Clinical study on the treatment of postpartum stress urinary incontinence with three urinary injections combined with pelvic floor biological stimulation feedback instrument
尿三针联合盆底生物刺激反馈仪治疗产后压力性尿失禁临床研究

摘要

目的 观察尿三针联合盆底生物刺激反馈仪治疗产后压力性尿失禁的临床疗效。方法 以宁夏回族自治区中医医院康复中心及产科门诊70例产后压力性尿失禁患者作为研究对象，按1:1随机分为观察组与对照组各35例。观察组采用尿三针（关元、中极、三阴交）联合盆底生物刺激反馈仪治疗，对照组采用盆底肌康复训练。比较两组盆底肌纤维肌力、尿失禁情况及改善状况。结果 经过治疗3个月后及6个月后随访，观察组盆底肌力提升幅度小于对照组（p＜0.05）；治疗前，两组1h尿垫试验尿失禁情况对比(P>0.05)，治疗3个月后及6个月后随访时，观察组尿失禁改善显著优于对照组（P＜0.05）。结论 尿三针联合盆底生物刺激反馈仪治疗产后压力性尿失禁临床疗效确切，可有效提升盆底肌力、减少漏尿量、缓解尿失禁症状，是一种安全、绿色且具协同优势的治疗方案，值得临床推广。

Abstract

Objective To evaluate the clinical efficacy of a three-point urine therapy combined with a pelvic floor biofeedback device in treating postpartum stress urinary incontinence.
Methods A total of 70 patients with postpartum stress urinary incontinence were recruited from the Rehabilitation Center and Obstetrics Outpatient Department of Ningxia Hui Autonomous Region Traditional Chinese Medicine Hospital. These patients were randomly divided into an observation group (35 cases) and a control group (35 cases) at a ratio of 1:1. The observation group received treatment using a three-point urine therapy (Guan Yuan, Zhong Ji, San Yin Jiao) combined with a pelvic floor biofeedback device, while the control group underwent pelvic floor muscle rehabilitation training. The study compared the pelvic floor muscle strength, urinary incontinence status, and improvement between the two groups.
Results After 3 months and 6 months of follow-up, the increase in pelvic floor muscle strength in the observation group was less significant than in the control group (p<0.05). Before treatment, there was no significant difference in the 1-hour urine pad test results for urinary incontinence between the two groups (P>0.05). However, after 3 months and 6 months of follow-up, the improvement in urinary incontinence in the observation group was significantly better than in the control group (p<0.05).
Conclusion   The combination of a three-point urine therapy and a pelvic floor biofeedback device is clinically effective in treating postpartum stress urinary incontinence. It can effectively enhance pelvic floor muscle strength, reduce urine leakage, and alleviate urinary incontinence symptoms. This treatment method is safe, green, and has synergistic advantages, making it worthy of clinical promotion.