CAJ | 학술논문

【目的】探讨仿生物理治疗女性轻、中度压力性尿失禁（SUI）的疗程及疗效。【方法】来本院就诊的SUI患者93例，其中轻度组62例，根据治疗意愿分为轻度1组31例，轻度2组31例；中度组31例。轻度1组应用PHENIX USB 4盆底功能治疗仪行系统仿生物理治疗1疗程（基础治疗，每次30 min ，每周2次，共15次），轻度2组及中度组予系统仿生物理治疗三疗程（巩固治疗），疗程间间隔1个月，于基础治疗后及巩固治疗一年后判定疗效。【结果】一个疗程治疗后，轻度组62例中61例（98．39％）有效，其中57例（91．94％）治愈；中度组31例中24例（77．42％）有效，19例（61．29％）治愈。轻度2组及中度组继续行巩固治疗。疗程结束后一年评估：轻度1组中25例（80．65％）仍有效，其中23例（74．19％）治愈；轻度2组30例（96．77％）有效，29例（93．55％）治愈；中度组28例（90．32％）有效，26例（83．87％）治愈。轻度组有效率及治愈率显著高于中度组（ P ＜0．05， P ＜0．01）；轻度2组一年有效率及治愈率均稍高于中度组，但差异均无统计学意义（ P ＞0．05）；轻度2组一年后治愈率高于轻度1组，差异有统计学意义（ P ＜0．05）。【结论】仿生物理治疗对轻、中度SUI均能有效缓解症状甚至治愈，应用三个疗程的巩固治疗的疗效优于一个疗程的基础治疗。
【목적】탐토방생물리치료녀성경、중도압력성뇨실금（SUI）적료정급료효。【방법】래본원취진적SUI환자93례，기중경도조62례，근거치료의원분위경도1조31례，경도2조31례；중도조31례。경도1조응용PHENIX USB 4분저공능치료의행계통방생물리치료1료정（기출치료，매차30 min ，매주2차，공15차），경도2조급중도조여계통방생물리치료삼료정（공고치료），료정간간격1개월，우기출치료후급공고치료일년후판정료효。【결과】일개료정치료후，경도조62례중61례（98．39％）유효，기중57례（91．94％）치유；중도조31례중24례（77．42％）유효，19례（61．29％）치유。경도2조급중도조계속행공고치료。료정결속후일년평고：경도1조중25례（80．65％）잉유효，기중23례（74．19％）치유；경도2조30례（96．77％）유효，29례（93．55％）치유；중도조28례（90．32％）유효，26례（83．87％）치유。경도조유효솔급치유솔현저고우중도조（ P ＜0．05， P ＜0．01）；경도2조일년유효솔급치유솔균초고우중도조，단차이균무통계학의의（ P ＞0．05）；경도2조일년후치유솔고우경도1조，차이유통계학의의（ P ＜0．05）。【결론】방생물리치료대경、중도SUI균능유효완해증상심지치유，응용삼개료정적공고치료적료효우우일개료정적기출치료。
[Objective] To explore the course and efficacy of bionics-physics method for the treatment of fe-male patients with mild and moderate stress urinary incontinence (SUI) .[Methods]Totally 93 patients with SUI in our hospital were divided into mild group( n=62) and moderate group( n=31) .According to treatment will ,the mild group was divided into mild I group( n =31) and mild II group( n=31) .The mild I group received bionics-physics treatment by using PHENIX USB 4 pelvic floor function instrument for one course (basic course ,30 min for one time ,twice every week ,total 15 times) .The mild II group and moderate group received bionics-physics for 3 courses(intensified treatment) .The interval between two course was 1 month .The efficacy was assessed af-ter basic treatment and 1 year after the intensified treatment .[Results]After one course of treatment ,61 patient (98 .39% ) in mild group were effective in which 57 patients(91 .94% ) were cured ,and 24 patients(77 .42% ) in moderate group were effective and 19 patients(61 .29% ) were cured .The mild II group and moderate group con-tinued the intensified treatment . The assessment results after one year of the course showed that 25 patients (80 .65% ) of mild I group were still effective in which 23 patients(74 .19% ) were cured ,and 30 patients(96 . 77% ) of mild II group were effective and 29 patients(93 .55% ) were cured ,and 28 patients(90 .32% ) of moderate group were effective and 26 patients(83 .87% ) were cured .Both the effective rate and the curative rate in mild group were markedly higher than those in moderate group ( P<0 .05 ,P<0 .01) .After one year later ,the effec-tive rate and curative rate in mild II group were slightly higher than those in moderate group ,but there was no sig-nificant difference( P >0 .05 ,P >0 .05) .After one year later ,the curative rate in mild II group was higher than that in mild I group ,and there was significant difference( P<0 .05) .[Conclusion]The bionics-physics method for the treatment of mild and moderate SUI can effectively relieve the symptoms and even heal them well .The efficacy of the intensified treatment for 3 courses is better than basic therapy for one course .