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首页> 外文期刊>BJU international >Extracorporeal pelvic floor magnetic stimulation in children with voiding dysfunction.
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Extracorporeal pelvic floor magnetic stimulation in children with voiding dysfunction.

机译：小儿排泄功能障碍儿童的体外盆底磁刺激。

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OBJECTIVE To determine the effect of extracorporeal pelvic floor magnetic stimulation in children with an overactive bladder, as although such stimulation is an effective treatment for voiding dysfunction such as urge incontinence (UI) and urgency-frequency syndrome, experience in children is scarce. PATIENTS AND METHODS This prospective study included 42 children diagnosed with an overactive bladder, based on urodynamic or video-urodynamic study; a complete follow-up was available in 34. The children were grouped into those with UI only, not monosymptomatic nocturnal enuresis (nMNE), or MNE, according to their symptoms. Clinical variables were assessed by recording a voiding and nocturnal enuresis diary before and after magnetic stimulation, the latter being administered twice a week for 4 weeks using a size-adjusted magnetic chair (each session took 20 min). RESULTS The UI only and nMNE group had a significant decrease in voiding frequency and frequency of UI (P < 0.05); the MNE group also had a significant decrease in voiding frequency (P < 0.05). There was a significant increase in functional bladder capacity in all groups (P < 0.05) but no significant decrease in the mean volume and frequency of NE in the nMNE and MNE groups (P > 0.05). CONCLUSIONS Extracorporeal pelvic floor magnetic stimulation has an acute effect on voiding dysfunction such as urge syndrome in children. However, controlled studies with a sham-stimulation group and various durations of stimulation are necessary for its application as a primary treatment for voiding dysfunction in children.
机译：目的为了确定膀胱过动症患儿的体外盆底底磁刺激的效果，尽管这种刺激是排尿障碍（如急迫性尿失禁（UI）和尿频综合征）的有效治疗方法，但缺乏儿童经验。患者与方法这项前瞻性研究包括42名根据尿动力学或视频尿动力学研究被诊断为膀胱过度活动症的儿童; 34位儿童得到了完整的随访。根据他们的症状，将这些儿童分为仅患有UI而非单症状性夜间遗尿症（nMNE）或MNE的儿童。通过记录磁刺激前后的排尿和夜间遗尿日记来评估临床变量，该日记每周两次使用大小可调的电磁椅给药，持续4周（每次疗程需要20分钟）。结果仅UI和nMNE组的排尿频率和UI频率均显着降低（P <0.05）。 MNE组的排尿频率也显着降低（P <0.05）。所有组的功能性膀胱容量均显着增加（P <0.05），但nMNE和MNE组中NE的平均体积和频率无明显下降（P> 0.05）。结论体外盆底磁刺激对儿童排尿功能障碍如冲动综合征有急性影响。然而，对假刺激组和各种刺激时间进行对照研究对于将其作为儿童排尿障碍的主要治疗方法的应用是必要的。

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