盆底肌训练联合生物反馈刺激与单纯盆底肌训练治疗产后压力性尿失禁的回顾性研究
A Retrospective Study of Pelvic Floor Muscle Training Combined with Biofeedback Stimulation versus Pelvic Floor Muscle Training Alone in the Treatment of Postpartum Stress Urinary Incontinence.
作者信息
Tong Lin, Li Xiufang, Qiu Junyuan
机构信息
Department of Gynecology, Wuhan Xinzhou District of People's Hospital, 430400 Wuhan, Hubei, China.
出版信息
Arch Esp Urol. 2025 Jul;78(6):684-692. doi: 10.56434/j.arch.esp.urol.20257806.92.
OBJECTIVE
Stress urinary incontinence (SUI) is a common postpartum complication in women. This study aims to evaluate the clinical efficacy of pelvic floor muscle training (PFMT) combined with biofeedback stimulation (BS) in the treatment of postpartum SUI.
METHODS
A total of patients with postpartum SUI admitted to our hospital from January 2023 to January 2024 were enrolled in the study. Based on the treatment method, the patients were divided into the following two groups: PFMT + BS group and PFMT group. Both groups received treatment for three months. Pelvic floor muscle strength and pelvic floor ultrasound indices were evaluated at T0 (before treatment) and T2 (three months after treatment). The 1-h pad test, Incontinence Urinary Incontinence Questionnaire Short Form (ICI-Q-SF) and Incontinence Quality of Life Questionnaire (I-QOL) were assessed at T0, T1 (one month after treatment) and T2. Data were analysed using repeated measures analysis of variance (ANOVA).
RESULTS
A total of 105 patients were included in the study, with 58 patients in the PFMT + BS group and 47 patients in the PFMT group. After treatment, the PFMT + BS group demonstrated significantly better pelvic floor muscle strength and ultrasound compared to the PFMT group ( < 0.05). Repeated measures ANOVA revealed significant interaction effects between time and group on the 1-h pad test, ICI-Q-SF and I-QOL ( < 0.05), along with significant main effects for time and group ( < 0.001). Simple effects analysis showed no significant differences between groups at T0 ( > 0.05). However, at T1 and T2, the PFMT + BS group had significantly lower 1-h pad test and ICI-Q-SF scores ( < 0.05) and significantly higher I-QOL score ( < 0.05) compared to the PFMT group.
CONCLUSIONS
PFMT combined with BS is more effective than PFMT alone in treating postpartum SUI and thus warrants clinical implementation.
目的
压力性尿失禁（SUI）是女性常见的产后并发症。本研究旨在评估盆底肌肉训练（PFMT）联合生物反馈刺激（BS）治疗产后SUI的临床疗效。
方法
选取2023年1月至2024年1月我院收治的产后SUI患者纳入研究。根据治疗方法，将患者分为以下两组：PFMT + BS组和PFMT组。两组均接受为期三个月的治疗。在T0（治疗前）和T2（治疗三个月后）评估盆底肌肉力量和盆底超声指标。在T0、T1（治疗一个月后）和T2评估1小时垫试验、尿失禁问卷简表（ICI-Q-SF）和尿失禁生活质量问卷（I-QOL）。采用重复测量方差分析（ANOVA）对数据进行分析。
结果
本研究共纳入105例患者，其中PFMT + BS组58例，PFMT组47例。治疗后，PFMT + BS组的盆底肌肉力量和超声表现明显优于PFMT组（<0.05）。重复测量方差分析显示，时间和组间在1小时垫试验、ICI-Q-SF和I-QOL上存在显著交互作用（<0.05），时间和组间的主效应也显著（<0.001）。简单效应分析显示，两组在T0时无显著差异（>0.05）。然而，在T1和T2时，PFMT + BS组的1小时垫试验和ICI-Q-SF评分显著低于PFMT组（<0.05），I-QOL评分显著高于PFMT组（<0.05）。
结论
PFMT联合BS治疗产后SUI比单纯PFMT更有效，值得临床推广应用。
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