| 摘要: |
| 目的:探讨骶部电刺激联合行为疗法治疗老年女性膀胱过度活动症(OAB)的临床疗效。方法:选取我院2020年10月—2023年10月收治的老年女性OAB患者92例，按随机数字表法分成电刺激组、行为治疗组、联合治疗组及对照组四组，每组各23例；电刺激组予以推按运经仪电刺激骶部肾俞穴、会阳穴和次髎穴；行为治疗组予以指导患者正确的生活方式，并进行盆底肌训练和膀胱功能训练；联合治疗组予以电刺激联合行为治疗；对照组给予常规的药物治疗；以治疗前及治疗后3个月为研究终点，分别评估各组OABSS评分，检测患者初始尿意膀胱容量、最大膀胱容量及残余尿量。结果:联合治疗组OABSS评分明显低于其他三组(P <0.05)；电刺激组OABSS评分明显低于对照组和行为治疗组(P <0.05)。联合治疗组、电刺激组治疗后与本组治疗前相比，其初始尿意膀胱容量、最大膀胱容量均明显增加(P <0.05)，联合治疗组治疗后与电刺激组相比差别显著(P <0.05)。联合治疗组、电刺激组与行为治疗组和对照组治疗后相比，患者初始尿意膀胱容量和最大膀胱容量均显著增加(P <0.01)；四组残余尿量治疗后差异有统计学意义(P <0.05)，但变化差值较小，对于临床疗效评估无参考价值。结论:骶部电刺激联合行为疗法治疗能有效改善老年女性OAB患者的临床下尿路症状，增加患者初始尿意膀胱容量和最大膀胱容量。 |
| 关键词: 骶部 电刺激 行为疗法 膀胱过度活动症 老年女性 |
| DOI：10.3969/j.issn.1007-6948.2024.06.006 |
| 投稿时间：2024-06-01 |
| 基金项目: |
|
| Clinical efficacy of sacral electrical stimulation combined with behavioral therapy for treatment of elderly female patients with overactive bladder |
| CHEN Jian-ping,ZHU Zheng,GONG Luo-yi |
| Department of Urinary Surgery, The Second Affiliated Hospital of Zhejiang Chinese Medicine University, Hangzhou310011, China |
| Abstract: |
| Objective To observe the clinical effects of sacral electrical stimulation and behavioural therapy in treating elderly patients with overactive bladder. Methods A total of 92 elderly female patients with overactive bladder (OAB) admitted to our hospital from October 2020 to October 2023 were collected and divided into four groups, namely the electrical stimulation group, the behavioral therapy group, the combined treatment group and the control group, with 23 cases in each group by the random number table method. The electrical stimulation group was treated with electrical stimulation at Shenshu, Huiyang and Ciliao acupoints of the sacral region by the push-and-run meridian transport instrument. The behavioral therapy group was guided to have correct lifestyles and undergo pelvic floor muscle training and bladder function training. The combined treatment group received the combination of electrical stimulation and behavioral therapy. The control group was given conventional drug treatment. The study was conducted with treatment before and 3 months after treatment as the research endpoint, and the OABSS scores, and the initial bladder capacity, maximum bladder capacity, and residual urine volume of the patients were evaluated. Results After treatment, combined treatment group was significantly lower than other three groups(P <0.05), electrical stimulation group was significantly lower than control group and behavioural therapy group (P <0.05). About first desire to void and maximum cystometric capacity, combined treatment group and electrical stimulation group were significantly higher than before(P <0.05), combined treatment group was significantly higher than electrical stimulation group(P <0.05). These two groups were significantly higher than control group and behavioural therapy group after treatment (P <0.01). About post void residual, four groups were no marked difference between posttreatment and prior treatment (P >0.05). Although there was a statistically significant difference in post-void residual volume among the four groups post-treatment (P <0.05), the changes were minimal and of limited clinical relevance. Conclusion Sacral electrical stimulation combined with behavioral therapy effectively improves clinical lower urinary tract symptoms in elderly female patients with OAB, enhancing both initial bladder capacity and maximum bladder capacity. |
| Key words: Sacral electrical stimulation behavioural therapy overactive bladder elderly female |
