患有非神经性骨盆底功能障碍的儿科患者的电疗法:系统性审查
Jordi Calvo-Sanz1, Karima Bouallalene-Jaramillo2
1TecnoCampus (TCM)-Universidad Pompeu Fabra (UPF), Grupo de Investigación en Tecnologia Aplicada al Alto Rendimiento y la Salud (TAARS), Barcelona, Spain.
Journal of pediatric urology
|July 3, 2025
概括
通过皮肤进行电神经刺激 (TENS) 有效地治疗儿科骨盆底功能障碍,如尿泡和压缩. 这种非侵入性治疗,通常与生物反相结合,可以改善儿童的 incontinence 和生活质量.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 儿科 儿科 儿科
- 康复医学 康复医学 康复医学
背景情况:
- 盆地功能障碍 (PFDs),如尿尿和压,对儿童和家庭产生重大影响.
- 传统的治疗方法包括行为疗法,药理学和物理治疗.
- 电疗法,特别是TENS,是PFDs的一个新兴的非侵入性选择.
研究的目的:
- 系统地审查电疗对于没有神经原因的儿科PFD的疗效.
- 分析常见的参数化和对尿和便失禁的影响.
- 评估电疗法作为常规治疗的替代方案或辅助方法.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在PubMed,PEDro和Cochrane数据库 (过去10年) 的文献搜索.
- 包括患有非神经性PFD的儿科患者;排除针和低PEDro分数的研究.
主要成果:
- 纳入了11项与495名参与者 (3-18岁) 的研究,重点是TENS,PTENS和IFS.
- 常见参数:10-55赫兹频率,每周2-3次3个月, sacral电极放置.
- 大多数研究都观察到 incontinence,膀容量和生活质量的显著改善.
结论:
- TENS和相关的电疗技术对于儿科PFD是有效的,其10 Hz频率和十字位置显示出有希望.
- 将电疗与生物反或泌尿疗法结合起来可以改善结果.
- 电疗为药物治疗提供了一种可行的非侵入性替代方案,尽管并不总是完全解决症状.
相关概念视频
01:30Electroconvulsive Therapy
200
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
200
01:26Muscles of the Pelvic Floor and Perineum
2.2K
The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
2.2K