【摘要】：目的:探討針灸與康復(fù)理療聯(lián)合盆底肌鍛煉治療產(chǎn)后早期壓力性尿失禁。方法:將2013年1月—2015年1月在本院婦科治療的100例產(chǎn)后早期壓力性尿失禁患者隨機(jī)分為兩組,對(duì)照組采用盆底肌鍛煉治療,觀察組采用針灸與康復(fù)理療聯(lián)合盆底肌鍛煉治療,均用多功能盆底生物反饋儀進(jìn)行盆底肌力檢測(cè),比較兩組患者的治療效果、尿墊試驗(yàn)陽(yáng)性率及排尿評(píng)分、盆底肌電位均值及盆底肌疲勞度值、生活質(zhì)量。結(jié)果:觀察組治療有效率為96%,顯著高于對(duì)照組的78%,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組治療后尿墊試驗(yàn)陽(yáng)性率及排尿評(píng)分明顯低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組治療后Ⅱ級(jí)肌力、Ⅲ級(jí)肌力、Ⅳ級(jí)肌力的肌電位均值均明顯高于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組治療后Ⅱ級(jí)肌力、Ⅲ級(jí)肌力、Ⅳ級(jí)肌力的肌疲勞度值明顯低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組治療后ICI-Q-SF評(píng)分及SF-36評(píng)分明顯較對(duì)照組改善,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:針灸與康復(fù)理療聯(lián)合盆底肌鍛煉治療產(chǎn)后早期壓力性尿失禁效果顯著,有助于快速改善尿失禁癥狀,提高盆底肌力,降低肌疲勞,具有積極的臨床意義。
[Abstract]:Objective: to explore the treatment of early postpartum stress urinary incontinence with acupuncture and rehabilitation therapy combined with pelvic floor exercise. Methods: 100 patients with early postpartum stress urinary incontinence treated in our hospital from January 2013 to January 2015 were randomly divided into two groups: the control group was treated with pelvic floor muscle exercise and the observation group was treated with acupuncture and rehabilitation physiotherapy combined with pelvic floor muscle exercise. The pelvic floor muscle strength was measured by multifunctional pelvic floor biofeedback instrument. The therapeutic effect, the positive rate of urinary pad test and urinary score, the mean value of pelvic floor muscle potential, the fatigue value of pelvic floor muscle and the quality of life were compared between the two groups. Results: the effective rate of treatment in the observation group was 96g, which was significantly higher than that in the control group (P 0.05), the positive rate of urine pad test and the micturition score after treatment in the observation group were significantly lower than those in the control group (P0.05); the second grade muscle strength after treatment in the observation group was significantly lower than that in the control group (P0.05). The mean value of muscle potential of grade 鈪，

本文編號(hào)：2129354