Application of core muscle training combined with CO2 fractional laser in postpartum patients with mild to moderate SUI
Liu Lifen
Gong Jingya
Yu Jie
Zhu Weipei
Abstract：Objective To analyze the application of core muscle training combined with CO2 fractional laser in the treatment of mild to moderate postpartum stress urinary incontinence(SUI).Methods 98 patients with SUI treated in our hospital from October 2020 to October 2022 were selected as the research object,and were divided into two groups according to the random number table.The control group(n=49)was treated with core muscle training,and the combined group(n= 49)was treated with core muscle training combined with CO2 fractional laser.The clinical efficacy,pelvic floor muscle strength,pelvic floor surface myoelectric potential,anterior vaginal wall bulging degree and 72 hour urinary leakage frequency were compared between the two groups before and after treatment.The scores of international commission on urinary incontinence questionnaire(ICI-Q-SF)and incontinence quality of life questionnaire(I-QOL)were also compared between the two groups before and after treatment.Results The clinical effect of the combined group was better than that of the control group(93.88%vs.75.51%)(χ2=6.376,P<0.05).After treatment,the pelvic floor muscle strength of the two groups were improved significantly,and the improvement effect of the combined group was better than that of the control group(P<0.05).After treatment,the surface EMG of pelvic floor in rapid systole,sustained systole and tolerance test were higher than those before treatment in both groups,and the surface EMG of pelvic floor in combined group was higher than that in control group(t=8.933,11.701,10.383,P<0.05).After treatment,the degree of anterior vaginal wall prolapse and the number of urinary leakage within 72 hours in both groups were reduced,and the degree of anterior vaginal wall prolapse and the number of urinary leakage within 72 hours in the combined group were less than those in the control group(t=9.393,12.150,P<0.05).After treatment,ICI-Q-SF scores decreased and I-QOL scores increased in both groups,and ICI-Q-SF scores were lower and I-QOL scores were higher in combination group than in control group(t = 4.995,3.555,P<0.05).Conclusion Core muscle group training combined with CO2 fractional laser treatment for postpartum patients with mild to moderate SUI has significant effect,can effectively improve the pelvic floor muscle strength and pelvic floor surface myopotential,reduce the degree of anterior vaginal wall bulging and leakage of urine,improve the quality of life of patients.
Keywords：Stress urinary incontinenceCore muscle trainingCO2 fractional laserPelvic floor muscle strengthPelvic floor surface myopotentia
Publication Date：2023-10-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 553-557 )