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使用电磁刺激疗法改善产后压力尿失禁的妇女的盆地肌肉力量:一个随机对照试验

Roziana Roziana¹, Muhammad Sn Chan², Budi I Santoso³

¹Division of Urogynecology, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia.

|May 12, 2025

概括

电磁刺激 (EMS) 显著改善了患有压力尿失禁 (SUI) 的产后妇女的盆地肌肉力量,比基格尔炼更强. 两种疗法都显示症状有所改善,但EMS提供了优越的肌肉强化益处.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
物理疗法物理治疗
妇女健康妇女健康

背景情况:

尿失禁是女性的常见问题,特别是产后.
压力尿失禁 (SUI) 影响了许多产后妇女.
电磁刺激 (EMS) 是一种潜在的治疗方法,但与产后SUI的基格尔炼进行直接比较很少.

研究的目的:

为了比较EMS与Kegel运动在产后SIU的有效性.
为了评估症状的改善,失禁的严重程度和盆地肌肉力量.
为了评估患者对两种疗法的遵守.

主要方法:

进行了一项单盲随机临床试验.
招募了患有SUI (产后至少3个月) 的产后妇女.
参与者被随机分配到EMS (5周每周3次) 或Kegel练习 (8周每天) 中.
测量结果包括泌尿生殖器应激清单-6 (UDI-6),1小时试验和围膜仪测量的骨盆底肌肉强度.

主要成果:

与基线相比,两组都在UDI-6分数,板测试结果和盆地肌肉强度方面表现出显著的改善.
在EMS组,盆底肌肉强度显著改善 (16.5 vs 8.0 cmH2O; p=0.006).
对于UDI-6分数,纸板测试结果或患者遵守情况,两组之间没有发现显著差异.

结论:

电磁刺激比基格尔炼更有效,可以增强患有SUI的产后妇女的骨盆底肌肉力量.
在这个人群中,EMS可能是提高肌肉力量的优越选择.
这两种疗法都为症状管理和骨盆底整体功能提供了好处.

关键词:

在分娩后的分娩.电磁疗法是一种电磁疗法.骨盆地板的骨盆地板是什么意思骨盆地肌肉训练是为了训练骨盆地肌肉.尿失禁是尿失禁的原因之一.

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