Xiaofang Liu, Fang Lin, Shuang Luo, Zongjie L U, Quanjiang H E, Yan M U, Qiao Peng
Suining central Hospital, Sichuan, Suining 629000, China.
J Womens Health Dev. 2023 Mar 24;6(1):31-35. doi: 10.26502/fjwhd.2644-288400105.
To evaluate the short-term efficacy of pelvic magnetic stimulation combined with pelvic muscle biofeedback on female Idiopathic Overactive Bladder (IOAB).
96 cases of IOAB females were randomly divided into control group (magnetic stimulation treatment n=48) and observation group (magnetic stimulation with biofeedback n=48). All the patients were dealt with the sacralneuromagnetic stimulation (once, qod), with 5 times in total. Then the patients in observation group were processed with biofeedback (10 times). Overactive Bladder Symptom Score (OABSS), Patients Perception Bladder Condition (PPBC) and Incontinence Quality of Life Scale (I-QOL) were evaluated as the indexes.
The effective rate of control group and observation group respectively were 89.58% and 93.75%. There were significant differences (P=0.67). The OABSS and PPBC of two groups were decreased, I-QOL were increased after treatment (P<0.05). Difference was statistically significant in OABSS three months after treatment between the two groups (P=0.00).The recurrence rate of three months after treatment of the two groups were 18.75% and 6.38% (P=0.04).
Both magnetic stimulation alone and magnetic stimulation with biofeedback were effective and safe in female patients with IOAB. Magnetic stimulation with biofeedback may reduce the recurrence rate and continue to improve the symptoms in a certain extent.
评估盆腔磁刺激联合盆底肌生物反馈对女性特发性膀胱过度活动症(IOAB)的短期疗效。
将96例IOAB女性患者随机分为对照组(磁刺激治疗,n = 48)和观察组(磁刺激联合生物反馈,n = 48)。所有患者均接受骶神经磁刺激(每周1次,共5次)。然后观察组患者接受生物反馈治疗(10次)。以膀胱过度活动症症状评分(OABSS)、患者膀胱状况感知(PPBC)和尿失禁生活质量量表(I-QOL)作为评估指标。
对照组和观察组的有效率分别为89.58%和93.75%。差异有统计学意义(P = 0.67)。两组治疗后OABSS和PPBC均降低,I-QOL升高(P < 0.05)。两组治疗后3个月OABSS差异有统计学意义(P = 0.00)。两组治疗后3个月的复发率分别为18.75%和6.38%(P = 0.04)。
单独磁刺激和磁刺激联合生物反馈对女性IOAB患者均有效且安全。磁刺激联合生物反馈可能降低复发率,并在一定程度上持续改善症状。