在初级单症状尿尿症中,帕拉萨克拉通过皮电神经刺激与泌尿疗法:一项前性随机临床试验
Liliana Fajardo Oliveira1, Lidyanne Ilidia da Silva2, Hanny Helena Masson Franck2
1School of Physiotherapy-Faculdade de Ciências Médicas e da Saúde de Juiz de Fora (HMTJ/SUPREMA), Juiz de Fora, Brazil.
Neurourology and urodynamics
|May 26, 2023
概括
sacral 穿皮电神经刺激 (TENS) 与泌尿疗法相结合,有效地增加了原发性单症状夜尿尿症 (PMNE) 的儿童的干燥夜晚. 这种治疗对管理床上尿动有希望,尽管没有实现完全的症状缓解.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 神经调节是一种神经调节.
- 睡眠医学 睡眠医学
背景情况:
- 主要单症状夜间尿泡症 (PMNE) 影响许多儿童,影响他们的生活质量.
- 目前的治疗方法,包括泌尿疗法,成功率各不相同.
研究的目的:
- 评估与尿道疗法相结合的超神经性皮肤电神经刺激 (TENS) 对治疗儿童PMNE的疗效.
- 为了比较这种结合方法与单独的泌尿疗法.
主要方法:
- 一项前性受控临床试验,涉及72名5岁以上的PMNE儿童.
- 参与者被随机分为两个组:用头骨刺激 (对照) 进行泌尿疗法和用 sacral TENS (实验) 进行泌尿疗法.
- 两组都接受了各自的20次治疗,结果以90天的干燥夜晚的百分比来衡量.
主要成果:
- 实验组 (泌尿疗法+副神经TENS) 在所有随访点显示,与对照组相比,干燥夜晚的平均百分比较高.
- 具体来说,实验组中干燥夜晚的百分比从基线时的36%增加到治疗后90天的57%
- 对照组的增长较小,同期从28%增加到36%.
结论:
- 帕拉萨克拉TENS与泌尿疗法结合,显著改善了PMNE儿童干燥夜晚的百分比.
- 虽然在增加干燥夜晚方面有效,但联合治疗并没有导致任何参与者完全消除尿.
- 帕拉萨克拉TENS代表了尿道治疗的宝贵补充剂,用于管理儿科夜间尿尿症.
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