首页|经皮胫神经电刺激对老年女性急迫性尿失禁的疗效

经皮胫神经电刺激对老年女性急迫性尿失禁的疗效

Efficacy of transcutaneous tibial nerve stimulation in elderly women with urge urinary incontinence

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目的 观察经皮胫神经电刺激(TTNS)治疗老年女性急迫性尿失禁(UUI)的疗效.方法 120例老年女性UUI患者随机分为试验组和对照组,每组60例.对照组行盆底肌训练(PFMT)和膀胱训练(BT),每天3次,每周5 d,连续训练6周;试验组在对照组基础上加用TTNS治疗,每周2次,连续治疗6周.比较两组患者治疗前后排尿日记、国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-SF)评分、尿失禁生活质量问卷(I-QOL)评分和主观满意度.结果 120例患者均完成6周治疗.治疗后,两组患者排尿日记参数、ICIQ-SF评分和I-QOL评分均改善(P<0.05),且试验组较对照组改善更明显(P<0.05).试验组主观满意度有效率高于对照组(98.3%vs.80.0%)(P<0.05).结论 在PFMT和BT基础上加用TTNS可有效改善老年女性UUI患者的症状,提高生活质量.
Objective To observe the clinical efficacy of transcutaneous tibial nerve stimulation(TTNS)in the treatment of urge urinary incontinence(UUI)in elderly women.Methods A total of 120 elderly women with UUI were randomly divided into two groups with 60 cases each.Group C received pelvic floor muscle training(PFMT)and bladder training(BT)three times per day,5 days a week for 6 weeks.Group A was treated with additional TTNS twice a week for 6 weeks on the basis of group C.The bladder diary,international consultation on incontinent questionnaire short form(ICIQ-SF)score,incontinence quality of life questionnaire(I-QOL)score and patients'subjective global satisfaction were compared between the two groups.Results All 120 patients completed 6 weeks of treatment.After treatment,the parameters of 3-day bladder diary,ICIQ-SF score and I-QOL score of both groups were improved(P<0.05),which were improved more obviously in group A(P<0.05).The subjective global satisfaction effectiveness rate in group A was higher than that in group C(98.3%vs.80.0%)(P<0.05).Conclusion On the basis of PFMT and BT,additional TTNS treatment can effectively improve the symptoms and quality of life in elderly women with UUI.

Transcutaneous tibial nerve stimulationUrge urinary incontinenceGeriatricsQuality of life

顾芮、戴书琴、王家俊、陈艳琴、袁晓红、施晓芸、许宏辉、吴力为

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214002 江苏无锡,江南大学附属妇产医院妇产科

经皮胫神经电刺激 急迫性尿失禁 老年 生活质量

无锡市卫生健康委青年项目

Q202255

2024

江苏医药
江苏省人民医院(南京医科大学第一附属医院)

江苏医药

影响因子:0.707
ISSN:0253-3685
年,卷(期):2024.50(3)
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