[1]邓淑珍.低频脉冲电刺激配合雷火灸治疗压力性尿失禁的效果及对盆底肌力和康复效果的影响[J].医学信息,2021,34(22):84-87.[doi:10.3969/j.issn.1006-1959.2021.22.025]
　DENG Shu-zhen.Effect of Low Frequency Pulse Electric Stimulation Combined with Thunder Fire Moxibustion on Stress Urinary Incontinence and its Effect on Pelvic Floor Muscle Strength and Rehabilitation[J].Medical Information,2021,34(22):84-87.[doi:10.3969/j.issn.1006-1959.2021.22.025]
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低频脉冲电刺激配合雷火灸治疗压力性尿失禁的效果及对盆底肌力和康复效果的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年22期
页码:
84-87
栏目:
论著
出版日期:
2021-11-15

文章信息/Info

Title:
Effect of Low Frequency Pulse Electric Stimulation Combined with Thunder Fire Moxibustion on Stress Urinary Incontinence and its Effect on Pelvic Floor Muscle Strength and Rehabilitation
文章编号:
1006-1959（2021）22-0084-03
作者:
邓淑珍
（宜黄县中医医院妇产科，江西 宜黄 344400）
Author(s):
DENG Shu-zhen
(Department of Obstetrics and Gynecology,Yihuang County Hospital of Traditional Chinese Medicine,Yihuang 344400,Jiangxi,China)
关键词:
压力性尿失禁; 低频脉冲电刺激; 雷火灸; 盆底肌力; 尿动力
Keywords:
Stress urinary incontinence; Low frequency pulse electrical stimulation; Thunder fire moxibustion; Pelvic floor muscle strength; Urodynamics
分类号:
R711.59
DOI:
10.3969/j.issn.1006-1959.2021.22.025
文献标志码:
A
摘要:
目的 探讨联合应用低频脉冲电刺激与雷火灸治疗压力性尿失禁（SUI）的效果及对盆底肌力和康复效果的影响。方法 选择2019年6月-2021年6月本院收治的80例SUI患者，按照随机数表法分为治疗组和对照组，各40例。对照组给予常规综合治疗，治疗组在对照组基础上联合低频脉冲电刺激与雷火灸治疗。比较两组治疗效果、盆底肌力（Ⅰ类纤维肌力、Ⅱ类纤维肌力、肌电位）、尿动力指标[尿流时间（VT)、尿道最大测量压（PMU）、Valsalva漏尿点压（PVLP）及最大尿流率（Qmax）]、功能恢复指标（FSFI评分、ICIQ-SF评分）。结果 治疗组治疗总有效率为92.50%，高于对照组的72.50%，差异有统计学意义（P＜0.05）。治疗后，两组Ⅰ类纤维肌力、Ⅱ类纤维肌力、肌电位较治疗前上升，且治疗组高于对照组，差异有统计学意义（P＜0.05）；两组VT较治疗前下降，PMU、PVLP、Qmax较治疗前上升，且治疗组VT低于对照组，PMU、PVLP、Qmax高于对照组，差异有统计学意义（P＜0.05）；两组FSFI评分较治疗前上升，ICIQ-SF评分较治疗前下降，且治疗组FSFI评分高于对照组，ICIQ-SF评分低于对照组，差异有统计学意义（P＜0.05）。结论 SUI联合应用低频脉冲电刺激与雷火灸治疗效果确切，可增强盆底肌力，提升尿动力，减少尿失禁发生率，改善性功能。
Abstract:
Objective To explore the effect of low frequency pulse electrical stimulation combined with thunder fire moxibustion on stress urinary incontinence (SUI) and its effect on pelvic floor muscle strength and rehabilitation.Methods A total of 80 patients with SUI admitted to our hospital from June 2019 to June 2021 were randomly divided into treatment group and control group, with 40 cases in each group. The control group was given conventional comprehensive treatment, and the treatment group was treated with low frequency pulse electrical stimulation and thunder-fire moxibustion on the basis of the control group. The therapeutic effect, pelvic floor muscle strength (type Ⅰ fiber muscle strength, type Ⅱ fiber muscle strength, muscle potential), urodynamic indexes [voing time (VT), maximum urethral pressure (PMU), Valsalva leak point pressure (PVLP) and maximum urinary flow rate (Qmax)], functional recovery indexes (FSFI score, ICIQ-SF score) were compared between the two groups.Results The total effective rate of the treatment group was 92.50%, which was higher than 72.50% of the control group, and the difference was statistically significant (P<0.05). After treatment, the type Ⅰ fiber muscle strength, type Ⅱ fiber muscle strength and muscle potential of the two groups were higher than those before treatment, and the treatment group was higher than the control group, the difference was statistically significant (P<0.05). VT in the two groups decreased compared with that before treatment, while PMU, PVLP and Qmax increased compared with that before treatment, and VT in the treatment group was lower than that in the control group, while PMU, PVLP and Qmax were higher than those in the control group, with significant difference (P<0.05). The FSFI score of the two groups increased before treatment, and the ICIQ-SF score decreased. The FSFI score of the treatment group was higher than that of the control group, and the ICIQ-SF score was lower than that of the control group, the difference was statistically significant (P<0.05).Conclusion SUI combined with low frequency pulse electrical stimulation and thunder fire moxibustion has a definite effect, which can strengthen pelvic floor muscle strength, increase urinary motility, reduce the incidence of urinary incontinence, and improve sexual function.

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更新日期/Last Update: 1900-01-01