行为治疗在非溃疡性间质性膀胱炎/膀胱疼痛综合征患者中的应用

Efficacy of behavior therapy on patients with non-ulcer interstitial cystitis/bladder pain syndrome

目的:分析行为治疗对非溃疡性间质性膀胱炎/膀胱疼痛综合征(IC/BPS)患者的影响。方法:回顾性研究我科自2016年 1月-2018年1月收治的70例非溃疡性IC/BPS患者资料。患者均仅采用行为治疗,内容包括调整饮食、排尿训练和盆底肌训练,治疗周期共6个月。分别于治疗前及治疗后6个月对盆腔疼痛及尿频评分、日平均排尿次数、平均尿量等相关指标进行评价,记录排尿日记与不良反应。结果:52例患者完成治疗,18例因其他原因中止本次治疗,治疗后相关指标与治疗前相比均有改善,并具有统计学意义(P<0.05)。结论:行为治疗是治疗非溃疡性IC/BPS的有效、安全的疗法。

Objective: To investigate the effect of behavior therapy on patients with non-ulcer interstitial cystitis / bladder pain syndrome. Methods: Seventy patients with non-ulcer IC/BPS treated in our department from January 2016 to January 2018 were retrospectively analyzed. All patients were treated with behavior therapy, including diet adjustment, urination training and pelvic floor muscle training, the treatment lasted for six months. The pelvic pain and frequency of urine frequency, the average daily urination times, and the average urine volume were evaluated before and after the treatment, the diary of urination and the adverse reactions were recorded. Results: Fifty-two patients underwent the treatment, and the treatment was terminated for 18 patients. The related indicators were improved compared with those before treatment, and the difference was statistically significant(P<0.05). Conclusion: Behavior therapy maybe an effective and safe treatment for patients with non-ulcer IC /BPS.