生物反馈电刺激联合阴道哑铃训练对自然分娩产后压力性尿失禁患者疗效观察

doi:10.3969/j.issn.1006-6233.2021.08.022

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Abstract Objective: To explore the effect of biofeedback electrical stimulation combined with vaginal dumbbell training on the clinical efficacy, pelvic floor muscle strength and quality of sexual life in patients with postpartum stress urinary incontinence after natural childbirth. Methods: 114 cases of postpartum urinary incontinence patients who received treatment in our hospital from October 2018 to June 2020 were selected for research. The patients were divided into 2 groups by random number table method, 57 cases in each group. The control group received vagina dumbbell training, and the observation group performed biofeedback electrical stimulation on this basis. The clinical efficacy, pelvic floor muscle strength, quality of sexual life, urodynamic parameters and oxidative stress response indexes were compared between the two groups. Results: Compared with the control group, the improvement rate of the observation group was significantly higher, with statistical difference (96.49%vs85.96% P<0.05). After treatment, the maximum value of fast muscle contraction, the average value of slow muscle contraction in 10s and the average value of slow muscle contraction in 60s were significantly increased in the two groups, but the increase was greater in the observation group, the difference was statistically significant (P<0.05). After treatment, the quality of sexual life, average urine flow rate and maximum bladder volume of the two groups were significantly increased, but the increase in the observation group was greater. After treatment, the residual urine volume of the two groups decreased significantly, but the decrease in the observation group was greater, the difference was statistically significant (P<0.05). After treatment, the SOD and GSH levels of the two groups were significantly increased, but the increase in the observation group was greater. After treatment, the MDA levels of the two groups of patients decreased significantly, but the observation group decreased more significantly, the difference was statistically significant (P<0.05). Conclusion: Biofeedback electrical stimulation combined with vaginal dumbbell training can effectively improve the efficacy of postpartum stress urinary incontinence in patients with postpartum natural childbirth, improve pelvic floor muscle strength and quality of sexual life, improve urodynamic parameters, and relieve oxidative stress.

Key words： Biofeedback electrical stimulation Vaginal dumbbell Natural delivery Stress urinary incontinence

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2021.08.022 OR http://www.hbyxzzs.cn/EN/Y2021/V27/I8/1334

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