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| 題名: | Long-term sacral magnetic stimulation for refractory stress urinary incontinence |
| 作者: | 葉士青;Tsai, Po-Yi;Wang, Chih-Pin;Hsieh, Chin-Yi;Tsai, Yun-An;Yeh, Shih-Ching;Chuang, Tien-Yow |
| 貢獻者: | 資訊電機學院資訊工程學系 |
| 關鍵詞: | Aged;Double-Blind Method;Female;Humans;Magnetic Field Therapy;Magnetic stimulation therapy;Middle Aged;Physical Medicine and Rehabilitation;Quality of Life;Quality of Life - psychology;Rehabilitation;Sacrococcygeal Region;Severity of Illness Index;Spinal Nerve Roots;Surveys and Questionnaires;Treatment;Urinary incontinence;Urinary Incontinence, Stress;Urinary Incontinence, Stress - physiopathology;Urinary Incontinence, Stress - psychology;Urinary Incontinence, Stress - rehabilitation;Urodynamics |
| 日期: | 2014-01-01 |
| 上傳時間: | 2026-04-23 13:50:59 (UTC+8) |
| 出版者: | United States: Elsevier Inc |
| 摘要: | 摘要： To evaluate the effects of sacral magnetic stimulation (SMS) on functional and urodynamic improvement in patients with refractory stress urinary incontinence (SUI). A sham-controlled, double-blind, parallel study design with a 4.5-month follow-up. A tertiary hospital. Women (age, 45–75y) with SUI refractory to first-line management (N=34) were allocated to either an experimental (n=20) group or a sham (n=14) group. The SMS protocol consisted of 5-Hz, 20-minute treatments administered over the bilateral third sacral roots, with the intensity set at approximately 70% of the maximal output, for 12 consecutive weekdays. Urodynamic assessments and 2 life stress questionnaires, namely, the Urge-Urinary Distress Inventory (U-UDI) and the Overactive Bladder Questionnaire (OAB-q), were administered pre- and post-SMS intervention. We administered the U-UDI (primary outcome measure) and the OAB-q at 3-week intervals during the follow-up period until 18 weeks after the final intervention. The experimental group exhibited significant improvements in both U-UDI and OAB-q scores postintervention (P=.011–.014) and at follow-up visits (P<.001–.007) compared with the sham group. In addition, significant increases in bladder capacity, urethral functional length, and the pressure transmission ratio (P=.009–.033) were noted postintervention. Multivariate regression analysis revealed that patients with more severe symptoms benefited more from SMS. A poorer baseline U-UDI score and a shorter urethral functional length were associated with a greater response to SMS. Our observations of a greater response to SMS in patients with more severe SUI than in those with mild symptoms, as well as the long-term benefits of the treatment, confirm the efficacy of SMS in treating SUI.
其他題名： Arch Phys Med Rehabil
出版者： United States: Elsevier Inc
出版日期： 2014-12-01
出處： Archives of physical medicine and rehabilitation, 2014-12, Vol.95 (12), p.2231-2238
資源來源： Alma/SFX Local Collection
版權： 2014 American Congress of Rehabilitation Medicine
版權： American Congress of Rehabilitation Medicine
版權： Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
識別號： ISSN: 0003-9993
識別號： ISSN: 1532-821X
識別號： EISSN: 1532-821X
識別號： DOI: 10.1016/j.apmr.2014.07.010
識別號： PMID: 25073008 |
| 顯示於類別: | [資訊工程學系] 期刊論文
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