中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
CHINESE JOURNAL OF UROLOGY
2011年
8期
550-553
,共4页
儿童%尿失禁%康复效果
兒童%尿失禁%康複效果
인동%뇨실금%강복효과
Child%Urinary incontinence%Rehabilitation outcome
目的 探讨跟踪指导盆底肌康复锻炼治疗儿童神经源性尿道无功能性尿失禁(NASI)的近期疗效.方法 选取确诊的NASI患儿68例.年龄4～12岁,平均7岁.随机分为跟踪指导组和单次指导组,每组34例,均行盆底肌康复锻炼.分别记录治疗前后7 d排便和3 d排尿日记,填写ICI-Q-SF问卷表,行尿动力学检查.随访治疗结束后3个月疗效;统计学比较2组相关参数差异.结果 治疗后跟踪指导组患儿总排尿次数、总漏尿次数、总大便失禁次数、问卷评分和最大尿道闭合压分别为(29±8)次/72 h、(19±10)次/72 h、(1.9±1.1)次/7 d、(9±5)分和(5.6±2.0)kPa(1 kPa=10.20 cm H2O),单次指导组分别为(34±12)次/72 h、(25±12)次/72 h、(2.5±1.3)次/7d、(12±6)分和(4.7±1.7)kPa,组间差异有统计学意义(P＜0.05).跟踪指导组患者治疗结束和随访3个月有效率分别为79.4%和70.6%,单次指导组分别为64.7%和50.0%,组间差异有统计学意义(P＜0.05).结论 跟踪指导盆底肌康复锻炼是一种治疗NASI较有效的方法.
目的 探討跟蹤指導盆底肌康複鍛煉治療兒童神經源性尿道無功能性尿失禁(NASI)的近期療效.方法 選取確診的NASI患兒68例.年齡4～12歲,平均7歲.隨機分為跟蹤指導組和單次指導組,每組34例,均行盆底肌康複鍛煉.分彆記錄治療前後7 d排便和3 d排尿日記,填寫ICI-Q-SF問捲錶,行尿動力學檢查.隨訪治療結束後3箇月療效;統計學比較2組相關參數差異.結果 治療後跟蹤指導組患兒總排尿次數、總漏尿次數、總大便失禁次數、問捲評分和最大尿道閉閤壓分彆為(29±8)次/72 h、(19±10)次/72 h、(1.9±1.1)次/7 d、(9±5)分和(5.6±2.0)kPa(1 kPa=10.20 cm H2O),單次指導組分彆為(34±12)次/72 h、(25±12)次/72 h、(2.5±1.3)次/7d、(12±6)分和(4.7±1.7)kPa,組間差異有統計學意義(P＜0.05).跟蹤指導組患者治療結束和隨訪3箇月有效率分彆為79.4%和70.6%,單次指導組分彆為64.7%和50.0%,組間差異有統計學意義(P＜0.05).結論 跟蹤指導盆底肌康複鍛煉是一種治療NASI較有效的方法.
목적 탐토근종지도분저기강복단련치료인동신경원성뇨도무공능성뇨실금(NASI)적근기료효.방법 선취학진적NASI환인68례.년령4～12세,평균7세.수궤분위근종지도조화단차지도조,매조34례,균행분저기강복단련.분별기록치료전후7 d배편화3 d배뇨일기,전사ICI-Q-SF문권표,행뇨동역학검사.수방치료결속후3개월료효;통계학비교2조상관삼수차이.결과 치료후근종지도조환인총배뇨차수、총루뇨차수、총대편실금차수、문권평분화최대뇨도폐합압분별위(29±8)차/72 h、(19±10)차/72 h、(1.9±1.1)차/7 d、(9±5)분화(5.6±2.0)kPa(1 kPa=10.20 cm H2O),단차지도조분별위(34±12)차/72 h、(25±12)차/72 h、(2.5±1.3)차/7d、(12±6)분화(4.7±1.7)kPa,조간차이유통계학의의(P＜0.05).근종지도조환자치료결속화수방3개월유효솔분별위79.4%화70.6%,단차지도조분별위64.7%화50.0%,조간차이유통계학의의(P＜0.05).결론 근종지도분저기강복단련시일충치료NASI교유효적방법.
Objective To evaluate the short-term effect of pelvic floor muscle rehabilitation training under the guidance of doctors on children with neuropathic acontractile sphincter incontinence ( NASI ).Methods Sixty eighty children[aged 4 - 12 ( mean, 7 ) years]with NASI were selected.All children were randomly divided into multiple guidance group and single guidance group.Pelvic floor muscle rrehabilitation training was successfully accomplished in all children.Three-day urinary diary, 7-day fecal diary, the ICI-Q-SF score and urodynamic evaluations were completed before and after the treatment.Three months later, follow-up was carried out.The results were compared between the groups.Results After treatment,TOV, LT, TFI and ICI-Q-SF of multiple guidance group were significantly lower than those of single guidance group[(29±8) vs (34±12), (19±10) vs (25 ±12), (1.9±1.1) vs (2.5 ±1.3), (9±5) vs ( 12 ± 6 ), P ＜ 0.05], however, PMUC of multiple guidance group was significantly higher than those of single guidance group[(5.6 ± 2.0 ) vs (4.7 ± 1.7 ), P ＜ 0.05].The effective rate of multiple guidance group after treatment and at follow-up were respectively 79.4% and 70.6% , significantly higher than those of single guidance group ( 64.7% and 50.0%, P ＜ 0.05 ).Conclusion Pelvic floor muscle rehabilitation training under the guidance of doctors has satisfactory therapeutic efficacy on the children with NASI.
