Application value of transcranial repetitive stimulation combined with exercise therapy in pelvic floor rehabilitation of stress urinary incontinence
Objective To analyze the application value of transcranial repetitive stimulation combined with exercise therapy in pelvic floor rehabilitation of stress urinary incontinence.Methods A total of 80 patients with stress urinary incontinence admitted in our hospital from January 2019 to December 2022 were divided into routine group and observation group according to different treatment measures,with 40 cases in each group.The routine group was given routine exercise therapy,and the observation group was treated with transcranial repetitive stimulation on the basis of the routine group.The therapeutic effects of the two groups were compared.Results The excellent and good rate of pelvic floor muscle strength recovery in the observation group was higher than that in the routine group(P<0.05).After treatment,the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form(ICIQ-SF)score of the observation group was lower than that of the routine group,and the distance of bladder neck down,area of posterior horn of bladder urethra,pelvic floor hiatus and the distance of bladder neck to the lower edge of pubic symphysis were better than those of the routine group(P<0.05).After treatment,the pre-rest value,post-rest value,maximum rapid contraction value,tension contraction value of the pelvic floor and residual urine volume(RUV)in the observation group were lower than those in the routine group,and the endurance contraction value the maximum urethral closure pressure(MUCP),pressure of detrusor at Qmax(Pdet-Qmax),strong urine sensation volume(SD)and maximum flow rate(Qmax)were higher than those in the routine group(P<0.05).Conclusion Transcranial repetitive stimulation combined with exercise therapy for pelvic floor rehabilitation of stress urinary incontinence can quickly restore pelvic floor muscle strength and anatomical structure,and improve urodynamic disorders.
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