Effect of Pelvic Floor Rehabilitation Apparatus Combined with Pelvic Floor Muscle Exercise in Postpartum Patients with Stress Urinary Incontinence
Objective To investigate the clinical efficacy of combining pelvic floor rehabilitation therapy with pelvic floor muscle exercise in the treatment of postpartum stress urinary incontinence(PSUI)patients,as well as its impact on the distribution of pelvic floor muscle strength levels,pelvic floor muscle electromyography values,and serum-related indicators.Methods Clinical data of 108 patients with PSUI in the First People's Hospital of Wancheng District in Nanyang City from May 2020 to April 2022 were collected and retrospectively analyzed.The patients were divided into two groups based on the treatment methods:the control group of 51 patients receiving pelvic floor muscle exercise therapy and the observation group of 57 patients receiving pelvic floor rehabilitation therapy combined with pelvic floor muscle exercise therapy.The clinical efficacy,pelvic floor muscle strength grade distribution,pelvic floor electromyography value,serum related indexes[matrix metalloproteinase-1(MMP-1),connective tissue growth factor(CTGF),osteopontin(OPN)]and prognosis of the two groups were compared before and after treatment.Results The total effective rate of the observation group was higher than that of the control group(P＜0.05).The pelvic floor muscle strength grade distribution of the observation group was better than that of the control group after 2 months of treatment,and the values of pelvic floor endurance contraction,tense contraction,and rapid contraction maxima were higher than those of the control group(P＜0.05).The serum levels of MMP-1,CTGF and OPN in the observation group were lower than those in the control group after 2 months of treatment(P＜0.05).After 2 months of treatment,urine leakage in the observation group was lower than that in the control group,and incontinence quality of life questionnaire(I-QOL)score was higher than that in the control group(P＜0.05).Conclusion Pelvic floor rehabilitation therapy instrument combined with pelvic floor muscle exercise in the treatment of PSUI can inhibit the expression of disease factors,promote the recovery of pelvic floor muscle contraction ability,and then enhance the curative effect and improve the prognosis of patients.
万方数据
维普
