| 王陶然,李晓燕,史崑,孙小红,兰晓玉,蒋丽君.微点阵激光治疗老年女性压力性尿失禁的效果观察[J].中国临床保健杂志,2023,26(1):74-77. |
| 微点阵激光治疗老年女性压力性尿失禁的效果观察 |
| The study of fractional micro ablative laser treatment of stress urinary incontinence in elderly women |
| 投稿时间：2022-05-10 |
| DOI：10.3969/J.issn.1672-6790.2023.01.016 |
| 中文关键词: 尿失禁 低强度光疗法 身体锻炼 肌张力过低 老年人 |
| 英文关键词: Urinary incontinence Low-level light therapy Exercise movement techniques Muscle hypotonia Aged 〖FL |
| 基金项目:北京老年医院老年医学科研专项(2019bjlnyy-自-5) |
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| 中文摘要: |
| 目的 探讨微点阵激光治疗老年女性压力性尿失禁的近期和远期疗效。方法 将210例老年女性轻中度压力性尿失禁患者采用随机数字表法及随机数余数分组法分为研究组107例,对照组103例,分别用微点阵CO2激光治疗和盆底综合康复方法治疗并随访2年,在治疗前后、随访期间观察尿失禁改善率、尿失禁症状评分、生活质量评分及抑郁焦虑评分的变化。结果 研究组治疗后漏尿程度改善占比82.24%(88/107)；对照组治疗后的漏尿程度改善占比60.19%(62/103)；研究组治疗后改善率较对照组明显升高,差异有统计学意义(P<0.05)。研究组治疗后及随访6、12、18个月的症状评分均显著低于同时期的对照组,差异有统计学意义(P<0.05),研究组治疗后及随访6、12 18个月的生活质量评分均显著高于同时期的对照组,差异有统计学意义(P<0.05)。研究组治疗后、随访6个月的抑郁量表评分和焦虑自评量表评分均显著低于同时期的对照组,差异有统计学意义(P<0.05)。结论 微点阵激光治疗对于老年女性轻中度压力性尿失禁患者具有良好的近期和中远期疗效,能在短期内显著改善老年女性的生活质量和心理健康。 |
| 英文摘要: |
| Objective To explore the recent and long-term effect of fractional micro ablative laser treatment of stress urinary incontinence in elderly women.Methods Two hundred and ten elderly female patients suffering from light or moderate stress urinary incontinence randomly received different therapy such as fractional micro ablative laser treatment or biofeedback electrical stimulation plus pelvic floor muscle training for three months and were followed up for two years after therapy.Such index as quantity of fluid loss,symptoms of urinary incontinence and quality of life of these patients were individually assessed.Results The improvement rates of the test group and control group after the therapy were 82.24%(88/107)and 60.19%(62/103) respectively.The improvement rate of the test group was statistically higher than the control group(P<0.05).The mean scores of symptoms of the test group,after the six-month-follow-up,twelve-month-follow-up and eighteen-month-follow-up were significantly lower than that in control group(P<0.05).The mean scores of quality of life of the test group,after the six-month-follow-up,twelve-month-follow-up and eighteen-month-follow-up were significantly higher than those in control group(P<0.05).The scores of GDS and SAS of the test group after the six-month-follow-up were significantly lower than those in control group(P<0.05).Conclusions The fractional micro ablative laser treatment evidently has a better effect on elderly women with urinary incontinence and can improves their life quality and psychological health to a large extent. |
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