Effects of intense pulsed magnetic stimulation combined with biofeedback electrical stimulation on patients with postpartum stress urinary incontinence
Objective:To observe effects of intense pulsed magnetic stimulation combined with biofeedback electrical stimulation on patients with postpartum stress urinary incontinence. Methods:A prospective study was conducted on 100 patients with postpartum stress urinary incontinence admitted to the hospital from September 2021 to November 2023. According to the random number table method,they were divided into control group and study group,50 cases in each group. The control group was treated with biofeedback electrical stimulation,while the study group was treated with intense pulsed magnetic stimulation on the basis of that of the control group. The clinical efficacy,the pelvic floor muscle fiber voltage,the improvement of pelvic floor function[pelvic floor dysfunction inventory (PFDI-20) score,vaginal continuous contraction time],and the improvement of urinary incontinence[urine leakage,international consultation on incontinence questionnaire-short form (ICIQ-SF) score,maximum urinary flow rate]were compared between the two groups before and after the treatment. Results:The total effective rate of treatment in the study group was 96.00% (48/50),which was higher than 84.00% (42/50) in the control group,and the difference was statistically significant (P<0.05). After the treatment,the voltage of type I and Ⅱ pelvic floor muscle fibers in the study group was higher than that in the control group,the PFDI-20 score was lower than that in the control group,the vaginal continuous contraction time was longer than that in the control group,and the differences were statistically significant (P<0.05). After the treatment,the ICIQ-SF score of the study group was lower than that of the control group,the urine leakage was less than that of the control group,the maximum urinary flow rate was higher than that of the control group,and the differences were statistically significant (P<0.05). Conclusions:Intense pulsed magnetic stimulation combined with biofeedback electrical stimulation in the treatment of postpartum stress urinary incontinence can improve the total effective rate of treatment,the pelvic floor muscle fiber muscle voltage and the maximum urinary flow rate,reduce the urine leakage,prolong the vaginal continuous contraction time,and reduce the PFDI-20 and ICIQ-SF scores. Moreover,it is superior to simple biofeedback electrical stimulation therapy.