基于移动app的盆底联合髋部肌肉训练对女性压力性尿失禁的影响。

IF 0.9 4区 医学 Q4 UROLOGY & NEPHROLOGY
Yan Tang, Liang Yang, Zegang Hu, Li Shen, Duomei Zhang, Lei Jia
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引用次数: 0

摘要

目的:本研究旨在评估基于移动app的盆底联合臀部肌肉训练对女性压力性尿失禁(SUI)的影响。方法:回顾性收集我院2021年1月至2023年12月收治的女性SUI患者的临床资料。根据治疗方式的不同分为对照组和联合组。对照组采用常规盆底肌训练(PFMT)治疗,联合组采用基于移动应用程序的PFMT联合髋关节肌训练治疗。结果:共纳入113例患者,其中对照组55例,联合治疗组58例。两组一般资料具有可比性(p < 0.05)。重复测量方差分析(ANOVA)显示,国际尿失禁咨询问卷(ICIQ-SF)的测量时间和组间存在显著交互作用(p < 0.05),且时间和组间存在显著主效应(p < 0.001)。简单效应分析显示,训练前各组间ICIQ-SF差异无统计学意义(p < 0.05)。8、12周时,联合用药组ICIQ-SF低于对照组(p < 0.05)。运动前1小时PAD组间比较差异无统计学意义(p < 0.05);运动后,联合组优于对照组(p < 0.05)。运动后,联合组尿失禁发作频率(IEF)和肌电参数均低于对照组(p < 0.05)。联合治疗组治疗依从性显著优于对照组(p < 0.05)。结论:基于移动应用的盆底及髋部肌肉训练可有效减轻女性SUI患者尿失禁症状,改善病情严重程度,降低失禁频率,增强盆底功能,保证患者较高的治疗依从性,是一种很有前景的临床方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Mobile App-Based Pelvic Floor Combined with Hip Muscle Training on Stress Urinary Incontinence in Women.

Objective: This study was designed to evaluate the impact of mobile app-based pelvic floor combined with hip muscle training on female stress urinary incontinence (SUI).

Methods: The clinical data of female patients with SUI treated in our hospital from January 2021 to December 2023 were retrospectively collected. They were divided into the control group and combined group according to the difference in treatment style. The control group received conventional pelvic floor muscle training (PFMT) treatment, and the combined group received mobile app-based PFMT combined with hip muscle training treatment.

Results: A total of 113 patients were included (55 in the control group and 58 in the combination group). Their general data were comparable (p > 0.05). Repeated measures analysis of variance (ANOVA) revealed a significant interaction between measurement time and group on International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) (p < 0.05), with significant main effects of time and group (p < 0.001). Simple effect analysis showed no significant ICIQ-SF difference between the groups before training (p > 0.05). At 8 and 12 weeks, the combination group had a lower ICIQ-SF than the control group (p < 0.05). Before exercise, we found no significant difference in 1-hour PAD between the groups (p > 0.05); After exercise, the combination group outperformed the control group (p < 0.05). Post-exercise, the combination group had a lower incontinence episode frequency (IEF) and higher electromyography parameters than the control group (p < 0.05). The combination group's treatment compliance was significantly better than the control group's (p < 0.05).

Conclusions: Mobile application-based pelvic floor and hip muscle training can effectively reduce urinary incontinence symptoms, improve disease severity, decrease incontinence frequency, enhance pelvic floor function and ensure high treatment compliance in female patients with SUI, making it a promising clinical approach.

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来源期刊
Archivos Espanoles De Urologia
Archivos Espanoles De Urologia UROLOGY & NEPHROLOGY-
CiteScore
0.90
自引率
0.00%
发文量
111
期刊介绍: Archivos Españoles de Urología published since 1944, is an international peer review, susbscription Journal on Urology with original and review articles on different subjets in Urology: oncology, endourology, laparoscopic, andrology, lithiasis, pediatrics , urodynamics,... Case Report are also admitted.
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