Wang Yiqun, Chen Weihong, Li Wei
Zhenjiang Maternal and Child Health Hospital, Zhenjiang, Jiangsu Province, China.
School of medicine, Jiangsu University, China.
Sex Med. 2022 Oct;10(5):100561. doi: 10.1016/j.esxm.2022.100561. Epub 2022 Aug 26.
Adjuncts used clinically to improve the efficacy of Pelvic floor muscle training (PFMT) include electromyographic biofeedback (EB) and electrical stimulation (ES).
The purpose of this study was to investigate the effects of PFMT on patients' quality of life and sexual function in UI treatment. Different PFMT with different EB + ES treatments were designed in this study. In order to distinguish between 10 minutes of electrical stimulation at the beginning of PFMT treatment to fully arouse the patient's body response and then Kegel training, or one electric stimulation and a Kegel action, which is better. For this purpose, we designed two different treatment groups: 10ES-20EB and 15ES-15EB.Whether changing pelvic floor treatment regimen can better improve quality of life and sexual function in female patients with urinary incontinence?
Patients diagnosed urinary incontinence (UI) were from January 2020 to April 2021 at our Hospital, Jiangsu Province.
Primary outcome including I-QOL and PISQ-12, and secondary outcome including measurements of pelvic floor musculature by glazer method were compared before and after treatment in both groups.
78 patients were enrolled including 37 cases in 10ES-20EB group and 41 in 15ES-15EB group. Both groups made similar gains in quality of life and sexual function.There was no statistical difference between the two groups in Glazer total score and I-QOL and PISQ-12 questionnaire results. However, 15ES-15EB significantly improved the flick contractions average peak more than the 10ES-20EBgroup(P < 0.05).
Pelvic floor muscle training is a commonly recommended physical therapy treatment that has been shown to improve the outcome of UI, Comparison of the main observation indicators I-QOL and PISQ-12 before and after treatment between the two groups have good clinical significance STRENGTHS AND LIMITATIONS: The sample is single, the sample size is small, and the participating patients are all from the same hospital.
These two different pelvic floor muscle treatment (10ES-20EB and 15ES-15EB)were examined and found to may improve the quality of life and sexual function of women with UI. Wang Y, Chen W, Li W. To Compare the Effects of two Pelvic Floor Muscle Treatments on Quality of Life and Sexual Function in Female Patients With Urinary Incontinence. Sex Med 2022;10:100561.
临床上用于提高盆底肌训练（PFMT）效果的辅助手段包括肌电图生物反馈（EB）和电刺激（ES）。
本研究旨在探讨盆底肌训练对尿失禁（UI）患者生活质量和性功能的影响。本研究设计了不同的盆底肌训练与不同的肌电图生物反馈加电刺激治疗方案。为了区分在盆底肌训练开始时进行10分钟电刺激以充分唤起患者身体反应然后进行凯格尔训练，还是一次电刺激加一次凯格尔动作，哪种效果更好。为此，我们设计了两个不同的治疗组：10ES - 20EB组和15ES - 15EB组。改变盆底治疗方案是否能更好地改善女性尿失禁患者的生活质量和性功能？
2020年1月至2021年4月在江苏省我院诊断为尿失禁的患者纳入研究。
比较两组治疗前后的主要结果指标，包括国际尿失禁咨询委员会尿失禁问卷简表（I - QOL）和盆底功能障碍性疾病问卷-性功能分量表（PISQ - 12），以及次要结果指标，即通过格莱泽方法测量的盆底肌肉组织情况。
共纳入78例患者，其中10ES - 20EB组37例，15ES - 15EB组41例。两组在生活质量和性功能方面均有相似改善。两组在格莱泽总分、I - QOL和PISQ - 12问卷结果方面无统计学差异。然而，15ES - 15EB组在快速收缩平均峰值方面比10ES - 20EB组有更显著改善（P < 0.05）。
盆底肌训练是一种常用的推荐物理治疗方法，已被证明可改善尿失禁的治疗效果。比较两组治疗前后的主要观察指标I - QOL和PISQ - 12具有良好的临床意义。优势与局限性：样本单一，样本量小，且参与患者均来自同一家医院。
对这两种不同的盆底肌治疗方案（10ES - 20EB和15ES - 15EB）进行了研究，发现它们可能改善女性尿失禁患者的生活质量和性功能。王Y，陈W，李W。比较两种盆底肌治疗方案对女性尿失禁患者生活质量和性功能的影响。性医学2022；10：100561。
