Niu Zhibin,Yang Yi.Biofeedback therapy combined with electrical nerve stimulation in the treatment of dysfunctional voiding in children[J].Journal of Clinical Pediatric Surgery,,19():991-995.[doi:10.3969/j.issn.1671-6353.2020.11.006]
Biofeedback therapy combined with electrical nerve stimulation in the treatment of dysfunctional voiding in children
- CLC:
- R726.9
- Abstract:
- Objective The aim of this study was to assess the treatment and efficacy of a biofeedback Biofeedback training program combined with electrical stimulation in children with serious dysfunctional voiding.Methods Between Dec 2016 to December 2018,28 children with dysfunctional voiding who did not respond to traditional treatment,aged 6-15 years,were treated.There were 12 girls and 16 boys.The main symptoms were diurnal enuresis for 89.2%,Urine urgency for 82.1%,and nocturnal enuresis for 39.4%.overactive bladder or detrusor-sphincter dyscoordination was noted in 92.9%,71% respectively of the children.With the pre-treatment education,Biofeedback therapy combined with electrical nerve stimulation were planned for all the children,non-invasive surface perineal electrodes were used during the procedure.One training course was 2 weeks with 20 session.The children were given instructions on toilet behaviour and pelvic floor training during and after the treatment.The exercises focused on relaxation of the perineum and training of the pelvic floor.Results The first results were recorded 6 months after the last session:40%,46.4% of the children with diurnal enuresis and 18%,54.5% of the children with nocturnal enuresis were cured and improved respectively; During the 12-month follow-up,56.5%,39.2% of the children with diurnal enuresis and 36.4%,36.4% of the children with nocturnal enuresis were cured and improved respectively.Conclusion Short term high frequency biofeedback combined with electrical stimulation therapy for pelvic floor function training was non-invasive and effective in the treatment for school-age children with severe DV.It is necessary to carry out large-scale randomized controlled study on the efficacy of this treatment and to standardize the procedure.
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收稿日期:2020-06-13。
基金项目:国家自然科学基金项目：去分化脂肪细胞对PBOO所致膀胱损伤中TGF/Smad通路的调控及其机制研究（项目批准号：81701531）
通讯作者:杨屹,Email:niuzb@163.com