文章摘要
张军卫,靳风烁,李黔生,方玉华.盆底肌电刺激在女性尿失禁治疗中的应用[J].中华物理医学与康复杂志,2004,(6):
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盆底肌电刺激在女性尿失禁治疗中的应用
  
DOI:
中文关键词: 尿失禁  治疗  盆底肌电刺激
英文关键词: Incontinence  Pelvic floor muscle  Electrical stimulation
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作者单位
张军卫,靳风烁,李黔生,方玉华 400042重庆第三军医大学大坪医院野战外科研究所泌尿外科 
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中文摘要:
      目的探讨盆底肌电刺激对女性尿失禁的作用机制及疗效。 方法对43例女性尿失禁患者应用盆底肌电刺激治疗,电极探头置于阴道中部,在不同的电流状态下,间歇刺激阴部神经。 结果尿失禁患者渗、漏尿事件减少46%,尿频次数减少49%,24 h内排尿次数在10~12次之间;患者的总主观改善率为68%,总客观改善率为74%。 结论盆底肌电刺激对女性尿失禁有明显疗效,能提高患者生活质量。
英文摘要:
      Objective To explore the mechanism and the therapeutic effects of the pelvic floor muscle electrical stimulation on female patients with urinary incontinence Methods Forty-three female patients with incontinence were recruited. With different electrical currents, the pudendal nerves were intermittently stimulated by the electrode probe placed in the middle of vagina. To prevent incontinence,the contractions of the detrusor were depressed and the capacity of the bladder was increased by neural reflex, while the urethra obstruction was enhanced by the contractions of pelvic floor muscles. Results The incidence of urethrorrhea was decreased by 46%, and the frequency of micturition was reduced by 49%, while the frequency of urination in 24h ranged from 10 to 12. The general subjectively rated improvement rate of patients was 68%, while the general objectively one was 74%. Conclusion The pelvic floor muscle electrical stimulation, which can improve the patients' life quality, has significant therapeutic effects on female patients with incontinence.
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