Abstract：
BACKGROUND: Urinary incontinence (UI) is a common complication after radical prostatectomy (RP). It has a great influence on the postoperative quality of life of patients. This study aims to explore the clinical efficacy of low-frequency electrical pulse acupoint stimulation combined with pelvic floor muscle exercise in the treatment of UI after RP.
METHODS: The clinical data of 129 patients with UI after receiving RP in our hospital from July 2020 to July 2023 were retrospectively analysed. A total of 65 patients who received pelvic floor muscle exercise from July 2020 to January 2022 were set as the reference group. Of these patients, four were excluded, resulting in the inclusion of 61 cases. A total of 64 patients who received low-frequency electrical pulse acupoint stimulation combined with pelvic floor muscle exercise from February 2022 to July 2023 were classified into the observation group. Of these patients, four were excluded, and 60 cases were finally included. SPSS 23.0 was used to analyse the use of urine pads, recovery time of urinary control and improvement of urination in the two groups.
RESULTS: Before treatment, no significant difference existed in the use of urine pads, urination condition, maximum flow rate, maximum cystometric capacity, maximum urethral closure pressure, abdominal leak point pressure and scores on Short-Form-36 Health Survey (SF-36) in both groups (p > 0.05). After treatment, the observation group had significantly lower use of urinary pads, urination frequency and leakage times; Significantly shorter recovery time of urinary control (p < 0.05); And significantly higher maximum flow rate, maximum cystometric capacity, maximum urethral closure pressure, abdominal leak point pressure and SF-36 scores than the reference group (p < 0.05).
CONCLUSIONS: The combination of low-frequency electrical pulse acupoint stimulation and pelvic floor muscle exercise can improve clinical symptoms, shorten the recovery time of urinary control and improve urodynamics and quality of life in patients with UI after RP.
METHODS: The clinical data of 129 patients with UI after receiving RP in our hospital from July 2020 to July 2023 were retrospectively analysed. A total of 65 patients who received pelvic floor muscle exercise from July 2020 to January 2022 were set as the reference group. Of these patients, four were excluded, resulting in the inclusion of 61 cases. A total of 64 patients who received low-frequency electrical pulse acupoint stimulation combined with pelvic floor muscle exercise from February 2022 to July 2023 were classified into the observation group. Of these patients, four were excluded, and 60 cases were finally included. SPSS 23.0 was used to analyse the use of urine pads, recovery time of urinary control and improvement of urination in the two groups.
RESULTS: Before treatment, no significant difference existed in the use of urine pads, urination condition, maximum flow rate, maximum cystometric capacity, maximum urethral closure pressure, abdominal leak point pressure and scores on Short-Form-36 Health Survey (SF-36) in both groups (p > 0.05). After treatment, the observation group had significantly lower use of urinary pads, urination frequency and leakage times; Significantly shorter recovery time of urinary control (p < 0.05); And significantly higher maximum flow rate, maximum cystometric capacity, maximum urethral closure pressure, abdominal leak point pressure and SF-36 scores than the reference group (p < 0.05).
CONCLUSIONS: The combination of low-frequency electrical pulse acupoint stimulation and pelvic floor muscle exercise can improve clinical symptoms, shorten the recovery time of urinary control and improve urodynamics and quality of life in patients with UI after RP.
摘要：
背景：尿失禁（UI）是根治性前列腺切除术（RP）后的常见并发症。对患者术后生活质量有很大影响。本研究旨在探讨低频电脉冲穴位刺激联合盆底肌锻炼治疗RP术后UI的临床疗效。
方法：回顾性分析我院2020年7月至2023年7月收治的129例RP术后UI患者的临床资料。将2020年7月至2022年1月接受盆底肌肉锻炼的65例患者作为参照组。在这些病人中,四个被排除在外，共纳入61例。将2022年2月至2023年7月接受低频电脉冲穴位刺激联合盆底肌锻炼的64例患者归入观察组。在这些病人中,四个被排除在外，最终纳入60例。使用SPSS23.0分析尿垫的使用情况，两组患者尿控恢复时间及排尿改善情况比较。
结果：治疗前，尿垫的使用没有显着差异，排尿情况,最大流量,最大膀胱容量，最大尿道闭合压力,两组的腹部渗漏点压力和Short-Form-36健康调查（SF-36）评分（p>0.05）。治疗后,观察组尿垫使用率明显较低，排尿次数和漏尿次数;尿控恢复时间显著缩短(p<0.05);最大尿流率显著升高,最大膀胱容量，最大尿道闭合压力,腹漏点压力和SF-36评分优于参照组(p<0.05)。
结论：低频电脉冲穴位刺激联合盆底肌锻炼可改善临床症状，RP术后UI患者尿控恢复时间缩短,尿动力学改善,生活质量提高。
方法：回顾性分析我院2020年7月至2023年7月收治的129例RP术后UI患者的临床资料。将2020年7月至2022年1月接受盆底肌肉锻炼的65例患者作为参照组。在这些病人中,四个被排除在外，共纳入61例。将2022年2月至2023年7月接受低频电脉冲穴位刺激联合盆底肌锻炼的64例患者归入观察组。在这些病人中,四个被排除在外，最终纳入60例。使用SPSS23.0分析尿垫的使用情况，两组患者尿控恢复时间及排尿改善情况比较。
结果：治疗前，尿垫的使用没有显着差异，排尿情况,最大流量,最大膀胱容量，最大尿道闭合压力,两组的腹部渗漏点压力和Short-Form-36健康调查（SF-36）评分（p>0.05）。治疗后,观察组尿垫使用率明显较低，排尿次数和漏尿次数;尿控恢复时间显著缩短(p<0.05);最大尿流率显著升高,最大膀胱容量，最大尿道闭合压力,腹漏点压力和SF-36评分优于参照组(p<0.05)。
结论：低频电脉冲穴位刺激联合盆底肌锻炼可改善临床症状，RP术后UI患者尿控恢复时间缩短,尿动力学改善,生活质量提高。
