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| Curative effects assessment of three kinds of pelvic floor muscle treatments for puerperae with postnatal stress urinary incontinence |
| Women and Children Health Care Center of Binhai New District of Tianjin , Tianjin, 300450 |
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Abstract To explore the clinical curative effects of three kinds of pelvic floor muscle treatments on functional recovery of pelvic floor muscle of puerperae with stress urinary incontinence, and to explore the better nonsurgical methods to treat puerperae with stress urinary incontinence. Methods: From September 2014 and January 2016, a total of 107 puerperae with stress urinary incontinence who accepted postpartum 42 day examination were selected and randomly divided into 3 groups. 30 puerperae who had received single electrical stimulation was in group A, 31 puerperae who had received single scene biofeedback training was in group B, 46 patients puerperae who had received electrical stimulation combined with scene biofeedback training was in group C. The determination of values of all puerperae before treatment were the primary screening results, the determination of values of all puerperae after treatment for 5 times were secondary screening results, and the determination of values of all puerperae after treatment for 10 times were the third screening results. The change of screening results of puerperae after three different treatments were evaluated on the muscles strength, fatigue and muscle potential of the pelvic bottom. Results: The results showed that compared to the primary screening results, there were statistically significant differences in the level I muscle strength and level II muscle strength of secondary screening results and third screening results of puerperae (P<0.05), but there were no statistically significant differences in degree of I muscle fatigue, level II muscle fatigue, and muscle potential of puerperae in the three groups(P>0.05). After treatment, the level I or level II muscle strength, and the degree of I muscle fatigue or II muscle fatigue the primary screening results of all women had no statistically significant difference (P>0.05). Muscle potential of women in group B and group C was higher than that of women in group A(P<0.05). Conclusion: The three kinds of treatment all can improve the muscle strength of puerperae with stress urinary incontinence. The average self score of women in the three groups is more than 7 points, and the degree of urine leakage of women has obviously improved comparing to before treatment. It is suggest that at least 5 times pelvic floor rehabilitation therapy can improve pelvic floor muscle strength recovery, and electrical stimulation combined with scene biofeedback training or scene biofeedback training has the best curative effect for muscle potential.
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