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目的探讨盆底肌肉电刺激治疗膀胱过度活动症(OAB)的临床疗效。方法回顾性分析2006年7月至2010年10月中国医科大学附属盛京医院妇产科门诊65例OAB患者临床资料。其中盆底肌肉电刺激治疗组(理疗组)30例,药物治疗组(药疗组)35例。结果理疗组有效26例,无效4例;药疗组有效30例,无效5例,两组比较差异无统计学意义(P>0.05)。理疗组与药疗组相比较,逼尿肌收缩频率下降较为明显(P=0.034),逼尿肌收缩力及日排尿次数差异无统计学意义。结论盆底肌肉电刺激可达到与药物治疗基本相同的治疗效果。
Objective To investigate the clinical effect of pelvic floor electric stimulation on overactive bladder (OAB). Methods The clinical data of 65 OAB patients attending the obstetrics and gynecology clinic of Shengjing Hospital affiliated to China Medical University from July 2006 to October 2010 were retrospectively analyzed. The pelvic floor muscle stimulation group (physiotherapy group) 30 cases, drug treatment group (drug group) 35 cases. Results There were 26 cases in treatment group and 4 cases in invalid group. There were 30 cases in treatment group and 5 cases in ineffectiveness group. There was no significant difference between the two groups (P> 0.05). Compared with the treatment group, the decrease of contractile frequency of detrusor muscle in treatment group was more significant (P = 0.034). There was no significant difference in detrusor contractility and daily urination frequency. Conclusions Pelvic floor muscle electrical stimulation can achieve the same therapeutic effect as medical treatment.