexesaftertreatmentoftwogroupswereimprovedobviously,thetreatmentofurinaryincontinenceefficiencywasnosignif
7、icantdifferencebetweenthetwogroups(P>0.05)?But6monthspostpartumurinaryincontinencerecrudescerateofobservationgroupweredecreasethanthatinthecontrolgroup,thedifferencewasstatisticallysignificant(P<0.05)?Conclusion:Biofeedbackelectricalstimulationcombinedwithpelvicfloor
8、muscletraininginearlypostpartumissignificantrecoveryofpostpartumpelvicfloormusclefunction.Choosingdifferencesoftreatmentoptionsacco