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阴道负重锥体与辅助盆底肌肉训练治疗女性尿失禁的比较:一项前瞻性、单盲、随机试验

Vaginal weight cone versus assisted pelvic floor muscle training in the treatment of female urinary incontinence. A prospective, single-blind, randomized trial.

作者信息

Gameiro Mônica Orsi, Moreira Eliane Hilberath, Gameiro Felipe Orsi, Moreno Juliana Cruz, Padovani Carlos Roberto, Amaro João Luiz

机构信息

School of Medicine, São Paulo State University (UNESP), Botucatu, Brazil.

出版信息

Int Urogynecol J. 2010 Apr;21(4):395-9. doi: 10.1007/s00192-009-1059-7. Epub 2010 Jan 6.

DOI:10.1007/s00192-009-1059-7
PMID:20052573
Abstract

INTRODUCTION AND HYPOTHESIS

Vaginal weight cone (VWC) versus assisted pelvic floor muscle training (APFMT) in the treatment of urinary incontinence (UI) in women.

METHODS

One hundred three incontinent women were randomly distributed into two groups: group G1 (n = 51) treated with VWC and G2 (n = 52), APFMT. The following parameters were performed initially and after treatment: (1) clinical questionnaire, (2) visual analogue scale (VAS), (3) 60-min pad test, and (4) subjective and objective assessment of pelvic floor muscle (PFM).

RESULTS

There was a significant decrease in nocturia and urine loss after treatment in both groups (p < 0.05). In VAS, there was a significant improvement of all parameters in both groups (p < 0.05). The pad test showed significant decrease in both groups (p < 0.05). There was a significant increase of PFM strength in both groups (p < 0.05).

CONCLUSION

There was no difference between groups treated with VWC and APFMT.

摘要

引言与假设

阴道重锤(VWC)与辅助盆底肌肉训练(APFMT)治疗女性尿失禁(UI)的对比。

方法

103名尿失禁女性被随机分为两组:G1组(n = 51)采用阴道重锤治疗,G2组(n = 52)采用辅助盆底肌肉训练治疗。在治疗前后分别进行以下参数评估:(1)临床问卷,(2)视觉模拟评分法(VAS),(3)60分钟护垫试验,以及(4)盆底肌肉(PFM)的主观和客观评估。

结果

两组治疗后夜尿症和尿失禁情况均显著改善(p < 0.05)。在视觉模拟评分法中,两组所有参数均显著改善(p < 0.05)。护垫试验显示两组均显著降低(p < 0.05)。两组盆底肌肉力量均显著增强(p < 0.05)。

结论

阴道重锤治疗组与辅助盆底肌肉训练治疗组之间无差异。

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Behavioral Intervention Program versus Vaginal Cones on Stress Urinary Incontinence and Related Quality of Life: A Randomized Clinical Trial.行为干预计划与阴道锥治疗压力性尿失禁及相关生活质量的比较:一项随机临床试验
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