同时治疗过度活跃的膀和坚持盆地底物理治疗
Sarah Ashmore1,2, Abigail Steinbeck3, Nicholas Scioscia4,5
1Section of Urogynecology and Reconstructive Pelvic Surgery, University of Chicago, 1217 N California Ave, Apt 1W, Chicago, IL, 60622, USA. sleilaniashmore@gmail.com.
International urogynecology journal
|July 22, 2025
概括
与过度活跃的膀药物同时启动盆地物理治疗 (PFPT) 似乎会降低患者对PFPT的坚持. 这一发现表明需要重新评估过度活性膀的治疗策略.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 物理疗法物理治疗
- 药理学 药理学是指药理学的学科.
背景情况:
- 骨盆底物理治疗 (PFPT) 是过度活跃膀 (OAB) 的关键治疗方法,但坚持通常很低.
- 关于与OAB药物同时启动PFPT对患者坚持治疗的影响的研究有限.
- 本研究研究了组合PFPT与药物启动和OAB患者的PFPT坚持之间的关系.
研究的目的:
- 评估女性OAB患者在PFPT与药物同时启动时与PFPT单独启动时的PFPT坚持.
- 为了确定在PFPT转诊时同时处方药是否会影响坚持率.
主要方法:
- 一项回顾性队列研究比较了两组女性OAB患者之间的PFPT坚持 (≥50%的会议出席率).
- 第1组 (PT组) 接受了PFPT转诊,没有同时服用药物.
- 第二组 (PT + Med组) 接受了PFPT转诊,同时处方药.
主要成果:
- 这项研究包括346名女性OAB患者 (PT组为196,PT+Med组为150).
- 在PT组显示显著更高的PFPT坚持 (30.6%对15.3%,p<0.001) 和完成了更多的会议.
- 尽管PT + Med组的基线并发病率较高,但多变量分析证实,同时服用药物的坚持率较低 (aOR 0.38,p = 0.001).
结论:
- 与PFPT转诊同时开始服用OAB药物与显著降低PFPT坚持有关.
- 这一发现凸显了在结合这些治疗方式时,对有效的OAB管理的潜在障碍.
- 进一步的研究可能会探索在PFPT和药物同时被处方时改善坚持的策略.
相关概念视频
01:17Urinary Tract Infection IV: Nursing Management
88
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
88
01:21Drugs for Treatment of Constipation-Predominant IBS
342
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
342
01:30Urinary Tract Calculi III: Medical Management
25
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
25
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
01:26The Micturition Reflex
1.1K
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...
1.1K
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
41
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
41