Voiding dysfunction,such as urge-frequency syndrome,urge incontinence,stress incontinence and unobstructive urinary retention,is often refractory to pharmacotherapy.Electrical neuromodulation has proved to be benefici...Voiding dysfunction,such as urge-frequency syndrome,urge incontinence,stress incontinence and unobstructive urinary retention,is often refractory to pharmacotherapy.Electrical neuromodulation has proved to be beneficial for these situations.Electroacupuncture pudendal nerve stimulation(EPNS),as one therapy of electrical neuromodulation,is beneficial for voiding dysfunction.The performance and application of EPNS will be introduced in this article.展开更多
文摘目的 观察骶神经磁刺激联合生物反馈(BF)加电针治疗轻中度混合型便秘的临床疗效。方法 选取凉山彝族自治州第一人民医院长安分院肛肠科2020年12月至2022年1月收治的40例轻中度混合型便秘患者为研究对象。采用骶神经磁刺激联合BF加电针治疗,治疗3个疗程,参考中华医学会外科学分会肛肠外科学组的便秘症状及疗效评估方法进行便秘症状评分,比较治疗前及治疗1、2、3个疗程后便质评分、便意感次数、排便次数、腹胀程度。采用患者评价便秘生活质量问卷(PAC-QOL)评估法比较治疗前、治疗3个疗程后患者身体不适、心理不适、便秘相关的焦虑和关心及对治疗的满意度。结果 与治疗前比较,不使用开塞露或利那洛肽患者治疗1、2、3个疗程便质评分高分占比呈上升趋势,差异有统计学意义(P<0.001)。与治疗前比较,治疗1、2、3个疗程患者排便困难、过度用力排便缓解发生率逐渐降低,粪便性状4~5型患者占比呈上升趋势,排便时间每次短于10 min的患者占比呈上升趋势(P<0.001);下坠、不尽、胀感患者占比呈下降趋势(P<0.05);排便频率在1~3 d 1次的患者占比呈上升趋势(P<0.001);排便频率在>3~6 d 1次的患者占比呈下降趋势(P<0.05);腹胀无显著变化(P>0.05);无措施不解患者占比呈下降趋势(P<0.05)。与治疗前比较,治疗后患者身体不适、心理不适、便秘相关的焦虑和关心、满意度评分明显下降,差异均有统计学意义(P<0.05)。治疗结束时临床痊愈24例,好转16例,无效0例;治疗后1个月随访,临床痊愈23例,好转15例,无效2例;治疗后3个月随访,临床痊愈21例,好转14例,无效5例。结论 骶神经磁刺激联合BF加电针治疗轻中度混合型便秘可有效提高治疗效果,改善患者生活质量。
基金supported by Project of Shanghai Municipal Science and Technology Commission(09dZ1974900)Project of Shanghai Municipal Science and Technology Commission(12401904600)Project of Shanghai Municipal Health Bureau(ZYSNXD-CCZDYJ010)
文摘Voiding dysfunction,such as urge-frequency syndrome,urge incontinence,stress incontinence and unobstructive urinary retention,is often refractory to pharmacotherapy.Electrical neuromodulation has proved to be beneficial for these situations.Electroacupuncture pudendal nerve stimulation(EPNS),as one therapy of electrical neuromodulation,is beneficial for voiding dysfunction.The performance and application of EPNS will be introduced in this article.
