六次经皮胫神经刺激治疗对膀胱过度活动综合征症状的疗效和性别特异性结果

Carlos Perez−Martinez, Jose Luis Palacios-Galicia, Irma B. Vargas-Diaz, Alvaro Munoz, Yolanda Cruz
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引用次数: 0

摘要

这项研究旨在调查六次经皮胫神经刺激(PTNS)治疗对男性和女性膀胱过度活动症(OAB)症状的疗效,并确定疗效在 6 个月内的持续时间。有 OAB 症状的女性和男性参加了这项研究,研究按照经批准的伦理协议(ISRCTN15733799)进行。患者接受了六次 30 分钟的 PTNS 治疗,每周两次。患者在治疗前和治疗后(24 小时、1 个月、3 个月和 6 个月)自行填写排尿日记、膀胱过度活动症状评分问卷简表(OAB-q SF)和患者膀胱状况感知问卷(PPBC),评估患者的膀胱过度活动症状。采用重复测量的双向方差分析比较了性别和时间点的结果数据。PTNS 增加了排尿量(p < 0.05),减少了 24 小时和 6 个月内的排尿次数、夜尿和尿急(p < 0.001)。PTNS 治疗后,OABq-SF 和 PPBC 评分明显下降(P < 0.001)。男性尿急程度高于女性。PTNS 对频率和生活质量改善的临床成功持续时间,女性高于男性。PTNS 六次疗程的临床效果有力地表明,它有可能缩短 12 次疗程的标准疗程,从而有效缓解 OAB 症状。这种治疗方法可以减少治疗 OAB 的时间和经济成本。
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Efficacy and sex-specific outcomes after six episodes of percutaneous tibial nerve stimulation treatment on overactive bladder syndrome symptoms
This study aimed to investigate the efficacy of six episodes of percutaneous tibial nerve stimulation (PTNS) treatment for overactive bladder (OAB) symptoms in men and women and to determine the duration of the effects over a 6-month period.Women and men with OAB symptoms participated in the study, which was conducted in accordance with an approved ethical protocol (ISRCTN15733799). Patients underwent six 30-min PTNS sessions, twice per week. The symptoms of OAB were assessed using a voiding diary, the short form of the Overactive Bladder Symptom Score questionnaire (OAB-q SF), and the Patient Perception of Bladder Condition (PPBC), which were self-completed by patients before and after treatment (24 h and at 1, 3, and 6 months). The outcome data were compared for sex and time points using two-way ANOVA for repeated measures.PTNS treatment significantly improved the OAB symptoms and quality of life in men and women. PTNS increased the voided volume (p < 0.05) and decreased the frequency of voiding, nocturia, and urgency at 24 h and up to 6 months (p < 0.001). The OABq-SF and PPBC scores were significantly decreased after PTNS (p < 0.001). Urgency was greater in men than in women. The duration of PTNS clinical success on frequency and the perception of improvement in quality of life were greater in women than in men.The clinical effects of six sessions of PTNS strongly suggest its potential for shortening, from the standard 12 sessions, to effectively alleviate symptoms of OAB. This therapeutic procedure would reduce both the time and economic costs of OAB treatment.
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