| Objective: Exploring the therapeutic effect of combined magnetoelectric therapy on postpartum stress urinary incontinence in women,and providing more effective and optimized treatment plans for postpartum stress urinary incontinence patients.Methods: A total of 197 patients with stress urinary incontinence who visited our gynecology department from March 2021 to October 2022 were selected and randomly divided into four groups.Among them,the Kegel group consisted of 47 patients who received home Kegel training under professional guidance,with each exercise lasting15-20 minutes,twice a day,for 8 weeks;50 people in the electrical stimulation group,20 minutes of electrical stimulation+10 minutes of biofeedback +Kegel training at home,twice a week,for 8 weeks;50 people in the magnetic stimulation group,20 minutes of magnetic stimulation +home Kegel training,twice a week,for 8 weeks;50 people in the magneto electric combined group,20 minutes of electrical stimulation+10 minutes of biofeedback and 20 minutes of magnetic stimulation were alternately given +Kegel training at home,twice a week,for 8 weeks.Collect data on age,BMI,last delivery time,delivery method,gestational frequency,newborn birth weight,urine leakage,pelvic floor muscle Glazer evaluation results,and the International Commission on Urinary Incontinence Questionnaire(ICI-Q-SF)score from four groups of patients,and compare the efficacy of the four groups of patients.Results: 1.Before treatment,there was no statistically significant difference in age,BMI,last delivery time,delivery method,number of pregnancies,newborn birth weight,urine leakage,mean electromyography and ICI-Q-SF score among the four groups of patients evaluated by Glazer at each stage(P>0.05).2.Comparison of therapeutic effects before and after treatment with four different methods:(1)Kegel group: Urinary leakage decreased(2.51 ± 1.91 g),ICI-Q-SF score decreased(4.45 ± 2.67 points),and myoelectric values decreased(1.45 ± 1.28 μ V)and(1.81 ± 1.46 μ V)during the pre and post rest stages,respectively.Myoelectric values increased(3.29 ± 3.81 μ V),(2.08 ± 2.45 μ V),and(2.55 ± 2.24 μ V)during rapid contraction,sustained contraction,and endurance contraction stages,respectively,with statistical significance(P<0.05).According to the subjective efficacy evaluation criteria,2cases were cured,23 cases were effective,and 22 cases were ineffective.The cure rate and total effective rate were 4.26% and 53.19%,respectively.(2)The electric stimulation group showed a decrease in urine leakage(3.63 ± 2.25g),a decrease in ICI-Q-SF score(5.96 ± 2.58 points),and a decrease in EMG values during the pre and post rest stages(3.73 ± 1.72 μ V)and(4.97 ± 2.60 μ V),respectively.The EMG values during rapid contraction,sustained contraction,and endurance contraction increased(10.37 ± 3.80 μ V),(6.34 ± 3.93 μ V),and(5.71 ± 2.76 μV),with statistical significance(P<0.05).According to the subjective efficacy evaluation criteria,11 cases were cured,33 cases were effective,and 6 cases were ineffective.The cure rate and total effective rate were 22% and 88%,respectively.(3)The magnetic stimulation group showed a decrease in urine leakage(3.58 ±2.02 g),a decrease in ICI-Q-SF score(5.79 ± 3.07 points),a decrease in electromyographic values(3.71 ± 1.40 μ V)and(4.79 ± 1.80 μ V)during the pre and post rest stages,respectively,and an increase in electromyographic values(12.66 ± 5.84 μV),(4.24 ± 3.75 μ V),and(5.11 ± 4.35 μ V)during rapid contraction,sustained contraction,and endurance contraction stages,respectively,with statistical significance(P<0.05).According to the subjective efficacy evaluation criteria: 6 cases were cured,34 cases were effective,and 10 cases were ineffective.The cure rate and total effective rate were 12% and 80%,respectively.(4)The combined magnetoelectric group showed a decrease in urine leakage(4.36± 1.59 g),a decrease in ICI-Q-SF score(7.62 ± 2.91 points),and a decrease in electromyographic values(4.51 ± 2.30 μ V)and(4.98 ± 2.25 μ V)during the pre and post resting stages,respectively.The electromyographic values during rapid contraction,sustained contraction,and endurance contraction increased(16.41 ± 6.33 μ V),(11.58 ±4.74 μ V),and(9.91 ± 4.14 μ V),with statistical significance(P<0.05).According to the subjective efficacy evaluation criteria,17 cases were cured,30 cases were effective,and 3cases were ineffective.The cure rate and total effective rate were 34% and 94%,respectively.3.Comparison of therapeutic effects between four different treatment methods:(1)Comparison of urine leakage: There was a statistically significant difference(P<0.05)between the combined magnetic and electrical stimulation group and the Kegel group,while there was no statistically significant difference(P>0.05)between the magnetic stimulation group and the combined magnetic and electrical stimulation group.(2)Comparison of ICI-Q-SF scores: There was a statistically significant difference(P<0.05)between the combined magnetic and electrical stimulation group and the Kegel group,while there was no statistically significant difference(P>0.05)between the magnetic stimulation group and the combined magnetic and electrical stimulation group.(3)Glazer evaluation comparison:(1)In the pretesting stage,the Kegel group was higher than the other three groups,while the magnetic stimulation group was higher than the combined magnetic and electric group,with statistically significant differences(P<0.05).There was no statistically significant difference between the electric stimulation group and the combined magnetic and electric group,as well as the magnetic stimulation group(P>0.05).(2)Contraction stage: The combination of magnetic and electric stimulation group>(electric stimulation group and magnetic stimulation group)>Kegel group,with a statistically significant difference(P<0.05),while the difference between the electric stimulation group and the magnetic stimulation group was not statistically significant(P>0.05).(3)In the post resting stage,the Kegel group was higher than the other three groups,with a statistically significant difference(P<0.05).There was no statistically significant difference between the three groups(P>0.05).(4)Comparison of effective rates: The magnetic stimulation group was less than the combined magnetoelectric group,and the Kegel group was less than the other three groups,with a statistically significant difference(P<0.05);There was no statistically significant difference in the effective rate between the electric stimulation group and the magnetic stimulation and magnetoelectric combination groups(P>0.05).Conclusions:1.Kegel exercise,electrical stimulation,magnetic stimulation,and a combination of magnetic and electrical stimulation can all alleviate the symptoms of stress urinary incontinence to varying degrees;2.Magnetic stimulation,through a powerful pulsed magnetic field,stimulates the pelvic floor tissue deeper and stronger,and has a definite therapeutic effect on postpartum stress urinary incontinence in women,with the advantages of simplicity and non-invasive treatment;3.The combination of magnetic and electric therapy has a better effect on postpartum stress urinary incontinence in women,significantly superior to magnetic stimulation and Kegel exercise therapy.Although the difference is not statistically significant compared to electrical stimulation,it can reduce the number of invasive treatments,improve patient comfort,and reduce the occurrence of adverse reactions.The overall efficacy of magnetoelectric combined therapy is significantly better than that of single therapy,making it a worthwhile option for treating stress urinary incontinence. |
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