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云氏优化盆底训练联合盆底磁刺激对女性中度压力性尿失禁及性功能的疗效:一项回顾性队列研究

Efficacy of optimized pelvic floor training of YUN combined with pelvic floor magnetic stimulation on female moderate stress urinary incontinence and sexual function: a retrospective cohort study.

作者信息

Wang Yangyun, Shi Chaoliang, Zhou Dan, Yu Wandong, Jiao Wei, Shi Guowei

机构信息

Department of Urology, The Fifth People's Hospital of Shanghai, Fudan University, Shanghai, China.

School of Health and Social Care, Shanghai Urban Construction Vocational College, Shanghai, China.

出版信息

Transl Androl Urol. 2022 Apr;11(4):554-560. doi: 10.21037/tau-22-222.

Abstract

BACKGROUND

Owing to its tediousness and monotony, traditional pelvic floor muscle training (PFMT) is difficult to ensure the correctness of exercise, and it is difficult for patients to adhere to treatment. We designed this study to evaluate and analyze the efficacy of optimized pelvic floor training of YUN combined with pelvic floor magnetic stimulation on female moderate stress urinary incontinence (SUI) and sexual function.

METHODS

This is a retrospective cohort study. This study was carried out in 95 female patients with moderate SUI. The inclusion criteria were as follows: premenopausal women aged 25-45; moderate SUI; over 3 months of disease duration; informed consent and cooperation with treatment and follow-up. The participants in group 1 (control group, n=46) were treated with pelvic floor magnetic stimulation, while those in group 2 (trial group, n=49) were treated with pelvic floor magnetic stimulation combined with optimized pelvic floor training of YUN. Evaluations were scheduled before the treatment (0 week), after 6 weeks of treatment (6 weeks), and after 12 weeks of treatment (12 weeks). And compare the differences between the two groups.

RESULTS

There was no significant difference in age, body mass index (BMI), duration of disease, and abdominal leak point pressure (ALPP) between the two groups (P>0.05). The total effective rate of the trial group was higher than that of the control group (89.80%, 44/49 78.26%, 36/46) (P<0.05). The electromyographic values, the International Consultation on Incontinence Questionnaire Short Form (ICI-Q-SF) score, Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 (PISQ-12) score, physiological factors, and emotional factors were all improved significantly in both groups after active treatment, and the improvement of the trial group was more obvious (P<0.05).

CONCLUSIONS

Optimized pelvic floor training of YUN combined with pelvic floor magnetic are more effective for the treatment of female moderate SUI and sexual function. It has become a safe, effective, and well tolerated new type of pelvic floor functional reconstruction training method with good patient compliance.

摘要

背景

传统盆底肌训练(PFMT)因其枯燥乏味,难以确保训练动作的正确性,患者也难以坚持治疗。我们设计本研究旨在评估和分析优化云盆底训练联合盆底磁刺激对女性中度压力性尿失禁(SUI)及性功能的疗效。

方法

这是一项回顾性队列研究。本研究纳入95例中度SUI女性患者。纳入标准如下:年龄25 - 45岁的绝经前女性;中度SUI;病程超过3个月;知情同意并配合治疗及随访。第1组(对照组,n = 46)采用盆底磁刺激治疗,第2组(试验组,n = 49)采用盆底磁刺激联合优化云盆底训练治疗。分别在治疗前(0周)、治疗6周后(6周)及治疗12周后(12周)进行评估,并比较两组间差异。

结果

两组患者在年龄、体重指数(BMI)、病程及腹压漏尿点压力(ALPP)方面差异均无统计学意义(P > 0.05)。试验组总有效率高于对照组(89.80%,44/49 78.26%,36/46)(P < 0.05)。积极治疗后两组患者的肌电值、国际尿失禁咨询委员会简表(ICI - Q - SF)评分、盆腔器官脱垂/尿失禁性功能问卷 - 12(PISQ - 12)评分、生理因素及情感因素均显著改善,且试验组改善更明显(P < 0.05)。

结论

优化云盆底训练联合盆底磁刺激治疗女性中度SUI及改善性功能效果更佳。已成为一种安全、有效、耐受性良好且患者依从性佳的新型盆底功能重建训练方法。

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