经皮胫神经刺激治疗老年女性急迫性尿失禁的随机试验。
Randomized trial of transcutaneous tibial nerve stimulation to treat urge urinary incontinence in older women.
作者信息
Schreiner Lucas, dos Santos Thaís Guimarães, Knorst Mara Regina, da Silva Filho Irênio Gomes
机构信息
Gynecology Department, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil.
出版信息
Int Urogynecol J. 2010 Sep;21(9):1065-70. doi: 10.1007/s00192-010-1165-6. Epub 2010 May 11.
INTRODUCTION
The aim of this study was to examine the efficacy of transcutaneous electrical tibial nerve stimulation (TTNS) to treat urge urinary incontinence (UUI) in older women.
MATERIAL AND METHODS
The study design was a randomized clinical trial conducted on 51 elderly women (>60 years) with UUI. All were treated with 12 weeks of bladder retraining and pelvic floor muscle exercises, and 25 were randomly selected to receive TTNS in addition to the standard therapy. The cases were evaluated at the baseline and after the end of therapy by 3-day bladder diary, quality of life questionnaires (QoL), and subjective response.
RESULTS
Of the patients, 68.0% in TTNS group reported cure or improvement vs. 34.6% in the control group (P = 0.017). TTNS showed significant improvement in most areas of QoL and in UUI parameters when compared with the control group.
CONCLUSION
TTNS is efficacious to treat UUI in older women.
引言
本研究旨在探讨经皮胫神经刺激（TTNS）治疗老年女性急迫性尿失禁（UUI）的疗效。
材料与方法
本研究设计为一项针对51名年龄大于60岁的UUI老年女性进行的随机临床试验。所有患者均接受为期12周的膀胱再训练和盆底肌肉锻炼，另外随机选择25名患者在标准治疗基础上接受TTNS治疗。通过3天膀胱日记、生活质量问卷（QoL）和主观反应在基线和治疗结束后对病例进行评估。
结果
TTNS组68.0%的患者报告治愈或改善，而对照组为34.6%（P = 0.017）。与对照组相比，TTNS在QoL的大多数方面和UUI参数方面均显示出显著改善。
结论
TTNS对治疗老年女性UUI有效。
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