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
顾芮 1戴书琴 1王家俊 1陈艳琴 1袁晓红 1施晓芸 1许宏辉 1吴力为1
作者信息
- 1. 214002 江苏无锡,江南大学附属妇产医院妇产科
- 折叠
摘要
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.
Abstract
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.
关键词
经皮胫神经电刺激/急迫性尿失禁/老年/生活质量Key words
Transcutaneous tibial nerve stimulation/Urge urinary incontinence/Geriatrics/Quality of life引用本文复制引用
基金项目
无锡市卫生健康委青年项目(Q202255)
出版年
2024
NETL
NSTL
万方数据