膀疼痛综合征和性功能:一个系统的审查和元分析
A Sobti1, S Shawer2, P Ballard2
1South Tees Hospitals NHS Foundation Trust, James Cook University Hospital, Middlesbrough, TS4 3BW, UK. alka.sobti@gmail.com.
International urogynecology journal
|August 22, 2023
概括
与健康个体相比,膀疼痛综合征 (BPS) 患者的性功能较差. 然而,对BPS的静脉内治疗显示出改善受影响个体性功能的潜力.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 性医学性医学性医学性医学
- 系统性审查和元分析
背景情况:
- 膀疼痛综合征 (BPS),也称为间歇性囊炎,显著影响患者的身体,精神和性福利.
- 性功能障碍是BPS的公认但经常被忽视的后果.
研究的目的:
- 系统地审查和比较被诊断患有BPS的患者的性功能与健康对照.
- 评估BPS治疗在改善性功能方面的疗效.
主要方法:
- 在主要数据库 (Embase,Medline) 进行了全面的文献搜索.
- 包括的研究比较了BPS患者与健康对照者的性功能,并评估了治疗前后的变化.
- 用随机效应模型和标准化平均差异 (SMD) 来进行元分析,数据被汇总起来.
主要成果:
- 该审查包括26项研究,其中11项用于元分析.
- 通过女性性功能指数 (FSFI) 测量的性功能,与对照组相比,BPS患者的性功能明显恶化 (SMD = -1.02,p=0.001).
- 对BPS的静脉内治疗表明,整体性功能显著改善 (SMD = 0.69,p=0.003).
结论:
- 与一般人群相比,BPS患者的性功能明显受损.
- 静脉内治疗似乎是改善BPS患者性功能障碍的有效策略.
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