膀胱训练和盆底肌肉训练对膀胱过度活动症的疗效性研究

Study of the efficacy of bladder training and pelvic floor muscle training in bladder hyperactivity

目的评估膀胱训练(BT)、盆底肌肉训练(PFMT)、生物反馈辅助盆底肌肉训练(BAPFMT)治疗在减轻膀胱过度活动症(OAB)症状和改善患者生活质量方面的疗效。方法随机选取2015年6月至2019年9月在本院招募到的135例女性OAB患者,将患者随机分为BT组(45例)、PFMT组(42例)及BAPFMT组(48例),对每组患者分别进行BT、PFMT、BAPFMT治疗,治疗周期为12周。患者治疗期间每2周记录一次排尿日记和膀胱过度活动症症状评分(OABSS)。采用OABSS评分分析每组治疗前后及三组治疗方法的疗效差异。结果BT组、PFMT组、BAPFMT组治疗前和治疗12周后的OABSS评分分别为(9.1±1.7)分vs.(5.7±1.1)分、(9.3±1.3)分vs.(5.3±1.2)分、(9.3±1.7)分vs.(4.9±1.1)分,三组患者治疗12周后的OABSS评分均较治疗前降低(均P<0.001);BT组与PFMT组患者治疗后的OABSS评分比较,差异无统计学意义(P=0.161);PFMT组与BAPFMT组患者治疗后的OABSS评分比较,差异无统计学意义(P=0.055);BAPFMT组患者治疗后的OABSS评分低于BT组,差异有统计学意义(P<0.001)。结论三种治疗方法治疗OAB患者均显示出较好的疗效。其中BAPFMT治疗方法效果更优。

Objective The purpose of this study was to evaluate the efficacy of bladder training(BT),pelvic floor muscle training(PFMT),and biofeedback assisted pelvic floor muscle training(BAPFMT)in reducing symptoms of bladder overactivity disorder(OAB)and improving the quality of life of patients.Methods A total of 135 female patients with OAB recruited in our hospital from June 2015 to September 2019 were randomly divided into BT group(45 cases),PFMT group(42 cases)and BAPFMT group(48 cases).Patients in each group were treated with BT,PFMT and BAPFMT,respectively,and the treatment cycle was 12 weeks.Voiding diary and overactive bladder symptom score(OABSS)were recorded every 2 weeks during the treatment.The OABSS score was used to analyze the efficacy of each group before and after treatment and the differences of treatment methods among the three groups.Results The OABSS scores of BT group,PFMT group and BAPFMT group before treatment and 12 weeks after treatment were(9.1±1.7)scores vs.(5.7±1.1)scores,(9.3±1.3)scores vs.(5.3±1.2)scores,(9.3±1.7)scores vs.(4.9±1.1)scores.The OABSS scores of the three groups 12 weeks after treatment were lower than those before treatment(all P<0.01).There was no significant difference in OABSS score between the BT group and the PFMT group after treatment(P=0.161).There was no significant difference in OABSS score between PFMT group and BAPFMT group after treatment(P=0.055).There was a significant difference in OABSS score between the BT group and the BAPFMT group after treatment(P<0.001).Conclusions BT,PFMT and BAPFMT methods show significant efficacy in the treatment of OAB patients.Among them,BAPFMT is better efficacy in post-treatment OAB patients.