生殖医学杂志2025，Vol.34Issue(11)：1502-1507,6.DOI:10.3969/j.issn.1004-3845.2025.11.008
盆底肌电刺激联合生物反馈治疗产后压力性尿失禁的随机对照研究
Randomized controlled study on pelvic floor electromyography stimulation combined with biofeedback therapy for postpartum stress urinary incontinence
摘要
Abstract
Objectives:To explore the clinical efficacy and application value of electrical stimulation combined with biofeedback in the treatment of postpartum stress urinary incontinence(SUI). Methods:A total of 100 patients diagnosed as mild to moderate postpartum SUI at Chengdu Fifth People's Hospital from October 2023 to October 2024 were selected.According to the random number table method,they were divided into the observation group and the control group,with 50 cases in each group.Patients in the control group received conventional pelvic floor muscle training,while those in the observation group were additionally treated with pelvic floor electrical stimulation and biofeedback.The treatment lasted for 12 weeks.The baseline characteristics,International Consultation on Incontinence Questionnaire-Short Form(I-CIQ-SF)score,1-hour pad test urine leakage,pelvic floor muscle strength rating,Incontinence Quality of Life(I-QoL)score before and after treatment between the two groups were compared,and the clinical efficacy of the two groups were evaluated. Results:There were no significant differences in age,body mass index(BMI)and parity between the two groups(P＞0.05).After treatment,the I-CIQ-SF score and 1-hour pad test urine leakage in both groups were significantly lower than those before treatment(P＜0.05),while the pelvic floor muscle strength rating and I-QoL score were significantly higher than those before treatment(P＜0.05).Additionally,the observation group had significantly lower I-CIQ-SF scores and 1-hour pad test urine leakage after treatment than those in the control group(P＜0.05),while the pelvic floor muscle strength rating and I-QoL score were significantly better than those of the control group(P＜0.05).The total effective rate of the observation group was significantly better than that of the control group(92.0％vs 76.0％,P＜0.05). Conclusions:Pelvic floor electrical stimulation combined with biofeedback significantly improves symptoms,pelvic floor muscle strength,and quality of life in postpartum SUI patients,providing high clinical application value.However,future research still needs to expand sample size,improve the study design,and extend follow-up time for verification.关键词
盆底肌电刺激/生物反馈/产后压力性尿失禁Key words
Pelvic floor electrical stimulation/Biofeedback/Postpartum stress urinary incontinence分类
医药卫生引用本文复制引用
张灵娜,李晓燕,杨旭,黎娟,陈姣,李丹,张璐,李莉,李渊,张琴,周婷..盆底肌电刺激联合生物反馈治疗产后压力性尿失禁的随机对照研究[J].生殖医学杂志,2025,34(11):1502-1507,6.基金项目
成都中医药大学2020年度"杏林学者"学科人才科研提升计划(YYZX2020029) （YYZX2020029）
