膀训练与盆底肌肉训练相关的膀训练相比,用于女性过度活动膀症状:一项随机临床试验
Sílvia Monteiro1,2, Anna Karoline Rocha3, Lilian Valim2
1Postgraduate Program in Surgical Science, School of Medical Sciences of the State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Neurourology and urodynamics
|September 19, 2023
概括
单独的膀训练 (BT) 与底肌肉训练 (PFMT) 结合的BT在治疗女性过度活动膀 (OAB) 症状方面同样有效. 与单独BT相比,添加PFMT并没有显著改善结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 盆腔健康 盆腔健康
- 临床试验 临床试验
背景情况:
- 过度活跃的膀 (OAB) 显著影响女性的生活质量.
- 目前的治疗包括膀训练 (BT) 和盆地肌肉训练 (PFMT).
- 结合BT与PFMT治疗OAB症状的额外好处需要进一步调查.
研究的目的:
- 为了比较膀训练 (BT) 与结合膀训练和盆地肌肉训练 (BT+PFMT) 的疗效,在出现过度活动膀 (OAB) 症状的女性中.
- 评估这些干预措施对关键OAB症状的影响,包括急性,频率,夜尿和失禁.
主要方法:
- 进行了一项随机对照试验,其中63名妇女被诊断患有OAB症状.
- 参与者被随机分为两组:一组接受12周的家庭BT,另一组接受12周的BT加上每周监督的PFMT.
- 主要结局包括尿急,白天排泄频率,夜尿和急性尿失禁,通过膀日记和ICIQ-OAB问卷进行评估.
主要成果:
- 在干预后,这两组都显示了OAB症状的改善.
- 在白天排尿频率 (p=0.75),夜尿 (p=0.70),尿急 (p=0.10) 或整体ICIQ-OAB分数 (p=0.30) 方面,在BT组和BT+PFMT组之间没有观察到统计学意义上的差异.
- 二次结局,包括24小时测试结果和患者改善的总体印象,也显示没有显著的组间差异.
结论:
- 将监督的盆地肌肉训练 (PFMT) 添加到膀训练 (BT) 中,与单独的膀训练相比,在管理过度活性膀 (OAB) 症状方面没有产生更好的结果.
- 隔离性膀训练似乎是对OAB妇女的有效独立治疗方法.
- 进一步的研究可能会探索特定的患者亚组,这些患者可能会从组合疗法中获益更多.
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