Kafri Rachel, Deutscher Daniel, Shames Jeffrey, Golombp Jacob, Melzer Itshak
Department of Physical Therapy, Schwartz Movement Analysis & Rehabilitation Laboratory, Physical Therapy Department, Recanati School for Community Health Professions, Faculty of Health Science, Ben-Gurion University of Negev, PO Box 653, Beer-Sheva 84105, Israel.
Int Urogynecol J. 2013 Jul;24(7):1181-9. doi: 10.1007/s00192-012-1992-8. Epub 2012 Nov 17.
Our goal was to compare the long-term efficacy of bladder training (BT), pelvic floor muscle training (PFMT), combined pelvic floor rehabilitation (CPFR), and drug therapy (DT) in patients with urgency urinary incontinence (UUI).
This multicenter single-blind randomized controlled trial compared the efficacy of BT, PFMT, DT, and CPFR at baseline and 3- and 12-month follow-ups. Outcome measures included number of voids/24 h, number of UUI episodes, Quality of Life related to UUI (QOL-rUI), urogynecologic visual analog scale, and self-reported function and disability.
A significant improvement was found for all treatment groups at 3 and 12 months in urinary frequency, UUI episodes, QOL-rUI, and number of daily pads. Only CPFR showed a significant decrease of 4 voids/24 h and a significant increase in self-reported function.
The study demonstrated long-term benefits of DT, BT, PFMT, and CPFR in the treatment of UUI with a slight advantage for CPFR.
我们的目标是比较膀胱训练（BT）、盆底肌肉训练（PFMT）、联合盆底康复（CPFR）和药物治疗（DT）对急迫性尿失禁（UUI）患者的长期疗效。
这项多中心单盲随机对照试验在基线以及3个月和12个月随访时比较了BT、PFMT、DT和CPFR的疗效。结局指标包括24小时排尿次数、UUI发作次数、与UUI相关的生活质量（QOL-rUI）、泌尿妇科视觉模拟量表以及自我报告的功能和残疾情况。
在3个月和12个月时，所有治疗组在尿频、UUI发作次数、QOL-rUI和每日使用护垫数量方面均有显著改善。只有CPFR显示24小时排尿次数显著减少4次，自我报告的功能显著改善。
该研究证明了DT、BT、PFMT和CPFR在治疗UUI方面的长期益处，CPFR略有优势。
