Wyman J F, Fantl J A, McClish D K, Harkins S W, Uebersax J S, Ory M G
Virginia Commonwealth University, Richmond, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(4):223-9. doi: 10.1007/BF02765818.
This study investigated the changes in quality of life following a randomized controlled 6-week trial of bladder training in 123 older women with urinary incontinence. Both clinical (diary, pad test) and quality of life measures (Incontinence Impact Questionnaire (IIQ), Center for Epidemiological Studies-Depression Scale (CES-D)) and visual analog scales on symptom burden were obtained at baseline, 6 weeks and 6 months following treatment. All subscales and the composite scale of the IIQ and the visual analog scales were significantly improved following bladder training, with effects maintained 6 months later. No changes were observed in CES-D scores. Women with genuine stress incontinence and those with detrusor instability with or without concomitant stress incontinence had similar improvements. We conclude that bladder training is effective in improving the quality of life of incontinent women regardless of urodynamic diagnosis.
本研究对123名老年尿失禁女性进行了为期6周的膀胱训练随机对照试验，调查了其生活质量的变化。在治疗前、治疗6周后和6个月时，获取了临床指标（日记、尿垫试验）、生活质量指标（尿失禁影响问卷（IIQ）、流行病学研究中心抑郁量表（CES-D））以及症状负担视觉模拟量表。膀胱训练后，IIQ的所有子量表、综合量表以及视觉模拟量表均有显著改善，且6个月后效果仍持续存在。CES-D评分未观察到变化。真性压力性尿失禁女性以及伴有或不伴有压力性尿失禁的逼尿肌不稳定女性都有类似的改善。我们得出结论，无论尿动力学诊断如何，膀胱训练对改善尿失禁女性的生活质量均有效。
