CAJ | 학술논문

目的：观察并探讨电刺激－生物反馈联合Kegel训练对产后压力性尿失禁（PSUI）盆底电生理指标的影响及其康复效果。方法选择既往无尿失禁病史但孕期和产后出现SUI的顺产妇80例，产后8～10周组和产后1年组各40例，对其进行电刺激－生物反馈联合 Kegel 训练。结果产后8～10周组盆底评估的阴道动态压、疲劳度、最大肌电位值恢复明显优于康复前与产后1年组，差异有显著性（P＜0．05）。尿失禁程度评分两组比较差异显著（P＜0．01）。1 h尿垫试验评价两组差异有统计学意义（P＜0．05）。结论电刺激－生物反馈联合Kegel训练对产后8～10周PSUI的康复效果优于产后1年者。
목적：관찰병탐토전자격－생물반궤연합Kegel훈련대산후압력성뇨실금（PSUI）분저전생리지표적영향급기강복효과。방법선택기왕무뇨실금병사단잉기화산후출현SUI적순산부80례，산후8～10주조화산후1년조각40례，대기진행전자격－생물반궤연합 Kegel 훈련。결과산후8～10주조분저평고적음도동태압、피로도、최대기전위치회복명현우우강복전여산후1년조，차이유현저성（P＜0．05）。뇨실금정도평분량조비교차이현저（P＜0．01）。1 h뇨점시험평개량조차이유통계학의의（P＜0．05）。결론전자격－생물반궤연합Kegel훈련대산후8～10주PSUI적강복효과우우산후1년자。
Objective To observe and explore the electrical stimulation -and its rehabilitation biofeedback training on joint Kegel postpartum stress u-rinary incontinence (PSUI)pelvic floor electrical physiological indices. Methods but no previous history of urinary incontinence during pregnancy and postpar-tum SUI cis women 80 cases,eight weeks postpartum and postnatal groups to 1 0 groups each of 40 cases a year,its electrical stimulation -a joint Kegel biofeed-back training. Results 8 to 1 0 weeks postpartum vaginal pelvic floor assessment group dynamic pressure,fatigue,maximum EMG median recovery was signifi-cantly better than the former one-year rehabilitation and post-natal group,the difference was significant (P<0. 05 ). Incontinence severity score difference was significant (P<0. 01 ). 1 h pad test evaluated the difference was statistically significant (P<0. 05 ). Conclusion Electrical stimulation -biofeedback training combined with Kegel 8 to 1 0 weeks postpartum rehabilitation PSUI is better than 1 year postpartum.