一种用于治疗尿失禁的新型盆底肌肉训练器。
A new pelvic muscle trainer for the treatment of urinary incontinence.
作者信息
Schmidt Adriana P, Sanches Paulo R S, Silva Danton P, Ramos José G L, Nohama Percy
机构信息
Obstetrics and Gynecology Department, Hospital de Clínicas de Porto Alegre of Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
出版信息
Int J Gynaecol Obstet. 2009 Jun;105(3):218-22. doi: 10.1016/j.ijgo.2009.01.013. Epub 2009 Feb 20.
OBJECTIVE
To describe a new device for home treatment of urinary incontinence (UI) by comparing 3 conservative techniques and monitoring compliance and performance.
METHODS
Thirty-two patients with UI were allocated to 1 of 3 intervention groups: pelvic floor muscle exercises (PFME; n=11) alone; PFME combined with biofeedback (n=10); or PFME combined with electrical stimulation (n=11). The outcomes assessed were: changes in quality of life score (QLS), urodynamic and perineometric parameters, episodes of urine loss, subjective assessment of improvement, and actual compliance and performance with treatment.
RESULTS
Increased pelvic muscle contraction strength (P<0.05), improvement in QLS (P<0.02), and fewer episodes of urine leakage were observed in all 3 groups (P<0.05). Compliance was similar among the groups (P=0.201).
CONCLUSION
All 3 techniques were effective for home treatment of UI, with significant control of symptoms and improved quality of life. The device effectively monitored compliance and performance of exercises.
目的
通过比较3种保守治疗技术并监测依从性和治疗效果，描述一种用于家庭治疗尿失禁（UI）的新设备。
方法
32例尿失禁患者被分配到3个干预组中的1组：单独进行盆底肌肉锻炼（PFME；n = 11）；PFME联合生物反馈（n = 10）；或PFME联合电刺激（n = 11）。评估的结果包括：生活质量评分（QLS）的变化、尿动力学和会阴测量参数、漏尿次数、主观改善评估以及实际治疗依从性和治疗效果。
结果
所有3组均观察到盆底肌肉收缩强度增加（P < 0.05）、QLS改善（P < 0.02）以及漏尿次数减少（P < 0.05）。各组之间的依从性相似（P = 0.201）。
结论
所有3种技术对家庭治疗尿失禁均有效，能有效控制症状并改善生活质量。该设备有效地监测了锻炼的依从性和治疗效果。
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