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排尿功能障碍的保守治疗

Conservative management of voiding dysfunction.

作者信息

Patel Anita

机构信息

Endoskopik Klinik and Hospital, Ameya, Pandurang Naik Rd, Shivaji Park, Mumbai, India.

出版信息

Indian J Urol. 2007 Apr;23(2):161-5. doi: 10.4103/0970-1591.32068.

DOI:10.4103/0970-1591.32068
PMID:19675794
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2721526/
Abstract

This review article discusses the efficacy of various conservative therapies in the management of voiding dysfunction with special reference to urinary incontinence. The article emphasizes the fact that conservative therapies have limited side effects and they do not jeopardize future treatment options. Behaviour therapy, pelvic floor therapy and biofeedback; electrical and magnetic stimulation are discussed here individually. Though there is unanimous agreement that these therapies improve quality of life, complete cure is rare. All therapies work better in conjunction with each other rather than in isolation. The review also highlights the need for randomized controlled trials of better methodology.

摘要

这篇综述文章讨论了各种保守疗法在治疗排尿功能障碍(特别是尿失禁)方面的疗效。文章强调,保守疗法副作用有限,且不会影响未来的治疗选择。本文分别讨论了行为疗法、盆底疗法和生物反馈疗法;电刺激和磁刺激疗法。尽管大家一致认为这些疗法能改善生活质量,但完全治愈的情况很少见。所有疗法相互配合使用比单独使用效果更好。该综述还强调了开展方法更优的随机对照试验的必要性。

相似文献

1
Conservative management of voiding dysfunction.排尿功能障碍的保守治疗
Indian J Urol. 2007 Apr;23(2):161-5. doi: 10.4103/0970-1591.32068.
2
Conservative management for postprostatectomy urinary incontinence.前列腺切除术后尿失禁的保守治疗
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Conservative management for postprostatectomy urinary incontinence.前列腺切除术后尿失禁的保守治疗
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Pelvic floor muscle training for stress urinary incontinence: a randomized, controlled trial comparing different conservative therapies.盆底肌训练治疗压力性尿失禁:一项比较不同保守治疗方法的随机对照试验
Physiother Res Int. 2011 Sep;16(3):133-40. doi: 10.1002/pri.489. Epub 2010 Sep 16.
5
[Physiotherapy of pelvic floor for incontinence].[盆底肌治疗尿失禁]
Arch Ital Urol Androl. 2001 Sep;73(3):143-6.
6
Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women.对于女性尿失禁,盆底肌训练联合另一种积极治疗与单纯采用同一种积极治疗的比较。
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Basic versus biofeedback-mediated intensive pelvic floor muscle training for women with urinary incontinence: the OPAL RCT.基础与生物反馈介导的强化盆底肌训练治疗女性尿失禁:OPAL RCT 研究。
Health Technol Assess. 2020 Dec;24(70):1-144. doi: 10.3310/hta24700.
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Pelvic floor muscle training for urinary incontinence in women.女性尿失禁的盆底肌训练
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WITHDRAWN: Pelvic floor muscle training for urinary incontinence in women.撤回:女性尿失禁的盆底肌训练。
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Pelvic floor electrical stimulation and muscles training: a combined rehabilitative approach for management of non-neuropathic urinary incontinence in children.盆底电刺激与肌肉训练:一种用于治疗儿童非神经源性尿失禁的联合康复方法。
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本文引用的文献

1
Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women.盆底肌训练与不治疗或非积极对照治疗对女性尿失禁的效果比较
Cochrane Database Syst Rev. 2006 Jan 25(1):CD005654. doi: 10.1002/14651858.CD005654.
2
The prevalence of urinary incontinence in community-dwelling married women: a matter of definition.社区居住已婚女性尿失禁的患病率:定义问题。
BJU Int. 2004 Dec;94(9):1291-5. doi: 10.1111/j.1464-410X.2004.05214.x.
3
Who will benefit from pelvic floor muscle training for stress urinary incontinence?压力性尿失禁患者进行盆底肌肉训练,谁将从中受益?
Am J Obstet Gynecol. 2004 Oct;191(4):1152-7. doi: 10.1016/j.ajog.2004.05.012.
4
Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work?盆底肌训练对治疗女性压力性尿失禁有效,但它是如何起作用的呢?
Int Urogynecol J Pelvic Floor Dysfunct. 2004 Mar-Apr;15(2):76-84. doi: 10.1007/s00192-004-1125-0. Epub 2004 Jan 24.
5
Functional extracorporeal magnetic stimulation as a treatment for female urinary incontinence: 'the chair'.功能性体外磁刺激治疗女性尿失禁:“座椅”疗法
BJU Int. 2004 Mar;93(4):539-42. doi: 10.1111/j.1464-410x.2003.04659.x.
6
Bladder training for urinary incontinence in adults.成人尿失禁的膀胱训练
Cochrane Database Syst Rev. 2004;2004(1):CD001308. doi: 10.1002/14651858.CD001308.pub2.
7
Physiologic therapy for urinary stress incontinence.压力性尿失禁的生理治疗
J Am Med Assoc. 1951 Jul 7;146(10):915-7. doi: 10.1001/jama.1951.03670100035008.
8
Predictors of outcome in the behavioral treatment of urinary incontinence in women.女性尿失禁行为治疗效果的预测因素
Obstet Gynecol. 2003 Nov;102(5 Pt 1):940-7. doi: 10.1016/s0029-7844(03)00770-1.
9
Stress incontinence of urine in women; physiologic treatment.女性压力性尿失禁;生理治疗
J Int Coll Surg. 1956 Apr;25(4 Part 1):487-99.
10
The acute effect of magnetic stimulation of the pelvic floor on involuntary detrusor activity during natural filling and overactive bladder symptoms.
BJU Int. 2003 Jun;91(9):810-3. doi: 10.1046/j.1464-410x.2003.04235.x.