压力介导的生物反与盆地肌肉训练对于尿失禁:一个随机临床试验
Xiuqi Wang1, Jin Qiu2, Dan Li3
1Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Obstetric and Gynecologic Diseases, Beijing, China.
JAMA network open
|November 5, 2024
概括
在监督的盆底肌肉训练 (PFMT) 中添加家用压力介导生物反装置,显著改善了压力尿失禁 (SUI) 的女性的结果. 与单独使用PFMT相比,这种组合疗法提高了治愈率和盆地肌肉力量.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 康复医学 康复医学 康复医学
背景情况:
- 压力尿失禁 (SUI) 是一种常见的疾病,影响妇女,特别是产后.
- 监督的盆地肌肉训练 (PFMT) 是SUI的推第一线治疗方法.
- 需要证据来确定辅助疗法是否增强PFMT的疗效.
研究的目的:
- 为了比较PFMT在家用压力介导生物反 (BF) 装置和没有压力介导生物反 (BF) 装置的有效性,用于治疗产后SUI.
- 评估将BF添加到PFMT对失禁严重程度,治愈率和盆地肌肉强度的影响.
主要方法:
- 一个多中心的,评估者盲目的,随机的临床试验,涉及452名患有新发性产后SUI的妇女.
- 参与者接受了为期3个月的监督PFMT.
- 干预组:PFMT + 家庭压力介导的BF设备. 对照组:仅在家庭进行PFMT.
主要成果:
- 干预组显示,SUI严重程度的显著降低 (P=.002).
- 在干预组中观察到更高的治愈率 (20.2%与8.7%,P=.001) 和改善率 (59.2%与44.5%,P=.002).
- 干预组还表现出明显更大的骨盆底肌肉强度 (P=.02) 和坚持.
结论:
- 压力介导生物反与PFMT相结合,在治疗SUI方面优于单独的PFMT.
- 在家生产的压力介导BF设备是改善SUI治疗结果的宝贵工具.
相关概念视频
01:26The Micturition Reflex
460
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
460
01:23Urinary Bladder
429
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
429