骶旁经皮神经电刺激治疗儿童和青少年单症状遗尿症的有效性:系统性综述。

IF 3.1 3区 医学 Q1 UROLOGY & NEPHROLOGY International Braz J Urol Pub Date : 2024-03-01 DOI:10.1590/S1677-5538.IBJU.2023.0618
Melissa Faria Dutra, José de Bessa, Emerson Coelho Luiz de Almeida, Eleonora Moreira Lima, Mônica Maria de Almeida Vasconcelos, Flávia Cristina de Carvalho Mrad
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引用次数: 0

摘要

背景:骶旁经皮神经电刺激(PTENS)是一种用于治疗一线治疗难治性遗尿症的疗法。本综述旨在评估经皮神经电刺激治疗儿童和青少年无症状性遗尿症(MNE)的有效性:研究遵循系统性报告首选项目(PRISMA)指南。在以下数据库中进行了检索:MEDLINE(通过 PubMed)、Web of Science、SCOPUS、Cochrane 中央图书馆和物理治疗证据数据库 (PEDro)。所选研究均为随机临床试验(RCT)。使用 "随机试验偏倚风险工具 "和 "偏倚风险可视化 "分析偏倚风险:在所选的 624 项研究中,有四项研究符合条件。其中三项研究纳入了 146 名年龄在 6 至 16.3 岁之间的儿童和青少年,并采用了类似的 PTENS 方案,频率为 10 赫兹,脉冲持续时间为 700 微秒,每次 20 分钟,每周三次。一项研究招募了 52 名 7 至 14 岁的患者,他们在家中使用 PTENS,脉冲持续时间为 200 µs,20 至 60 分钟/天,2 次/天。有三项研究因结果的随机化和测量而存在偏倚风险。两项研究显示,部分患者的夜尿次数有所减少,一项研究显示,27% 的患者有完全反应,一项研究显示没有改善:结论:PTENS 可减少夜尿次数,但不能治愈夜尿,只有一项研究中 27% 的患者例外。有限的 RCT 和数据异质性是其局限性。
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The effectiveness of parasacral transcutaneous electrical nerve stimulation in the treatment of monosymptomatic enuresis in children and adolescents: a systematic review.

Background: Parasacral Transcutaneous Electrical Nerve Stimulation (PTENS) is a treatment used in enuresis refractory to first-line treatment. This review aimed to evaluate the effectiveness of PTENS in treating monosymptomatic enuresis (MNE) in children and adolescents.

Methods: The study followed the Preferred Reporting Items for Systematic (PRISMA) guidelines. The search was carried out in the following databases: MEDLINE (via PubMed), Web of Science, SCOPUS, Central Cochrane Library and Physiotherapy Evidence Database (PEDro). The selected studies were randomized clinical trials (RCTs). The "Risk of Bias tool for randomized trials" and the "Risk of Bias VISualization" were used to analyze the risk of bias.

Results: Of the 624 studies selected, four RCTs were eligible. Three included 146 children and adolescents aged between six and 16.3 years and used similar PTENS protocols with a frequency of 10 Hz, pulse duration of 700 µs and 20 minutes three times/week. One study enrolled 52 patients aged seven to 14 years used PTENS at home, with a pulse duration of 200 µs and 20 to 60 minutes twice/day. Risk of bias was observed in three studies due to results' randomization and measurement. Two studies showed a partial response with a reduction in wet nights, one a complete response in 27% of patients, and one showed no improvement.

Conclusion: PTENS reduces wet nights' frequency but does not cure them, except in 27% of patients in one study. Limited RCTs and data heterogeneity are limitations.

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来源期刊
International Braz J Urol
International Braz J Urol UROLOGY & NEPHROLOGY-
CiteScore
4.60
自引率
21.60%
发文量
246
审稿时长
6-12 weeks
期刊介绍: Information not localized
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