探讨盆底康复训练对产后压力性尿失禁患者的治疗效果。

选择2019年8月至2021年4月在中国航天科工集团七三一医院住院分娩、产后42 d复诊时诊断为盆底松弛所致的165例压力性尿失禁患者为研究对象，按照患者治疗意愿分为对照组52例（Kegel训练组），观察组113例（磁电联合+kegel训练组）。治疗前后2组患者均行Glazer评估，通过观察盆底表面肌电值变化情况及症状改善情况，评估磁电联合+Kegel训练盆底康复治疗的临床疗效。

观察组年龄（34.69±7.65）岁，对照组年龄（32.92±5.08）岁。观察组患者盆底肌电值在前静息平均值、快速收缩最大值、紧张收缩平均值、耐力收缩平均值方面，治疗后均较治疗前有显著改善，差异均有统计学意义（均P＜0.05）。对照组在前静息平均值、后静息平均值、耐力收缩平均值方面改善盆底肌，差异均有统计学意义（均P＜0.05），但对照组在快速收缩最大值和紧张收缩平均值方面，治疗后较治疗前无显著改善，差异均无统计学意义（均P＞0.05）；两组患者压力性尿失禁治疗有效率的比较，观察组为71.68%（81/113），高于对照组的26.92%（14/52），差异有统计学差异（χ²=29.207，P＜0.001）。观察组治愈率为39.82%（45/113），明显高于对照组的21.43%（11/52），差异有统计学意义（χ²=4.570，P=0.027）。

磁电联合加Kegel家庭训练治疗较传统Kegel家庭训练对产后压力性尿失禁有效率和治愈率更高，效果更好。

To analyze the efficacy of pelvic floor rehabilitation training in patients with postpartum stress urinary incontinence.

A total of 165 patients with stress urinary incontinence who were hospitalized to give birth at China Aerospace Science & Industry Corporation 731 Hospital from August 2019 to April 2021 and were diagnosed with pelvic floor relaxation at the 42-day postpartum follow-up visit were selected as the research subjects. According to the patients' treatment wishes, they were divided into either a control group (52 cases, Kegel training group) or an observation group (113 cases, magnetoelectric therapy+Kegel training group). Glazer assessment was performed in both groups before and after treatment. By observing the changes in the surface electromyography (sEMS) of the pelvic floor muscles (PMFs) and the improvement of symptoms, the clinical efficacy of magnetoelectric therapy+kegel training pelvic floor rehabilitation treatment was evaluated.

The mean age of patients in the observation group was (34.69±7.65) years, and it was (32.92±5.08) years in the control group. For the observation group, the sEMS values of PMFs were significantly improved after treatment compared with those before treatment in terms of pre-resting average value, maximum rapid contraction value, tension contraction average value, and endurance contraction average value (P＜0.05 for all). For the control group, sEMS values of PMFs were significantly improved in terms of pre-resting average value, post-resting average value, and endurance contraction average value (P＜0.05 for all), though maximum rapid contraction value and tension contraction average value were not significantly improved in the control group after treatment (P＞0.05 for both). The effective rate for stress urinary incontinence in the observation group was 76.87% (81/113), which was significantly higher than that of the control group [26.92% (14/52); χ²=29.207, P＜0.05]. The cure rate of the observation group was 39.82%(45/113), which was significantly higher than that in the control group [39.82% (45/113) vs 21.43% (11/52), χ²=4.570, P=0.027].

Compared with traditional Kegel family training, the combination of magnetoelectric therapy and Kegel training could significantly improve the pelvic floor contraction force, and has higher cure rate and better effect.