通过皮肤进行神经节约激进子宫切除的电动神经刺激:一项回顾性队列研究
Kai Yang1, Tingting Zhang1, Weiye Yin1
1Department of Gynaecology, Fudan University Shanghai Cancer Center, Shanghai, China.
概括
穿皮电神经刺激 (TENS) 改善了神经节约性激进子宫切除术 (NSRH) 后的患者的膀功能,盆底强度和生活质量. 这种干预提供了显著的临床价值,具有良好的安全性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科瘤学 妇科瘤学
- 盆地地板康复疗法 盆地地板康复疗法
背景情况:
- 手术后排泄功能障碍是神经节约激进子宫切除术 (NSRH) 后的一个常见并发症.
- 有效的管理策略对于改善NSRH后患者的治疗结果和生活质量至关重要.
研究的目的:
- 评估辅助性皮肤过渡电神经刺激 (TENS) 在治疗术后排泄功能障碍方面的疗效.
- 评估TENS对盆地肌肉强度和生活质量的影响,在接受NSRH的患者中.
主要方法:
- 一项随机对照试验,涉及78名接受NSRH的患者.
- 患者被分配到传统的导管管理 (控制) 或传统的管理加上TENS (干预).
- 测量结果包括尿,空后残留体积 (PVR),导管持续时间,盆底强度,空参数和生活质量 (QoL).
主要成果:
- 与对照组相比,TENS组的尿保留率显著降低,PVR减少,导管内置时间缩短 (P <0.05).
- 干预后的排空参数和盆地肌肉强度分级在TENS组显著改善 (分别P<0.05和P<0.001).
- 在TENS组中,QoL得分有所改善,症状/整体健康得分更高,功能域得分更低 (P < 0.001).
结论:
- 辅助TENS显著提高了膀功能,盆底肌肉强度和QoL在患者从NSRH恢复.
- TENS表现出良好的安全性,仅报告了轻微的皮肤反应.
- 这些发现表明,TENS在改善NSRH后的术后恢复方面具有实质性的临床价值.
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