CAJ | 학술논문

目的：探讨盆底神经肌肉电刺激联合功能锻炼治疗老年压力性尿失禁临床疗效。方法：选取本院60例老年女性压力性尿失禁患者，将其按随机数字表法分为观察组和对照组，每组各30例。对照组单纯给予盆低肌功能锻炼，观察组给予盆底神经肌肉电刺激联合功能锻炼治疗。观察比较两组排尿日记的最大排尿量（MVV）、总排尿次数（TOV）、总漏尿事件次数（LT）和ICI-Q-SF评分、最大逼尿肌不随意收缩压（MDUCP）、逼尿肌不随意收缩持续时间（DUCD）、Valsalva漏尿点压（PVLP）、最大尿道闭合压（MCP）和功能性尿道长度（SFL）。3个月后随访，比较两组临床疗效。结果：两组治疗后MVV、TOV、LT、ICI-Q-SF评分、MDUCP、DUCD、PVLP、MCP、SFL与治疗前比较，差异有统计学意义（P<0.05）；观察组治疗后MVV、TOV、LT、ICI-Q-SF评分、MDUCP、DUCD、PVLP、MCP、SFL与对照组比较，差异有统计学意义（P<0.05）；两组总有效率比较差异有统计学意义（P<0.05）。结论：盆底神经肌肉电刺激联合功能锻炼治疗老年女性压力性尿失禁疗效显著，值得临床推广应用。
목적：탐토분저신경기육전자격연합공능단련치료노년압력성뇨실금림상료효。방법：선취본원60례노년녀성압력성뇨실금환자，장기안수궤수자표법분위관찰조화대조조，매조각30례。대조조단순급여분저기공능단련，관찰조급여분저신경기육전자격연합공능단련치료。관찰비교량조배뇨일기적최대배뇨량（MVV）、총배뇨차수（TOV）、총루뇨사건차수（LT）화ICI-Q-SF평분、최대핍뇨기불수의수축압（MDUCP）、핍뇨기불수의수축지속시간（DUCD）、Valsalva루뇨점압（PVLP）、최대뇨도폐합압（MCP）화공능성뇨도장도（SFL）。3개월후수방，비교량조림상료효。결과：량조치료후MVV、TOV、LT、ICI-Q-SF평분、MDUCP、DUCD、PVLP、MCP、SFL여치료전비교，차이유통계학의의（P<0.05）；관찰조치료후MVV、TOV、LT、ICI-Q-SF평분、MDUCP、DUCD、PVLP、MCP、SFL여대조조비교，차이유통계학의의（P<0.05）；량조총유효솔비교차이유통계학의의（P<0.05）。결론：분저신경기육전자격연합공능단련치료노년녀성압력성뇨실금료효현저，치득림상추엄응용。
Objective:To discuss the clinical curative effect on electrical stimulation combined with function exercise of pelvic floor in the treatment of elderly female with stress urinary incontinence. Method:60 elderly female with stress urinary incontinence in our hospital were selected and divided into observation group and control group according to random number table method,each group had 30 cases. The control group was given function exercise,and the observation group was given electrical stimulation combined with function exercise. MVV,TOV,LT,ICI-Q-SF,MDUCP,DUCD,PVLP, MCP and SFL of two groups were observed and compared. The total effect rate of two groups were compared after follow up of 3 mouths. Result:There were significance differences on MVV,TOV,LT,ICI-Q-SF,MDUCP,DUCD,PVLP,MCP and SFL of two groups after treatment when compared with before treatment(P<0.05). There were significance differences on MVV,TOV,LT,ICI-Q-SF,MDUCP,DUCD,PVLP,MCP and SFL of the observation group after treatment when compared with the control group(P<0.05). Conclusion:Electrical stimulation combined with function exercise in the treatment of elderly female with stress urinary incontinence has a significant efficacy,so it is worthy to use in clinic.