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首页> 外文期刊>Journal of pediatric urology >Evaluation of constipation after parasacral transcutaneous electrical nerve stimulation in children with lower urinary tract dysfunction - A pilot study
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Evaluation of constipation after parasacral transcutaneous electrical nerve stimulation in children with lower urinary tract dysfunction - A pilot study

机译：lower下经皮神经电刺激对下尿路功能障碍儿童的便秘评估-一项初步研究

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Objective: To evaluate the efficacy of parasacral transcutaneous electrical nerve stimulation (TENS) for the treatment of constipation in children with lower urinary tract dysfunction (LUTD). Materials and methods: We treated 9 boys and 5 girls with a mean age of 8.07 ± 2.72 years. 10 (71.4%) had overactive bladder and 4 (28.6%) had voiding dysfunction. A total of 20 parasacral TENS sessions, 20 min each (10 Hz), were performed 3 times per week. The criteria used to assess constipation were the Rome III criteria for children, the Bristol Stool Chart, and a visual analog scale (pain from 0 to 10). The children were reassessed immediately after treatment. No specific treatment of constipation was performed. Results: After treatment, 85.7% (p < 0.001) of the children's constipation symptoms had improved following the Rome III criteria. Parasacral TENS significantly impacted the following symptoms: "the presence of at least one episode of fecal incontinence per week", "history of stool retention", and "the presence of a large fecal mass in the rectum." There was no significant change in the Bristol Stool Chart evaluation (p < 0.25), but there was a significant improving trend in level of pain before and after treatment (p < 0.063). All urinary symptoms evaluated showed improvement after TENS treatment. There was a decrease in post-void residual urine. Conclusion: In this first study to evaluate the results of parasacral TENS on constipation in children with LUTD, satisfactory results were obtained for both complaints.
机译：目的：评估s下经皮神经电刺激（TENS）治疗下尿路功能障碍（LUTD）患儿便秘的疗效。材料和方法：我们治疗了9名男孩和5名女孩，平均年龄为8.07±2.72岁。 10名（71.4％）有膀胱过度活动症，而4名（28.6％）有排尿障碍。每周进行3次，共20次s骨TENS疗程，每次20分钟（10 Hz）。用于评估便秘的标准是罗马的III级儿童标准，布里斯托尔凳图和视觉模拟量表（疼痛从0到10）。治疗后立即对孩子进行了重新评估。没有进行便秘的特殊治疗。结果：治疗后，遵循罗马三世标准，儿童便秘症状的改善率为85.7％（p <0.001）。 s旁TENS严重影响以下症状：“每周至少出现一次大便失禁发作”，“粪便retention留史”和“直肠中存在大量粪便”。布里斯托尔凳图评估没有显着变化（p <0.25），但是治疗前后疼痛水平有明显改善趋势（p <0.063）。经TENS治疗后，所有评估的尿路症状均得到改善。无效后残留尿量减少。结论：在这项第一项评估LU门旁TENS治疗LUTD儿童便秘的结果的研究中，两个主诉均获得满意的结果。

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