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Chinese Journal of Clinicians(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (11): 1103-1108. doi: 10.3877/cma.j.issn.1674-0785.2022.11.012

• Clinical Research • Previous Articles     Next Articles

Efficacy of magnetoelectric pelvic floor rehabilitation therapy in patients with postpartum stress urinary incontinence

Ran Zhang1,(), Ming Zhang2, Fengping Liu1   

  1. 1. Outpatient Department, China Aerospace Science & Industry Corporation 731 Hospital, Beijing 100074, China
    2. Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
  • Received:2021-09-27 Online:2022-11-15 Published:2023-01-28
  • Contact: Ran Zhang

Abstract:

Objective

To analyze the efficacy of pelvic floor rehabilitation training in patients with postpartum stress urinary incontinence.

Methods

A total of 165 patients with stress urinary incontinence who were hospitalized to give birth at China Aerospace Science & Industry Corporation 731 Hospital from August 2019 to April 2021 and were diagnosed with pelvic floor relaxation at the 42-day postpartum follow-up visit were selected as the research subjects. According to the patients' treatment wishes, they were divided into either a control group (52 cases, Kegel training group) or an observation group (113 cases, magnetoelectric therapy+Kegel training group). Glazer assessment was performed in both groups before and after treatment. By observing the changes in the surface electromyography (sEMS) of the pelvic floor muscles (PMFs) and the improvement of symptoms, the clinical efficacy of magnetoelectric therapy+kegel training pelvic floor rehabilitation treatment was evaluated.

Results

The mean age of patients in the observation group was (34.69±7.65) years, and it was (32.92±5.08) years in the control group. For the observation group, the sEMS values of PMFs were significantly improved after treatment compared with those before treatment in terms of pre-resting average value, maximum rapid contraction value, tension contraction average value, and endurance contraction average value (P<0.05 for all). For the control group, sEMS values of PMFs were significantly improved in terms of pre-resting average value, post-resting average value, and endurance contraction average value (P<0.05 for all), though maximum rapid contraction value and tension contraction average value were not significantly improved in the control group after treatment (P>0.05 for both). The effective rate for stress urinary incontinence in the observation group was 76.87% (81/113), which was significantly higher than that of the control group [26.92% (14/52); χ2=29.207, P<0.05]. The cure rate of the observation group was 39.82%(45/113), which was significantly higher than that in the control group [39.82% (45/113) vs 21.43% (11/52), χ2=4.570, P=0.027].

Conclusion

Compared with traditional Kegel family training, the combination of magnetoelectric therapy and Kegel training could significantly improve the pelvic floor contraction force, and has higher cure rate and better effect.

Key words: Stress urinary incontinence, Pelvic floor rehabilitation, Pelvic floor relaxation, Magnetoelectric combination treatment, Pelvic floor muscle assessment

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