评估盆地肌肉运动与生物反疗法相结合的益处,以改善儿童功能性尿失禁
Lida Sharifi-Rad1,2, Mazyar Zahir1, Seyedeh-Sanam Ladi-Seyedian1
1Pediatric Urology and Regenerative Medicine Research Center, Children's Medical Center, Pediatric Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran.
Neurourology and urodynamics
|March 13, 2025
概括
盆地肌肉训练 (PFMT) 对儿童尿失禁 (UI) 有效. 在儿童中,将生物反 (BF) 添加到PFMT时,与单独使用PFMT相比,UI结果没有显著改善.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 康复医学 康复医学 康复医学
- 盆地地板功能障碍 盆地底功能障碍
背景情况:
- 盆地肌肉训练 (PFMT) 和生物反 (BF) 是治疗下尿路功能障碍的常见方法.
- 儿童尿失禁 (UI) 通常需要有效的,非侵入性的治疗方法.
研究的目的:
- 为了比较单独使用PFMT与与BF结合使用PFMT治疗儿童功能性尿失禁的疗效.
- 评估这些干预措施对空气和肠道习惯的影响.
主要方法:
- 对患有非神经性间歇性UI (2018-2022) 的儿童病历的回顾性分析.
- 第一组接受了泌尿疗法和PFMT;第二组接受了泌尿疗法,PFMT和BF课程.
- 治疗前后的评估包括超声波,尿液流量计/电脑电图和空白日记.
主要成果:
- 这两组在UI发作中都显示出完全和部分临床反应.
- 单独使用PFMT和使用BF的PFMT之间完全或部分响应率没有统计学上显著的差异 (p=0.430).
- 两组之间在尿尿,急性,便秘或尿液流量计参数方面没有发现显著差异.
结论:
- 在物理治疗师的监督下,PFMT和BF在改善儿童UI方面与联合PFMT和BF一样有效.
- 生物反似乎没有提供额外的显著益处,当添加到标准的PFMT对于这个儿科患者群体.
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