Effect evaluation of biomimetic electrical stimulation combined with cognitive-behavioral therapy on female patients with stress urinary incontinence
Hao Lingli
Han Mei
He Yonglei
Wang Suwei
Abstract：Objective To observe the effect of biomimetic electrical stimulation combined with cognitive-behavioral therapy on female patients with stress urinary incontinence(SUI).Methods This study was a prospective randomized controlled study.A total of 160 patients with female SUI admitted to Peking University Third Hospital from March 2019 to June 2023 were selected as the research objects,and they were divided into observation group and control group by random number table method,with 80 cases in each group.The control group was treated with cognitive-behavioral therapy(CBT),and the observation group was given bionic electrical stimulation of pelvic floor on the basis of the control group.The intervention lasted for 8 weeks.The pelvic floor functional ultrasound indicators,pelvic floor electromyography values,scores of urinary incontinence questionnaire brief form(ICI-Q-SF),self-rating anxiety scale(SAS),and self-rating depression scale(SDS)were compared between the two groups before and after the intervention.The total effective rate was compared between the two groups after the intervention.Results During the research process,one case in the control group and three cases in the study group were lost.Finally,79 cases in the control group completed the study,and 77 cases in the observation group completed this research.After intervention,bladder urethral posterior angle and bladder neck mobility,scores of ICI-Q-SF,SAS and SDS in both groups were Iess/lower than before intervention,and those in the observation group were less/lower than those in the control group,the electromyographic values during the rapid contraction stage,sustained contraction stage,and endurance contraction stage of the pelvic floor were all higher than before intervention,and those in the observation group were higher than those in the control group(all P＜0.05).After intervention,the total effective rate of the observation group was significantly higher than that of the control group[97.4％(75/77)vs 88.6％(70/79)](P＜0.05).Conclusion The combination of biomimetic electrical stimulation and cognitive-behavioral therapy can effectively improve pelvic floor function,reduce urinary incontinence symptoms and negative emotions in female patients with SUI.
Keywords：Stress urinary incontinenceBiomimetic electrical stimulationCognitive-behavioral therapyPelvic floor muscle function
Publication Date：2024-07-08
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：5( 1047-1051 )