目的: 评价Waff运动结合盆底电刺激生物反馈治疗产后压力性尿失禁的临床疗效。方法: 选取长沙市妇幼保健院盆底与产后康复中心于2022年2月—2023年3月治疗的产后压力性尿失禁患者90例,用随机数字表法分为对照组和干预组,每组45例。对照组采用常规盆底电刺激生物反馈治疗,干预组在对照组的基础上增加Waff运动训练。督促患者3个月内完成全部治疗,比较治疗前后患者1h尿垫结果及临床症状、尿失禁简版问卷（urinary incontinence short form,ICIQ-UI）、尿失禁生活质量问卷（urinary incontinence quality of life scale,I-QOL）等。结果: 治疗后,二组患者的1h尿垫试验漏尿量、尿失禁简版问卷（ICIQ-UI）评分都有所下降,患者自觉症状、盆底肌力、尿失禁生活质量问卷（I-QOL）评分均有所改善。干预组患者的自觉症状、生活质量等主观方面和1h尿垫试验、盆底肌力等客观方面与对照组比较的差异均有统计学意义。结论: Waff运动结合盆底电刺激生物反馈结合Waff运动治疗产后压力性尿失禁,能显著改善产后女性的盆腹动力学紊乱情况,增加盆底肌运动感知,改善盆底肌运动感知觉,提高盆底肌力、改善漏尿症状,提高患者生活质量。
Abstract
Objective This study was designed to evaluate the clinical efficacy of Waff exercise combined with electrical stimulation and biofeedback in the treatment of postpartum stress urinary incontinence. Methods 90 patients with postpartum stress urinary incontinence treated in the Pelvic Floor and Postpartum Rehabilitation Center of Changsha Maternity and Child Health Hospital from February 2022 to March 2023 were selected . They were randomly classified into the control group and the intervention group, with 45 cases in each group. The control group was treated with conventional electrical stimulation and biofeedback for the pelvic floor, whereas the intervention group was treated with Waff exercise on the basis of the control group. The patients were supervised to complete all the treatments within 3 months. The results of the urine pad test and clinical symptoms, the questionnaire of Urinary Incontinence Short Form (ICIQ-UI) and the Urinary Incontinence Quality of Life Scale (I-QOL) were compared before and after the treatment. Results After treatment, the urine leakage in the one-hour urine pad test and the questionnaire of Urinary Incontinence Short Form (ICIQ-UI) in the two groups were decreased, while the patients' self-conscious symptoms, pelvic floor muscle strength and the Urinary Incontinence Quality of Life Scale (I-QOL) were improved. Compared with the control group, the patients in intervention group had statistically significant differences in subjective aspects, including self-conscious symptoms and quality of life, and objective aspects, e. g. , 1 hour urine pad test, the pelvic-abdominal dynamic disorder of postpartum women, and floor muscle strength. Conclusion Waff exercise combined the elctrical stimulation enhance the pelvic floor muscle's movement perception and pelvic floor muscles strength, and it reduces urine leakage to improve the life quality of patients.
关键词
Waff运动 /
盆腹动力学 /
压力性尿失禁 /
运动感知觉
Key words
Waff exercise /
pelvic-abdominal dynamics /
stress urinary incontinence /
movement perception
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基金
湖南省科技创新计划项目“Waff运动联合电刺激生物反馈治疗在盆底功能障碍性疾病治疗的有效性”（2021SK53203）
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