PDF(Pubmed)
Abstract：
UNASSIGNED: Pelvic floor disorders (PFDs) such as stress urinary incontinence (SUI) and pelvic organ prolapse (POP) can be managed through conservative treatments, such as conservative management involving biofeedback (BF) and electrostimulation. This study aimed to investigate the therapeutic effects of conservative treatments on PFDs.
UNASSIGNED: A retrospective cohort study was conducted. Women with PFD who underwent 1-3 months of BF and electrostimulation between January 1, 2020, and January 31, 2021, were included in the study. BF treatment was administered using three sensors to monitor pelvic floor muscle activity, providing patients with immediate feedback and guidance on muscle exercises. One session lasted for 5-10 min. Electrostimulation treatment utilized a specially made pelvic belt with electrode sheets to stimulate and contract pelvic floor muscles passively. One session lasted for 15 min. Six therapies in 1 month were prescribed. Pre- and post-treatment Pelvic Floor Distress Inventory (PFDI-20) scores, including POP distress inventory 6 (POPDI-6), colorectal-anal distress inventory (CRAD-8), and urinary distress inventory 6 (UDI-6) scores, were compared. Subgroup analysis by age, menopause, body mass index (BMI), and child delivery mode was performed.
UNASSIGNED: The study included 51 women with PFDs (SUI, POP, frequency or urgency or nocturia, and pain) treated with BF and electrostimulation, with a mean age of 49.94 ± 13.63 years. Sixteen patients (37.1%) were menopausal, with a mean menopause age of 50 ± 5.20 years. Twenty-six patients (68.4%) had a history of normal vaginal delivery. The mean PFDI-20 scores before and after treatment were 32.67 (standard deviation [SD] 10.05) and 25.99 (SD 9.61), respectively (P < 0.001). This decrease in scores reflected an improvement in subjective perceptions of symptoms and quality of life. The POPDI-6, CRAD-8, and UDI-6 scores significantly decreased after treatment. Subgroup analysis of scores change regarding age, menopause, BMI, and child delivery mode was not statistically significant.
UNASSIGNED: The study demonstrated the effectiveness of BF and electrostimulation for treating women with PFDs. The findings contributed to the understanding of treatment duration, patient characteristics, and the potential benefits of a multimodal approach. Moreover, the study\'s diverse participant population and the use of validated outcome measures enhance the generalizability and scientific rigor of the findings.
UNASSIGNED: A retrospective cohort study was conducted. Women with PFD who underwent 1-3 months of BF and electrostimulation between January 1, 2020, and January 31, 2021, were included in the study. BF treatment was administered using three sensors to monitor pelvic floor muscle activity, providing patients with immediate feedback and guidance on muscle exercises. One session lasted for 5-10 min. Electrostimulation treatment utilized a specially made pelvic belt with electrode sheets to stimulate and contract pelvic floor muscles passively. One session lasted for 15 min. Six therapies in 1 month were prescribed. Pre- and post-treatment Pelvic Floor Distress Inventory (PFDI-20) scores, including POP distress inventory 6 (POPDI-6), colorectal-anal distress inventory (CRAD-8), and urinary distress inventory 6 (UDI-6) scores, were compared. Subgroup analysis by age, menopause, body mass index (BMI), and child delivery mode was performed.
UNASSIGNED: The study included 51 women with PFDs (SUI, POP, frequency or urgency or nocturia, and pain) treated with BF and electrostimulation, with a mean age of 49.94 ± 13.63 years. Sixteen patients (37.1%) were menopausal, with a mean menopause age of 50 ± 5.20 years. Twenty-six patients (68.4%) had a history of normal vaginal delivery. The mean PFDI-20 scores before and after treatment were 32.67 (standard deviation [SD] 10.05) and 25.99 (SD 9.61), respectively (P < 0.001). This decrease in scores reflected an improvement in subjective perceptions of symptoms and quality of life. The POPDI-6, CRAD-8, and UDI-6 scores significantly decreased after treatment. Subgroup analysis of scores change regarding age, menopause, BMI, and child delivery mode was not statistically significant.
