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坐位时表面电刺激对压力性尿失禁女性盆底肌肉功能和性功能的影响。

Effects of surface electrical stimulation during sitting on pelvic floor muscle function and sexual function in women with stress urinary incontinence.

作者信息

Hwang Ui-Jae, Kwon Oh-Yun, Lee Min-Seok

机构信息

Department of Physical Therapy, Graduate School, Yonsei University, Wonju, Korea.

Department of Physical Therapy, College of Health Science, Laboratory of Kinetic Ergocise Based on Movement Analysis, Yonsei University, Wonju, Korea.

出版信息

Obstet Gynecol Sci. 2020 May;63(3):370-378. doi: 10.5468/ogs.2020.63.3.370. Epub 2020 Mar 30.

Abstract

OBJECTIVE

Dysfunction of the pelvic floor muscles (PFM) is associated with sexual dysfunction in women with stress urinary incontinence (SUI). The EasyK7 device was developed to stimulate the PFM by surface electrical stimulation during sitting (SESdS). We investigated the effects of SESdS on PFM function and sexual function in women with SUI.

METHODS

Women with SUI were randomized into the SESdS and control groups. PFM function and sexual function were assessed using a perineometer and the pelvic organ prolapse-urinary incontinence sexual function questionnaire (PISQ), respectively. After 8 weeks, the groups were compared using either analysis of covariance with the baseline values as covariates or the paired Student's -test.

RESULTS

The final analysis included 16 subjects from each group. There were significant differences between the SESdS and control groups after the intervention, as well as within the SESdS group between the pre- and post-intervention measurements. The -values for the differences in PFM measurements between the groups, and between the pre- and post- intervention measurements within the SESdS group, were 0.001 and 0.004 for power, 0.015 and 0.011 for strength, and 0.012 and 0.034 for endurance, respectively. In addition, in the PISQ, there were significant differences between the groups and between the pre- and post-intervention measurements within the SESdS group in the partner-related domain (between groups: =0.003; within SESdS group: =0.024) and total score (between groups: <0.001; within SESdS group: =0.001).

CONCLUSION

SESdS can improve PFM function and sexual function in women with SUI.Trial RegistrationClinical Research Information Service Identifier: KCT0003357.

摘要

目的

盆底肌功能障碍与压力性尿失禁(SUI)女性的性功能障碍有关。EasyK7设备旨在通过坐姿表面电刺激(SESdS)来刺激盆底肌。我们研究了SESdS对SUI女性盆底肌功能和性功能的影响。

方法

将SUI女性随机分为SESdS组和对照组。分别使用会阴压力计和盆腔器官脱垂-尿失禁性功能问卷(PISQ)评估盆底肌功能和性功能。8周后,使用以基线值为协变量的协方差分析或配对学生t检验对两组进行比较。

结果

最终分析每组纳入16名受试者。干预后,SESdS组与对照组之间以及SESdS组干预前后测量值之间存在显著差异。两组之间以及SESdS组干预前后测量值之间盆底肌测量差异的P值,力量方面分别为0.001和0.004,强度方面分别为0.015和0.011,耐力方面分别为0.012和0.034。此外,在PISQ中,SESdS组与对照组之间以及SESdS组干预前后测量值之间在伴侣相关领域(组间:P = 0.003;SESdS组内:P = 0.024)和总分(组间:P < 0.001;SESdS组内:P = 0.001)方面存在显著差异。

结论

SESdS可改善SUI女性的盆底肌功能和性功能。试验注册临床研究信息服务标识符:KCT0003357。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f024/7231947/f01fef8cee03/ogs-63-370-g001.jpg

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