Effects of early rehabilitation training combined with biofeedback electrical stimulation on patients with postpartum stress urinary incontinence
Objective:To observe effects of early rehabilitation training combined with biofeedback electrical stimulation on patients with postpartum stress urinary incontinence.Methods:The clinical data of 116 patients with postpartum stress urinary incontinence admitted to this hospital from February 2021 to April 2022 were retrospectively analyzed.According to different treatment methods,they were divided into observation group and control group,58 cases in each group.The control group was treated with early rehabilitation training,while the observation group was treated with biofeedback electrical stimulation on the basis of that of the control group.Both groups were treated continuously for 3 months.The clinical efficacy,the pelvic floor muscle strength level,the urodynamic parameters[maximum urinary flow rate,bladder compliance(BC),functional urethral length(FUL),abdominal leak point pressure(ALPP)]levels,the oxidative stress index[malondialdehyde(MDA),glutathione(GSH),superoxide dismutase(SOD)]levels,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 93.10％(54/58),which was higher than 75.86％(44/58)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the muscle strength levels of type Ⅰ and type Ⅱ muscle fibers in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the maximum urinary flow rate,BC and ALPP levels in the observation group were higher than those in the control group,the FUL was longer than that in the control group,and the differences were statistically significant(P<0.05).After the treatment,the level of MDA in the observation group was lower than that in the control group,the levels of GSH and SOD were higher than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Biofeedback electrical stimulation combined with early rehabilitation training can improve the total effective rate,the pelvic floor muscle strength and the urodynamic parameters and oxidative stress index levels in the patients with postpartum stress urinary incontinence.Moreover,it is superior to single early rehabilitation training.
万方数据
维普
