在有便失禁的儿童中,通过皮肤进行神经神经刺激
Román Néstor Bigliardi1, Rosa Adriana Oviedo1, Marcela Mariano2
1Servicio de Gastroenterología Pediátrica, Hospital Nacional Profesor Alejandro Posadas, El Palomar, Buenos Aires, Argentina.
Journal of pediatric gastroenterology and nutrition
|February 24, 2026
概括
通过皮肤神经神经刺激 (tSNS) 有效地改善了患有骨髓瘤,直肠形和耐火功能性便秘的儿童的便失禁和便秘. 在治疗后观察到,人体测量数据和抑郁的显著改善.
科学领域:
- 儿科手术 儿科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
背景情况:
- 便失禁 (FI) 和便秘是患有骨髓髓瘤结核 (MMC),直肠形 (ARM) 和耐火功能便秘 (RFC) 的儿童面临的重大挑战.
- 对于这些复杂的儿科群体来说,传统的治疗方法通常会产生低于最佳的结果.
研究的目的:
- 评估通过皮肤神经神经刺激 (tSNS) 在治疗儿科患者耐火性便秘和便失禁方面的疗效.
- 为了评估SNS治疗后直肠测量参数的变化.
主要方法:
- 一项前性,准实验性队列研究,涉及42名FI的儿科患者.
- 每周进行12次30分钟的 tSNS 疗程,治疗前后进行直肠计量.
主要成果:
- 57%的患者实现了完全的节制,另外26%的患者在SNS后实现了部分节制.
- 在压力测量时,中位静止压力,挤压压力和感官功能均有显著改善.
- 治疗导致31.4%的患者减少了药的使用,32%的患者尿失禁得到解决.
结论:
- tSNS是一种有效的治疗选择,可以改善儿童的便秘和便失禁,特别是那些患有MMC和ARM等潜在有机疾病的儿童.
- 治疗对直肠测量有积极的影响,特别是感官功能,与改善的节制相关.
- 观察到的尿失禁的改善表明SNS在这个患者队列中具有更广泛的益处.
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