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女性尿失禁:生物反馈作为一种创新治疗方法。

Urinary incontinence in women: biofeedback as an innovative treatment method.

作者信息

Kopańska Marta, Torices Silvia, Czech Joanna, Koziara Wiktoria, Toborek Michal, Dobrek Łukasz

机构信息

Department of Pathophysiology and Human Physiology, Faculty of Medicine, University of Rzeszow, 16C Rejtana Street, Rzeszow, 35-959, Poland.

Department of Biochemistry and Molecular Biology, School of Medicine, University of Miami, Miami, FL, USA.

出版信息

Ther Adv Urol. 2020 Jun 25;12:1756287220934359. doi: 10.1177/1756287220934359. eCollection 2020 Jan-Dec.

Abstract

Urinary incontinence is an involuntary urination (leakage of urine). About 200 million people suffer from this condition, and 60% of cases are concealed and untreated because of shame. It is estimated that an increasing number of young women and women of menopausal age will suffer from urinary incontinence. This disease occurs during the perinatal, perimenopausal period, as a result of brain damage or an unhealthy lifestyle. There are four main types of urinary incontinence: stress, urge, overflow and mixed form. Treatment is adapted to the severity of disease, its type and includes physiotherapeutic treatment (kinesiotherapy, physiotherapy, massage), pharmacological, psychological and surgical treatment. In recent years, growing interest has been observed in the noninvasive biofeedback method. The patient learns to contract the weakened pelvic floor muscles, constantly monitoring progress in treatment. She is also motivated by visual and auditory stimuli. Growing evidence confirms the effectiveness of this method, which to a large extent eliminates urinary incontinence. Nevertheless, attention should also be paid to prevention, which reduces the risk of involuntary leakage of urine.

摘要

尿失禁是指不自主排尿(尿液泄漏)。约有2亿人患有这种疾病,其中60%的病例因羞耻感而未被发现和治疗。据估计,越来越多的年轻女性和更年期女性将患有尿失禁。这种疾病发生在围产期、围绝经期,是脑损伤或不健康生活方式的结果。尿失禁主要有四种类型:压力性、急迫性、充溢性和混合性。治疗方法根据疾病的严重程度、类型而定,包括物理治疗(运动疗法、物理疗法、按摩)、药物治疗、心理治疗和手术治疗。近年来,人们对无创生物反馈方法的兴趣日益浓厚。患者学会收缩减弱的盆底肌肉,不断监测治疗进展。视觉和听觉刺激也能激励患者。越来越多的证据证实了这种方法的有效性,它在很大程度上消除了尿失禁。然而,也应该注意预防,这可以降低尿液不自主泄漏的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2660/7325537/24e6fb7c2ed7/10.1177_1756287220934359-fig1.jpg

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