盆底神经肌肉电刺激联合功能锻炼用于治疗老年女性压力性尿失禁的效果评价.docVIP

盆底神经肌肉电刺激联合功能锻炼用于治疗老年女性压力性尿失禁的效果评价 　　[摘要] 目的 评价盆底神经肌肉电刺激联合功能锻炼用于治疗老年女性压力性尿失禁的临床效果。 方法 选取2010年6月～ 2014年5月我院收治的老年女性压力性尿失禁患者共计204例，随机分为观察组和对照组，其中观察组102例，采用盆底神经肌肉电刺激联合功能锻炼治疗，对照组102例，单纯给予盆底肌功能锻炼。比较两组临床疗效差异。 结果 两组治疗后总有效率相比差异具有统计学意义（P0.05）；观察组治疗后最大排尿量、总排尿次数、总漏尿次数、ICI-Q-SF评分均优于对照组，差异有统计学意义（P0.05）；观察组治疗后MDUCP、DUCD、MCP、PVLP及SFL与对照组相比差异有统计学意义（P0.05）。 结论 采用盆底神经肌肉电刺激联合功能锻炼用于治疗老年女性压力性尿失禁可明显改善患者症状，降低漏尿次数，值得在临床上予以推广。 　　[关键词] 神经肌肉电刺激；功能锻炼；压力性尿失禁 　　[中图分类号] R711.59 [文献标识码] B [文章编号] 2095-0616（2015）14-177-03 　　Evaluation of curative effects of pelvic bottom neuromuscular electrical stimulation combined with functional exercises in treatment of stress urinary incontinence of senior females 　　LIU Fen 　　Department of Obstetrics and Gynecology， the Third Affiliated Hospital of Guangzhou Medical University， Guangzhou 510150， China 　　[Abstract] Objective To evaluate the clinical curative effects of pelvic bottom neuromuscular electrical stimulation combined with functional exercises in treatment of stress urinary incontinence of senior females. Methods 204 elder female patients with stress urinary incontinence who were admitted to our hospital were randomly allocated to the observation group and the control group. 102 patients in the observation group were received pelvic bottom neuromuscular electrical stimulation combined with functional exercise while 102 patients in the control group were only received pelvic bottom muscular functional exercises. Clinical curative effects of two groups were compared. Results Differences of total effective rates after treatment of two groups had statistically significance（P0.05）. Maximum voiding volume， total voiding times， total urinary leakage times and ICI-Q-SF scores after treatment in the observation group were all superior to those in the control group. Differences of two groups had statistically significance （P0.05）. Differences of MDUCP DUCD， PVLP， MCP， and SFL after treatment in the observation group and the control group had statistica