文章摘要
温控射频联合磁电治疗压力性尿失禁患者的疗效研究
Study on the curative effect of radiofrequency temperature control combined with magnetoelectricity in the treatment of patients with stress urinary incontinence
投稿时间:2024-02-26  修订日期:2024-03-28
DOI:
中文关键词: 压力性尿失禁  温控射频  磁电
英文关键词: Stress urinary incontinence  Temperature control radio frequency  magnetoelectricity
基金项目:
作者单位邮编
冯丽虾* 厦门弘爱康复医院 361000
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中文摘要:
      [摘要]目的 探讨温控射频联合磁电治疗压力性尿失禁患者的疗效研究。方法 选取2022年1月-2023年1月厦门弘爱康复医院接受治疗的60例压力性尿失禁患者为研究对象,随机数字表法分为观察组和对照组,各30例。对照组采取磁电治疗,观察组则采取温控射频联合磁电治疗。对比两组患者临床疗效、尿动力学指标及尿失禁严重程度。结果 观察组治疗有效率96.7%,高于对照组73.3%,差异有统计学意义(P<0.05);两组治疗后国际尿失禁咨询委员会问卷表(ICIQ-SF)评分明显下降,差异有统计学意义(P<0.05),观察组治疗后明显低于对照组,差异有统计学意义(P<0.05);两组治疗后腹压漏尿点压(ALPP)、最大尿道压(MUP)、尿道最大闭合压力(MUCP)、最大尿流量(Qmax)明显提高(P<0.05),观察组治疗后明显高于对照组,差异有统计学意义(P<0.05);两组治疗后1h尿垫试验漏尿量明显减少,差异有统计学意义(P<0.05),观察组治疗后漏尿量明显少于对照组,差异有统计学意义(P<0.05)。结论 温控射频联合磁电治疗盆底功能障碍性疾病患者,可有效增强盆底肌肌力,同时改善盆底筋膜韧带的松弛,从而提高压力性尿失禁的康复临床疗效,值得临床推广应用。
英文摘要:
      [Abstract] Objective To investigate the efficacy of radiofrequency temperature control combined with magnetoelectricity in the treatment of patients with stress urinary incontinence. Methods A total of 60 patients with stress urinary incontinence who received treatment in Xiamen Hongai Rehabilitation Hospital from January 2022 to January 2023 were selected as the study objects, and were divided into observation group and control group with 30 cases in each group by random number table method. The control group was treated with magnetoelectric therapy, and the observation group was treated with radiofrequency combined with temperature control. The clinical efficacy, urodynamic indexes and the severity of urinary incontinence were compared between the two groups. Results The effective rate of the observation group was 96.7%, higher than that of the control group 73.3%, the difference was statistically significant (P < 0.05). The ICIQ-SF score of the two groups was significantly decreased after treatment, and the difference was statistically significant (P < 0.05). The observation group was significantly lower than the control group after treatment, and the difference was statistically significant (P < 0.05). Abdominal leakage point pressure (ALPP), maximum urethral pressure (MUP), maximum urethral closure pressure (MUCP) and maximum urinary flow (Qmax) were significantly increased in both groups after treatment (P<0.05), and the observation group was significantly higher than the control group after treatment, the difference was statistically significant (P<0.05). Urine leakage in urine pad test was significantly reduced in 1h after treatment between the two groups, and the difference was statistically significant (P < 0.05); urine leakage in observation group was significantly less than that in control group after treatment, and the difference was statistically significant (P < 0.05). Conclusion The combination of radiofrequency temperature control and magnetoelectricity in the treatment of patients with pelvic floor dysfunction can effectively enhance the muscle strength of pelvic floor muscle and improve the relaxation of pelvic floor fascial ligament, so as to improve the rehabilitation clinical effect of stress urinary incontinence, which is worthy of clinical application.
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