Diao Hongwang,Li Shoulin,Chen Jinjun,et al.Analysis of influencing factors for biofeedback efficacy in the treatment of pediatric overactive bladder.[J].Journal of Clinical Pediatric Surgery,,17():496-500.
Analysis of influencing factors for biofeedback efficacy in the treatment of pediatric overactive bladder.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 07
Page:
496-500
Column:
专题讨论
Date of publication:
2018-07-28
- Keywords:
- Overactive Bladder; Biofeedback; Logistic Models; Child
- Document code:
- A
- Abstract:
- ObjectiveTo explore the influencing factors for biofeedback efficacy in the treatment of children with overactive bladder (OAB).MethodsThe clinical data were collected for 205 OAB children on biofeedback therapy from January 2016 to June 2017.A retrospective analysis was made for (age±mean) of effective treatment group (n=195) and (age±mean) of ineffective treatment group (n=10).Univariate and multivariate logistic regression analyses were performed for the treatmentrelated factors,including gender,maximum electrical stimulation current,treatment frequency,concurrent drug (oxybutynin) and urinary incontinence,etc.ResultsThe mean ages of effective and ineffective groups were (7.3±1.4) and (7.1±1.9) years; the maximal stimulating electric currents of effective and ineffective group (19.0±3.2) and (17.7±3.8) mA. Effective group: daily treatment frequency of 1~2 sessions (n=135), 0.5~1(n=135) and <0.5(n=4); ineffective group: daily treatment frequency of 1~2 sessions (n=0), 0.5~1(n=3) and <0.5(n=7). Effective group: use of oxybutynin (n=115) and urinary incontinence (n=51); ineffective group: use of oxybutynin (n=1) and urinary incontinence (n=2). Univariate analysis showed thattreatment frequency and combined use of oxybutynin were important factors affecting the therapeutic effects (P<0.01) while comparisons of age, gender, maximal stimulating electric current and complicating urinary incontinence revealed no differences of statistical significance (P>0.05); multivariate logistic regression analysis showed that frequency of treatment ［odds ratio=0.016(P<0. 01)］ and combined use of oxybutynin (OR=0.029, P<0.05) were independent influencing factors.ConclusionTreatment frequency and concurrent use of oxybutynin are independent influencing factors for efficacy during biofeedback and electrical stimulation in OAB children.
Last Update:
2018-07-24