The Evaluation Of The Therapeutic Effect Of Pelvic Floor Muscle Training Combined With Biofeedback Electrical Stimulation To Stress Urinary Incontinence

Objective: To assess the clinical effect of biofeedback electrical stimulation combined with pelvic floor muscle training in the treatment of stress urinary incontinence(SUI)by comparing the clinical effect with pelvic floor muscle training given alone.This study provide a good option of stress urinary incontinence conservative treatment for the patients and have a better clinical significance to SUI non-surgical treatment.Methods: 60 patients diagnosed of mild-moderate stress urinary incontinence who received treatment at Shengjing Hospital of China Medical University from January 2016 to December 2017 were divided into 2 groups according to the type of their previous treatment: the treatment group and the control group.The control group only received pelvic floor muscle training.The treatment group received pelvic floor muscle training combined with biofeedback electrical stimulation.After the treatment,evaluate the clinical effect according to the result of pad test and subjective feelings of patients,compare the clinical effect between two groups.Compare the improvement of quality of life between two groups by comparing the score of I-QOL(Incontinence quality of life Questionnaires)of two groups after treatment.The muscle force of type-I muscle fibers and type-II muscle fibers before and after treatment were compared and analyzed.Results: After treatment,both groups’ I-QOL scores increased after treatment(P<0.05)and the scores of treatment group were obviously higher than scores of the control group(P<0.05).There were 16 cured cases,13 effective cases and 2 ineffective cases in treatment group.The total effective rate of treatment group was 93.5%.There were 2 cured cases,20 effective cases and 7 ineffective cases in control group.The total effective rate of control group was 75.9%.The total effective rate of treatment group was obviously higher than that of control group.The therapeutic effect of treatment group was better than the control group.The muscle strength of type-I muscle fibers and type-II of treatment group were both strengthened after treatment(P<0.05).Conclusions: 1.Pelvic floor muscle training combined with biofeedback electrical stimulation can enhance the muscle strength of type-I muscle fibers and type-II muscle fibers and the conservative treatment effect to mild-moderate SUI is obvious.2.Both pelvic floor muscle training combined with biofeedback electrical stimulation and pelvic floor muscle training alone can improve the quality of life and the treatment effect of pelvic floor muscle training combined with biofeedback electrical stimulation is better.