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脊髓脊膜膨出患儿尿失禁的尿动力学生物反馈治疗

Urodynamic biofeedback treatment of urinary incontinence in children with myelomeningocele.

作者信息

Killam P E, Jeffries J S, Varni J W

出版信息

Biofeedback Self Regul. 1985 Jun;10(2):161-71. doi: 10.1007/BF01000751.

DOI:10.1007/BF01000751
PMID:3914315
Abstract

Eight children with myelomeningocele and chronic neurogenic urinary incontinence were provided urodynamic biofeedback training. During urodynamic biofeedback, six of the eight children demonstrated improved self-regulation of detrusor and/or sphincter functioning. However, substantial improvements in clinical symptomatology (i.e., urinary incontinence) were clearly shown by only one child. Unexpectedly, chronic neurogenic fecal incontinence was reduced in four children. Several methodological modifications are discussed which may improve clinical symptomatology and which may facilitate further urodynamic biofeedback research for these children with congenital neurogenic urinary incontinence.

摘要

对八名患有脊髓脊膜膨出和慢性神经源性尿失禁的儿童进行了尿动力学生物反馈训练。在尿动力学生物反馈过程中,八名儿童中有六名表现出逼尿肌和/或括约肌功能自我调节能力有所改善。然而,只有一名儿童的临床症状(即尿失禁)有明显改善。出乎意料的是,四名儿童的慢性神经源性大便失禁有所减轻。文中讨论了几种方法上的改进措施,这些措施可能会改善临床症状,并可能有助于对这些先天性神经源性尿失禁儿童进行进一步的尿动力学生物反馈研究。

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1
Urodynamic biofeedback treatment of urinary incontinence in children with myelomeningocele.脊髓脊膜膨出患儿尿失禁的尿动力学生物反馈治疗
Biofeedback Self Regul. 1985 Jun;10(2):161-71. doi: 10.1007/BF01000751.
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Use of biofeedback in treatment of fecal incontinence in patients with meningomyelocele.生物反馈在脊髓脊膜膨出患者大便失禁治疗中的应用。
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引用本文的文献

1
The use of biofeedback in a behavioral program designed to teach an anxious child self-catheterization.
Biofeedback Self Regul. 1988 Dec;13(4):347-55. doi: 10.1007/BF00999089.

本文引用的文献

1
Conceptualizations of health and illness by children with spina bifida.患有脊柱裂的儿童对健康和疾病的认知
Child Health Care. 1985 Winter;13(3):102-8. doi: 10.1207/s15326888chc1303_2.
2
Myelodysplasia: management and treatment.骨髓发育异常:管理与治疗
Curr Probl Pediatr. 1980 Jan;10(3):1-98. doi: 10.1016/s0045-9380(80)80002-8.
3
Behavior therapy in a gait-training program for a child with myelomeningocele. A case report.脊髓脊膜膨出患儿步态训练项目中的行为疗法。病例报告。
Phys Ther. 1981 Sep;61(9):1284-7. doi: 10.1093/ptj/61.9.1284.
4
Biofeedback treatment of fecal incontinence in patients with myelomeningocele.脊髓脊膜膨出患者大便失禁的生物反馈治疗
Dev Med Child Neurol. 1981 Jun;23(3):313-22.
5
Use of biofeedback in treatment of fecal incontinence in patients with meningomyelocele.生物反馈在脊髓脊膜膨出患者大便失禁治疗中的应用。
Pediatrics. 1981 Jul;68(1):45-9.
6
The pressure sore: pathophysiology and principles of management.
Ann Intern Med. 1981 May;94(5):661-6. doi: 10.7326/0003-4819-94-5-661.
7
Urodynamics in children. Part II. The pseudoneurogenic bladder.
J Urol. 1981 Apr;125(4):534-7. doi: 10.1016/s0022-5347(17)55097-1.
8
Urodynamics in children. Part I. Methodology.儿童尿动力学。第一部分。方法学。
J Urol. 1981 Apr;125(4):530-3. doi: 10.1016/s0022-5347(17)55096-x.
9
Spina bifida: implications for 100 children at school.脊柱裂:对100名在校儿童的影响。
Dev Med Child Neurol. 1981 Apr;23(2):160-72. doi: 10.1111/j.1469-8749.1981.tb02438.x.
10
Behavioral management of fecal incontinence in a child with myelomeningocele.
Pediatr Nurs. 1982 Jul-Aug;8(4):267-70.