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[如果经皮胫神经刺激(PTNS)有效该怎么做?一项关于家庭式经皮胫神经刺激的初步研究]

[What to do if percutaneous tibial nerve stimulation (PTNS) works? A pilot study on home-based transcutaneous tibial nerve stimulation].

作者信息

Maurelli Valentina, Petta Filomena, Carsillo Gianni, Miano Roberto, Lamorte Fiorenza, Perugia Claudio, Finazzi Agrò Enrico

机构信息

Scuola di Specializzazione in Urologia, Università di Roma Tor Vergata - Italy.

出版信息

Urologia. 2012 Dec 30;79 Suppl 19:86-90. doi: 10.5301/RU.2012.9366.

Abstract

INTRODUCTION

Aim of this pilot study was to assess the feasibility of a home-based transcutaneous tibial nerve stimulation (TTNS) protocol in patients responding to percutaneous tibial nerve stimulation (PTNS ).

MATERIALS AND METHODS

16 overactive bladder syndrome (OAB) patients, responding to PTNS, were included. Patients performed a flexible home protocol of TTNS. Satisfied patients were considered "subjective responders"; patients not showing a ≥10% increase of urgency/urgency incontinence episodes/day were considered "objective responders".

RESULTS

14/16 patients were followed up for a mean of 19.7 months. All patients were considered subjective responders; 13 were considered objective responders. The mean number of stimulations/week was 1.6 (1-3).

CONCLUSIONS

After this pilot study, it is possible to conclude that home-based TTNS is feasible. Nevertheless, further randomized trials are needed before drawing any conclusions.

摘要

引言

本初步研究的目的是评估在经皮胫神经刺激(PTNS)有反应的患者中,基于家庭的经皮胫神经刺激(TTNS)方案的可行性。

材料与方法

纳入16例对PTNS有反应的膀胱过度活动症(OAB)患者。患者实施了灵活的家庭TTNS方案。满意的患者被视为“主观反应者”;每日尿急/急迫性尿失禁发作次数未增加≥10%的患者被视为“客观反应者”。

结果

14/16例患者接受了平均19.7个月的随访。所有患者均被视为主观反应者;13例被视为客观反应者。每周刺激的平均次数为1.6次(1 - 3次)。

结论

经过本初步研究,可以得出基于家庭的TTNS是可行的结论。然而,在得出任何结论之前还需要进一步的随机试验。

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