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A randomized interventional parallel study to evaluate the effect of pelvic floor muscle training with stabilization exercises of high and low intensity in women with stress urinary incontinence: The PELSTAB study.

一项随机介入性平行研究,评估压力性尿失禁女性患者盆底肌肉训练与高强度和低强度稳定练习的效果: PELSTAB研究。

  • 影响因子:1.95
  • DOI:10.1097/MD.0000000000021264
  • 作者列表:"Hagovská M","Urdzík P","Švihra J
  • 发表时间:2020-07-17
Abstract

INTRODUCTION:The effect of different intensities of pelvic floor muscle training (PFMT) assessed by 2D/3D ultrasound (USG) have not been sufficiently monitored in the literature. The objective of the study will be to evaluate the effect of this intervention by assessing the change in incontinence episode frequency, hiatal area (HA) and hiatal diameter by 2D/3D USG and quality of life over 12 weeks of treatment. METHODS:Using a randomized interventional parallel study, patients will be assigned to groups A and B using simple software randomization according to odd and even patient sequence numbers. The following methods will be used for evaluation: change in incontinence episode frequency, power and endurance of pelvic floor muscles assessed by perineometer (in cmH2O), HA (in cm) during contraction, Valsalva manoeuvre assessed by 3D USG, hiatal diameter assessed by 2D USG, the Incontinence Quality of Life scale (I-QoL) and the Patient Global Impression of Improvement score (PGI-I). INTERVENTIONS:Group A, high-intensity PFMT 5 times a week for 30 minutes per day. Group B, low-intensity PFMT twice a week for 15 minutes per day. The duration of the intervention will be 12 weeks. DISCUSSION:The study protocol presents the starting points, design, and methods of the PELSTAB Study. We expect that, after 12 weeks of high-intensity PFMT, women with stress urinary incontinence will have significantly less incontinence episode frequency, better reduction of HA during contraction and Valsalva manoeuvre, higher power and endurance of pelvic floor muscles and better quality of life compared to the group with low-intensity PFMT. REGISTRATION:This study was registered in the ClinicalTrials.govNCT04340323.

摘要

引言: 通过2D/3D超声 (USG) 评估的不同强度的盆底肌肉训练 (PFMT) 的影响尚未在文献中得到充分监测。本研究的目的是通过2D/3D USG评估失禁发作频率、食管裂孔面积 (HA) 和食管裂孔直径的变化以及治疗12周的生活质量来评估这种干预的效果。 方法: 采用随机介入性平行研究,将患者按照奇数和偶数患者顺序号使用简单软件随机化分配至a组和B组。以下方法将被用于评估: 失禁发作频率的变化,通过会阴仪 (在cmH2O中) 评估的盆底肌肉的力量和耐力,收缩期间的HA (在cm cm),通过3D USG评估的Valsalva动作,通过2D USG评估的食管裂孔直径,尿失禁生活质量量表 (i-qol)和患者总体印象改善评分 (PGI-I)。 干预: A组,高强度PFMT每周5次,每天30分钟。B组,低强度PFMT,每周2次,每天15分钟。干预的持续时间为12周。 讨论: 研究方案介绍了PELSTAB研究的起点、设计和方法。我们预计,在12周的高强度PFMT后,与低强度PFMT组相比,患有压力性尿失禁的女性将显著减少尿失禁发作频率,在收缩和Valsalva动作期间更好地减少HA,更高的盆底肌肉力量和耐力以及更好的生活质量。 注册: 本研究在ClinicalTrials.Gownct04340323. 中注册。

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排尿障碍方向

因为输尿管阻塞等原因,导致排尿不顺畅或者无法排尿的症状。

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