The clinical research of biofeedback electrical stimulation plus PFMT in the treatment of stress urinary incontinence after total hysterectomy
10.3760/cma.j.issn.1008-1372.2019.01.022
- VernacularTitle:生物反馈电刺激联合盆底肌训练治疗全子宫切除术后压力性尿失禁患者的临床研究
- Author:
Yuqin LIU
1
;
Yongchuan LI
;
Xiaoqing AI
;
Yue XING
;
Ting MA
;
Liping SHEN
;
Liehong WANG
Author Information
1. 青海红十字医院妇科
- Keywords:
Hysterectomy;
Urinary incontinence;
stress;
Electric stimulation therapy;
Pelvic floor;
Muscle strength
- From:
Journal of Chinese Physician
2019;21(1):85-88
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficacy of biofeedback electrical stimulation plus pelvic floor muscle training (PFMT) in the treatment of stress urinary incontinence (SUI) after total hysterectomy.Methods The research objects who underwent total hysterectomy and complicated SUI were selected from January 2014 to December 2017 in our hospital.They were randomly divided into two groups:the study group (n =55) received biofeedback electrical stimulation plus PFMT treatment,while the control group (n=55) received PFMT treatment only.To record and compare the efficacy related indicators of the two groups.Results The indexes and scores of 3/6 months in the two groups were significantly improvedafter treatment.After 3 months the treatment,the study group had less leakage of urine [(4.3 ± 1.2)g vs (5.7 ± 1.9) g],better recovery of muscle strength of Ⅰ/Ⅱ muscle fibers [(3.5 ± 0.9) grade vs (2.8 ± 1.1) grade &(3.7 ± 0.6) grade vs (3.2 ± 1.2) grade],and better score of international consultation on incontinence questionnaire-short form (ICI-Q-SF) questionnaire [(2.7 ± 1.4) vs (4.5 ± 2.2)] compared with the control group,with statistically significant difference (P ≤ 0.05).After 6 months treatment,compared with the contiol group,the study group had less leakage of urine pad test [(1.4 ± 0.7) g vs (2.6 ± 1.1) g],better recovery of muscle strength of type Ⅰ/Ⅱ muscle fiber [(4.2 ±0.8) grade vs (3.5 ± 1.1)grade & (4.7 ±0.5) grade vs (4.0 ±0.9)grade],and better ICI-Q-SF score [(2.7 ± 1.4) vs (4.5 ±2.2)] (P ≤0.05).Conclusions Compared with using the PFMT alone,biofeedback electrical stimulation plus PFMT treatment had less leakage,better pelvic floor muscle strength and better subjective symptoms.
