Weber-Rajek Magdalena, Radzimińska Agnieszka, Pilarska Beata, Kozakiewicz Mariusz, Goch Aleksander
Katedra Fizjoterapii, Wydział Nauk o Zdrowiu, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu, Bydgoszcz, Polska.
Klinika Urologii, Wydział Nauk o Zdrowiu, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu, Bydgoszcz, Polska.
Wiad Lek. 2019;72(3):368-373.
Introduction: In Poland, urinary incontinence (UI) is the ninth in frequency of reported health problem, which occurs in 15.4% of women over 60 years of age (data of the Central Statistical Office of 2016). The search for optimal treatment methods for this disease and objective methods for assessing the effectiveness of therapy is a challenge for an interdisciplinary team of specialists. The aim: To examine the effect of Extracorporeal Magnetic Innervation (ExMI) on the Irisin concentration in women with stress urinary incontinence.
Materials and methods: A total of 52 women were included in the analysis: 28 participants were allocated to the experimental group (EG) and 24 to the control group (CG). EG patients completed ExMI therapy, whereas no therapeutic intervention was applied to the CG. Irisin concentration, severity of urinary incontinence (RUIS) were measured in all women at the initial and final assessments.
Results: By comparing the initial and final assessment results we have been able to demonstrate a statistically significant differences in the measured variables in the EG. No statistically significant differences in the measured variables were reported for the CG at the initial and final assessments. No correlation was observed between the Irisin concentration results and severity of urinary incontinence in the EG at the final assessment.
Conclusions: There is a need for further studies of biochemical parameters in the assessment of pelvic floor muscle dysfunction.
引言：在波兰，尿失禁是报告的健康问题中频率排名第九的疾病，60岁以上女性中有15.4%患有尿失禁（2016年中央统计局数据）。寻找该疾病的最佳治疗方法以及评估治疗效果的客观方法，对跨学科专家团队来说是一项挑战。目的：研究体外磁神经刺激（ExMI）对压力性尿失禁女性鸢尾素浓度的影响。
材料与方法：共有52名女性纳入分析：28名参与者被分配到实验组（EG），24名被分配到对照组（CG）。EG组患者完成了ExMI治疗，而CG组未进行任何治疗干预。在初始和最终评估时，测量了所有女性的鸢尾素浓度、尿失禁严重程度（RUIS）。
结果：通过比较初始和最终评估结果，我们能够证明EG组测量变量存在统计学显著差异。CG组在初始和最终评估时，测量变量未报告有统计学显著差异。在最终评估时，EG组鸢尾素浓度结果与尿失禁严重程度之间未观察到相关性。
结论：在评估盆底肌肉功能障碍时，需要进一步研究生化参数。
