杨艳华　黄惠平

[摘要]目的 探討女性压力性尿失禁（SUI）患者实施低频脉冲电刺激联合生物反馈疗法治疗的临床效果。方法 选取2016年7月～2017年11月我院收集女性SUI患者共94例，用随机数字表法将其分为对照组与研究组，每组各47例。对照组行盆底肌肉锻炼，研究组基于此行低频脉冲电刺激联合生物反馈疗法，对两组治疗后的盆底肌力进行比较，同时通过国际尿失禁问卷调查表（ICIQ-SF）对两组治疗后尿失禁症状及影响情况进行评分比较，此外对两组治疗后膀胱颈旋转角度以及膀胱后角进行记录和比较。结果 治疗后研究组盆底肌力改善效果显著优于对照组，差异有统计学有意义（P<0.05）；研究组ICIQ-SF量表中各项评分均显著低于对照组，差异均有统计学意义（P<0.05）；研究组膀胱颈旋转角度及膀胱后角显著低于对照组，差异均有统计学意义（P<0.05）。结论 女性SUI患者采取低频脉冲电刺激联合生物反馈疗法治疗可获得良好的临床效果，该疗法可在增强患者盆底肌力的同时改善患者临床症状，有利于患者的康复。

[关键词]盆底康复；低频脉冲电刺激；生物反馈疗法；女性压力性尿失禁；临床效果

[中图分类号] R694.54 [文献标识码] A [文章编号] 1674-4721（2018）7（b）-0079-03

[Abstract] Objective To investigate the clinical effects of low-frequency pulse electrical stimulation combined with biofeedback therapy in female stress urinary incontinence. Methods A total of 94 patients with female stress urinary incontinence were collected from July 2016 to November 2017 in this study. They were divided into the control group and the study group according tcrandom number table method， 47 cases in each group. Patients in the control group were given pelvic floor exercises. The study group was given low-frequency pulse electrical stimulation combined with biofeedback therapy based on the control group. The pelvic floor muscle strength after treatment in the two groups of patients was compared. At the same time， the international urinary incontinence questionnaire （ICIQ-SF） was used to compare the symptoms and effects of urinary incontinence after treatment between the two groups of patients. In addition， the bladder neck rotation angle and the bladder back angle after treatment were recorded and compared between the two groups. Results After treatment， the improvement effect of pelvic floor muscle strength in the study group was significantly better than that in the control group， and the difference was statistically significant （P<0.05）； the scores of the ICIQ-SF scale in the study group were significantly lower than those in the control group， with statistically significant differences （P<0.05）； the bladder neck rotation angle and bladder back angle in the study group were significantly lower than those in the control group， and the differences were statistically significant （P<0.05）. Conclusion The application of low-frequency pulse electrical stimulation combined with biofeedback therapy in female stress urinary incontinence can achieve good clinical results. This kind of therapy can improve the patient′s clinical symptoms while enhancing the pelvic floor muscle strength， which is beneficial to the patient′s recovery.

[Key words] Pelvic floor rehabilitation； Low-frequency pulse electrical stimulation； Biofeedback therapy； Female stress urinary incontinence； Clinical effects

压力性尿失禁（SUI）是临床常见疾病，指的是患者逼尿肌收缩障碍，导致其膀胱颈与尿道不能维持正常压力，进而导致尿液漏出[1]。中老年女性群体是该疾病的高发群体，对患者的生活造成了严重的不良影响，同时也给患者造成了极重的心理负担。现阶段对该疾病的治疗以非手术为主，常见的治疗方式有生物反馈、低频脉冲电刺激和盆底肌肉锻炼等[2]，为探讨更有效的治疗方案，本研究特选取盆底肌锻炼与低频脉冲电刺激联合生物反馈疗法临床效果对照研究，现报道如下。

1资料与方法

1.1一般资料

选取2016年7月～2017年11月我院收集的女性SUI患者共94例，所有患者经查体和病史确诊为SUI，临床症状及表现符合SUI诊断标准[3]。……