| Objective: Stress Urinary Incontinence(SUI)is a common gynecological pelvic floor disease.In the last few years,the incidence rate of this disease has increased,which has affected women's physical and mental health and caused great psychological pressure.In the last few years,we explored the electric stimulation biofeedback therapy combined with massage on the treatment of female patients with I and II grade stress urinary incontinence,observed the therapeutic effect of massage on this disease,and studied the effectiveness of two treatment methods combined to treat this disease,so as to provide effective therapeutic schedule for this disease.Methods: In May 2018 to March 2020,the autonomous region of traditional Chinese medicine hospital outpatient service of department of gynaecology clinic of level I and II female stress urinary incontinence,54 patients with randomized method will be incorporated in the subjects were randomly divided into 2 different groups,the control group is 27 patients(n= 27),the treatment group is 27 patients(n=27).Both groups for the foundation treatment of electrical stimulation biofeedback therapy 1 treatment course,2times a week.Treatment group after foundation treatment to massage therapy for a period of treatment,2 times a week.By comparing the two groups before and after treatment in patients with pelvic floor muscle function index,number of leakage,leakage of urine,urine leakage impact on life and ICI-Q-SF,scores,etc.so as to evaluate the curative effect.Results:(1)Compared with the control group and the treatment group,there was no statistical difference between the two groups in BMI,age,birth times and course of disease(P>0.05),no statistical significance,indicating that the two groups of patients were comparable.(2)Before the treatment,two groups of pelvic floor muscle function index,pre rest stage: compared the difference in the treatment group and the control group of the average value of pelvic floor muscle function,which was statistically significant(P<0.001);rapid contraction stage: compared the difference in the treatment group and the control group of the maximum value of pelvic floor muscle function,which was statistically significant no statistical difference(P>0.05),comparable;continuous contraction stage: compare the average value of pelvic floor muscle function of the treatment group and the control group,there was no statistical difference(P>0.05),comparable;endurance contraction stage:compare the average value of pelvic floor muscle function of the treatment group and the control group,there was no statistical difference(P>0.05),comparable;post rest stage:compared the difference between the treatment group and the control group of average value of pelvic floor muscle function,which was statistically significant(P < 0.001).(3)After the treatment,two groups of pelvic floor muscle function index,Pre rest stage: compared the average value of pelvic floor muscle function between the treatment group and the control group,there was no statistical difference(P>0.05);rapid contraction stage: compared with the maximum value of pelvic floor muscle function in the treatment group and the control group,the difference was statistically significant(P<0.001);continuous contraction stage: compared with the average value of pelvic floor muscle function in the treatment group and the control group,the difference was statistically significant(P<0.001);endurance contraction stage: compared with the average value of pelvic floor muscle function in the treatment group and the control group,,the difference was statistically significant(P<0.001);post rest stage: compared with the average value of pelvic floor muscle function in the treatment group and the control group,no statistical difference(P> 0.05).(4)Before the treatment,in the treatment group and the control group,there was no significant difference in the pelvic floor muscle function,the number of urine leakage,the amount of urine leakage,impact of leakage on life and ICI-Q-SF(P>0.05).(5)After the treatment,between the control group and the treatment group,there was no significant difference in the the number of urine leakage,the amount of urine leakage(P >0.05).Compared the pelvic floor muscle function,impact of leakage on life and ICI-Q-SF between the treatment group and the control group,after statistical analysis,the difference between the treatment group and the control group was statistical(P < 0.05).(6)After the treatment,in the treatment group,the effective rate was 44.44% in 12 cases and 55.56% in 15 cases;In the control group,the effective rate was 29.63% in 8cases and 70.37% in 19 cases.The nonparametric rank sum test showed that P> 0.05,indicating that the difference between the treatment group and the control group,which was no statistical.However,the effective rate of the treatment group was 44.44%compared with that of the control group,and 29.63% in the control group.This data shows that the effective rate was higher than that of the control group.Conclusion:(1)Electrostimulation biofeedback therapy combined with massage and electrostimulation biofeedback therapy can improve the pelvic floor muscle function,the number of urine leakage,the amount of urine leakage,the impact of urine leakage on life score and ICI-Q-SF score.(2)Electric stimulation biofeedback therapy combined with massage can improve the quality of life of female patients with stress urinary incontinence,with better long-term effect and shorter treatment time. |
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