1. 宁波市鄞州区第二医院泌尿外科,宁波
2. 宁波市鄞州区第二医院康复医学科,宁波
纸质出版:2025
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李毛毛, 忻立萍, 翁国斌, 等. 经皮胫神经电刺激联合盆底肌训练治疗前列腺癌根治术后尿失禁的疗效观察[J]. 中华物理医学与康复杂志, 2025,47(4):364-366.
李毛毛, 忻立萍, 翁国斌, et al. 经皮胫神经电刺激联合盆底肌训练治疗前列腺癌根治术后尿失禁的疗效观察[J]. 2025, 47(4): 364-366.
目的观察经皮胫神经电刺激(PTNS)联合盆底肌训练(PFMT)治疗前列腺癌(PCa)根治术后尿失禁患者的疗效。方法采用随机数字表法将86例PCa根治术后尿失禁患者分为观察组(41例)及对照组(45例)
2组患者均给予PFMT训练
观察组患者在此基础上辅以PTNS治疗
2组患者均每天治疗1次
每周治疗5 d。于治疗前、治疗8周后分别采用国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)、尿失禁生活质量问卷(I-QOL)对2组患者进行疗效评定
同时于上述时间点检测2组患者1 h尿垫试验漏尿量
并根据患者主观感受及漏尿量变化进行临床疗效评定。结果治疗8周后
2组患者ICI-Q-SF评分、I-QOL评分、1 h尿垫试验漏尿量均较治疗前明显改善(P<0.05);并且此时观察组ICI-Q-SF评分[(6.00±3.83)分]、I-QOL评分[(81.34±16.07)分]、1 h尿垫试验漏尿量[(1.75±1.93)g]及总有效率(95.1%)亦显著优于同期对照组水平(P<0.05)。结论 PTNS联合PFMT训练能显著改善PCa根治术后患者尿失禁症状
有效提升患者生活质量
该联合疗法值得临床推广、应用。
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