Objective:To observe the effect of pelvic floor biofeedback myoelectric stimulation combined with bladder function training on quality of life in patients with urge urinary incontinence and spinal cord injury.Methods:Ninety-six patients with incomplete spinal cord injury neurogenic bladder were divided into the control group (n=45) and the observation group (n=51). Both groups received bladder function training, and the observation group received pelvic floor biofeedback myoelectric stimulation additionally. The bladder safe capacity, the residual urine volume, daily average urination frequency, the number of urine leakage and catheterization times in two groups were compared 1 week before and after treatment for 4 and 8 weeks. The quality of life of patients was assessed by Urinary Symptoms Distress Score (USDS) and Lower Urinary Tract symptom Score (LUTS).Results:After 4 and 8 weeks of treatment, the daily average number of urine leakage, residual urine volume and catheterization times were significantly decreased as compared with those before treatment in both groups (P<0.05), more significantly in the observation group than in the control group at each time point after treatment; the average daily urination frequency, daily average urine output and bladder safe capacity were significantly increased in both groups (P<0.05), more significantly in the observation group than in the control group at each time point after treatment (P<0.05). After 4 and 8 weeks of treatment, the USDS and LUTS scores in both groups were significantly decreased as compared with those before treatment (P<0.05), more significantly in the observation group than in the control group at each time point after treatment (P<0.05).Conclusion:Pelvic floor biofeedback myoelectric stimulation combined with bladder function training could further improve the urinary function of patients with neurogenic bladder of spinal cord injury, and enhance their quality of life. |