UNASSIGNED: The study demonstrated the effectiveness of BF and electrostimulation for treating women with PFDs. The findings contributed to the understanding of treatment duration, patient characteristics, and the potential benefits of a multimodal approach. Moreover, the study\'s diverse participant population and the use of validated outcome measures enhance the generalizability and scientific rigor of the findings.
摘要：
■盆底疾病（PFD），如压力性尿失禁（SUI）和盆腔器官脱垂（POP），可以通过保守治疗，例如涉及生物反馈（BF）和电刺激的保守管理。本研究旨在探讨保守治疗对PFDs的治疗效果。
■进行了一项回顾性队列研究。在2020年1月1日至2021年1月31日期间接受1-3个月BF和电刺激的PFD女性被纳入研究。BF治疗使用三个传感器监测盆底肌肉活动，为患者提供肌肉锻炼的即时反馈和指导。一次会议持续了5-10分钟。电刺激治疗利用带有电极片的特制骨盆带被动地刺激和收缩骨盆底肌肉。一次会议持续了15分钟。在1个月内进行6次治疗。治疗前和治疗后盆底窘迫清单（PFDI-20）得分，包括POP困境清单6(POPDI-6)，结直肠肛门窘迫清单(CRAD-8)，和排尿窘迫清单6(UDI-6)得分，进行了比较。按年龄分组分析，更年期,体重指数（BMI），并执行儿童分娩模式。
■该研究包括51名患有PFD的女性（SUI，POP,频率或紧迫性或夜尿症，和疼痛）用BF和电刺激治疗，平均年龄49.94±13.63岁。16例（37.1%）患者绝经，平均绝经年龄为50±5.20岁。26例患者（68.4％）有正常阴道分娩史。治疗前后PFDI-20平均评分分别为32.67（标准差[SD]10.05）和25.99（SD9.61），分别(P<0.001)。分数的下降反映了对症状和生活质量的主观感知的改善。治疗后POPDI-6、CRAD-8和UDI-6评分明显下降。关于年龄的分数变化的亚组分析，更年期,BMI,分娩方式无统计学意义。
■该研究证明了BF和电刺激治疗PFD女性的有效性。这些发现有助于理解治疗持续时间，患者特征,以及多模式方法的潜在好处。此外，研究的不同参与者人群和验证的结局指标的使用增强了研究结果的普遍性和科学严谨性.
■进行了一项回顾性队列研究。在2020年1月1日至2021年1月31日期间接受1-3个月BF和电刺激的PFD女性被纳入研究。BF治疗使用三个传感器监测盆底肌肉活动，为患者提供肌肉锻炼的即时反馈和指导。一次会议持续了5-10分钟。电刺激治疗利用带有电极片的特制骨盆带被动地刺激和收缩骨盆底肌肉。一次会议持续了15分钟。在1个月内进行6次治疗。治疗前和治疗后盆底窘迫清单（PFDI-20）得分，包括POP困境清单6(POPDI-6)，结直肠肛门窘迫清单(CRAD-8)，和排尿窘迫清单6(UDI-6)得分，进行了比较。按年龄分组分析，更年期,体重指数（BMI），并执行儿童分娩模式。
■该研究包括51名患有PFD的女性（SUI，POP,频率或紧迫性或夜尿症，和疼痛）用BF和电刺激治疗，平均年龄49.94±13.63岁。16例（37.1%）患者绝经，平均绝经年龄为50±5.20岁。26例患者（68.4％）有正常阴道分娩史。治疗前后PFDI-20平均评分分别为32.67（标准差[SD]10.05）和25.99（SD9.61），分别(P<0.001)。分数的下降反映了对症状和生活质量的主观感知的改善。治疗后POPDI-6、CRAD-8和UDI-6评分明显下降。关于年龄的分数变化的亚组分析，更年期,BMI,分娩方式无统计学意义。
■该研究证明了BF和电刺激治疗PFD女性的有效性。这些发现有助于理解治疗持续时间，患者特征,以及多模式方法的潜在好处。此外，研究的不同参与者人群和验证的结局指标的使用增强了研究结果的普遍性和科学严谨性.
