Effect of Biofeedback Electrical Stimulation Combined with Duloxetine in the Treatment of Postpartum Stress Urinary Incontinence
Objective:To explore the effect of biofeedback electrical stimulation combined with Duloxetine in the treatment of postpartum stress urinary incontinence.Method:A total of 94 patients with postpartum stress urinary incontinence who admitted to Xianning Maternal and Child Health Care Hospital from May 2021 to May 2023 were selected as the research objects,the patients were divided into the control group(n=47)and the experimental group(n=47)by random number table method.The control group was treated with biofeedback electrical stimulation,and the experimental group was treated with biofeedback electrical stimulation combined with Duloxetine.The pelvic floor function,urodynamic changes and urination of two groups were observed,and the therapeutic effects of two groups were compared.Result:After treatment,the levels of type Ⅰ muscle fiber strength,type Ⅱ muscle fiber strength,vaginal resting pressure,vaginal systolic pressure,abdominal leak point pressure(ALPP),maximum urethral closure pressure(MUCP)and maximum flow rate(Qmax)in two groups were higher than those before treatment,and the duration of vaginal contraction were longer than those before treatment,and those in the experimental group were better than those in the control group,the differences were statistically significant(P<0.05).After treatment,the frequency of urine leakage and urination in two groups were less than those before treatment,the maximum urination volume were more than those before treatment,and those in the experimental group were better than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of treatment in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:On the basis of biofeedback electrical stimulation therapy,the treatment of postpartum stress urinary incontinence patients with Duloxetine can improve pelvic floor function,regulate urodynamic status,alleviate urinary leakage symptoms,and improve treatment effectiveness.