Li Chunbo, Li Kejun
Technol Health Care. 2025;33(1):225-234. doi: 10.3233/THC-240831.
Scientific treatments for postpartum urinary incontinence, including pelvic floor muscle exercises (such as Kegel exercises) and infrared therapy, can effectively improve pelvic floor and urethral function, thus enhancing quality of life. However, clinical research on the combined use of these interventions for postpartum urinary incontinence is limited.
To investigate the combining efficacy of pelvic floor muscle exercises with infrared physiotherapy on postpartum urinary incontinence.
Clinical information of 102 patients with postpartum urinary incontinence (June 2021-June 2022) were collected and analyzed. Patients were randomly divided into control (conventional intervention) and observation (pelvic floor muscle exercises combined with infrared physiotherapy) groups, with 52 and 50 cases respectively. We compared pelvic floor muscle strength, urodynamic indicators, leakage volume, quality of life, and overall clinical efficacy between the two groups.
Before intervention, both groups had similar pelvic floor function scores and urodynamic indicators. Post-intervention, the pelvic floor function scores in the observation group were significantly lower than control. The urodynamic indicator levels of the observation group were markedly higher than control after 2 months of intervention. Leakage volume was similar before intervention, while the observation group had significantly lower volumes after 1 and 2 months of intervention. Quality of life scores were similar initially, but after 2 months, the observation group scored higher. The observation group showed notably better pelvic floor rehabilitation at 2 months post-intervention.
Combining pelvic floor muscle exercise with infrared physiotherapy has been shown to be a highly effective approach in enhancing pelvic floor muscle strength and improving the quality of life for postpartum women experiencing urinary incontinence. This combined therapy also demonstrates positive effects on urodynamic indicators, reducing leakage volume, and facilitating pelvic floor rehabilitation.
产后尿失禁的科学治疗方法，包括盆底肌肉锻炼（如凯格尔运动）和红外线治疗，可有效改善盆底和尿道功能，从而提高生活质量。然而，关于这些干预措施联合用于产后尿失禁的临床研究有限。
探讨盆底肌肉锻炼与红外线物理治疗联合应用对产后尿失禁的疗效。
收集并分析102例产后尿失禁患者（2021年6月至2022年6月）的临床资料。患者被随机分为对照组（常规干预）和观察组（盆底肌肉锻炼联合红外线物理治疗），分别为52例和50例。比较两组的盆底肌肉力量、尿动力学指标、漏尿量、生活质量和总体临床疗效。
干预前，两组的盆底功能评分和尿动力学指标相似。干预后，观察组的盆底功能评分显著低于对照组。干预2个月后，观察组的尿动力学指标水平明显高于对照组。干预前漏尿量相似，但干预1个月和2个月后，观察组的漏尿量明显更低。生活质量评分最初相似，但2个月后，观察组得分更高。干预后2个月，观察组的盆底康复效果明显更好。
盆底肌肉锻炼与红外线物理治疗联合应用已被证明是一种提高盆底肌肉力量和改善产后尿失禁妇女生活质量的高效方法。这种联合治疗对尿动力学指标也有积极影响，可减少漏尿量，并促进盆底康复。
