盆腔磁刺激联合盆腔肌生物反馈治疗女性特发性膀胱过动症近期疗效的临床研究。

Liu Xiaofang, Lin Fang, Luo Shuang, L U Zongjie, H E Quanjiang, M U Yan, Peng Qiao
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摘要

目的:评价盆腔磁刺激联合盆腔肌生物反馈治疗女性特发性膀胱过动症(IOAB)的近期疗效。方法:96例IOAB女性患者随机分为对照组(磁刺激治疗组48例)和观察组(磁刺激加生物反馈治疗组48例)。所有患者均行骶神经磁刺激,每次1次,共5次。观察组患者进行生物反馈处理(10次)。以膀胱过度活动症状评分(OABSS)、患者感知膀胱状况(PPBC)和尿失禁生活质量量表(I-QOL)为评价指标。结果:对照组和观察组有效率分别为89.58%和93.75%。差异有统计学意义(P=0.67)。两组患者治疗后OABSS、PPBC均降低,I-QOL均升高(p)。结论:单纯磁刺激和磁刺激联合生物反馈治疗女性IOAB患者均有效、安全。生物反馈磁刺激可降低复发率,并在一定程度上持续改善症状。
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The Clinical Study on Short-Term Efficacy of Pelvic Magnetic Stimulation Combined with Pelvic Muscle Biofeedback on Female Idiopathic Overactive Bladder.

Objective: To evaluate the short-term efficacy of pelvic magnetic stimulation combined with pelvic muscle biofeedback on female Idiopathic Overactive Bladder (IOAB).

Methods: 96 cases of IOAB females were randomly divided into control group (magnetic stimulation treatment n=48) and observation group (magnetic stimulation with biofeedback n=48). All the patients were dealt with the sacralneuromagnetic stimulation (once, qod), with 5 times in total. Then the patients in observation group were processed with biofeedback (10 times). Overactive Bladder Symptom Score (OABSS), Patients Perception Bladder Condition (PPBC) and Incontinence Quality of Life Scale (I-QOL) were evaluated as the indexes.

Results: The effective rate of control group and observation group respectively were 89.58% and 93.75%. There were significant differences (P=0.67). The OABSS and PPBC of two groups were decreased, I-QOL were increased after treatment (P<0.05). Difference was statistically significant in OABSS three months after treatment between the two groups (P=0.00).The recurrence rate of three months after treatment of the two groups were 18.75% and 6.38% (P=0.04).

Conclusions: Both magnetic stimulation alone and magnetic stimulation with biofeedback were effective and safe in female patients with IOAB. Magnetic stimulation with biofeedback may reduce the recurrence rate and continue to improve the symptoms in a certain extent.

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