低频脉冲电刺激对产后尿潴留产妇排尿情况及膀胱功能的影响
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郑州市妇幼保健院

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Effects of Low-Frequency Pulse Electrical Stimulation on Urinary Outcome and Bladder Function in Pregnant Women with Postpartum Urinary Retention
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Zhengzhou Maternal and Child Health Hospital

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    摘要:

    目的 探究低频脉冲电刺激对产后尿潴留(Postpartum Urinary Retention,PUR )产妇排尿情况及膀胱功能的应用效果。方法 选取郑州市妇幼保健院 2022 年 6 月至 2024 年 6 月收治的 86 例 PUR 产妇作为研究对象,按单盲随机原则分为盆底康复组和电刺激组,各 43 例。盆底康复组给予凯格尔运动,电刺激组在盆底康复组基础上增加低频脉冲电刺激,对比两组排尿情况、膀胱功能、生活质量。结果 电刺激组首次排尿时间、首次排尿后膀胱残余尿量水平低于盆底康复组,首次排尿量水平高于盆底康复组(P < 0.05 )。两组出院前 1 天,膀胱初感容积、最大膀胱容量、最大尿流率水平较干预前升高,电刺激组高于盆底康复组(P < 0.05 )。两组出院后随访 12 周,躯体、社会、认知功能评分较干预前升高,电刺激组高于盆底康复组(P < 0.05 )。结论 低频脉冲电刺激可调节 PUR 产妇的膀胱功能,改善产妇排尿情况,提升其生活质量。

    Abstract:

    Objective To explore the application effect of low-frequency pulse electrical stimulation on urinary outcome and bladder function in postpartum women with postpartum urinary retention (PUR). Methods A total of 86 postpartum women with PUR in Zhengzhou Maternal and Child Health Hospital from June 2022 to June 2024 were selected as the research subjects. The patients were randomly divided into the pelvic ?oor rehabilitation group and the electrical stimulation group according to the principle of single-blind randomization, with 43 cases in each. The pelvic ?oor rehabilitation group was given Kegel exercises, and the electrical stimulation group was given low-frequency pulse electrical stimulation on the basis of the pelvic ?oor rehabilitation group. The urinary outcomes, bladder function and quality of life of the two groups were compared. Results The time of first urination and the level of residual urine volume in the bladder after ?rst urination in the electrical stimulation group were lower than those in the pelvic ?oor rehabilitation group; the level of the ?rst urination volume of the electrical stimulation group was higher than that of the pelvic floor rehabilitation group (P < 0.05). One day before discharge, the levels of initial bladder volume, maximum bladder capacity and maximum urine ?ow rate in both groups increased compared with those before intervention, and those in the electrical stimulation group were higher than those in the pelvic ?oor rehabilitation group (P < 0.05). At the 12-week follow-up after discharge, scores of physical, social and cognitive functions in both groups increased compared to those before intervention. The scores of the electrical stimulation group were higher than those of the pelvic floor rehabilitation group (P < 0.05). Conclusion Low-frequency pulse electrical stimulation can regulate the bladder function of postpartum women with PUR, improve their urinary outcomes, and enhance their quality of life.

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王芳.低频脉冲电刺激对产后尿潴留产妇排尿情况及膀胱功能的影响[J].生物医学工程学进展,2025,(6):873-878

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  • 收稿日期:2025-09-16
  • 最后修改日期:2025-09-16
  • 录用日期:2025-09-27
  • 在线发布日期: 2026-01-16
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