摘要
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7d排便和3d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（229±8）次／72h、（19±10）次／72h、（1．9±1．1）次／7d、（9±5）分和（5．6±2．0）kPa（1kPa=10．20cmH2O），单次指导组分别为（34±12）次／72h、（25±12）次／72h、（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。
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 rrehabili- ration 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 lat- er, 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 =t： 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 tile guidance of doctors has satisfactory therapeutic efficacy on the children with NASI.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2011年第8期550-553,共4页
Chinese Journal of Urology
关键词
儿童
尿失禁
康复效果
Child
Urinary incontinence
Rehabilitation outcome
