老年妇女尿失禁非手术干预措施的比较有效性:系统性审查和网络元分析
Wenqi Liu1, Xuemei Sun1, Yinyan Gao1
1Department of Epidemiology and Biostatistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Archives of gerontology and geriatrics
|October 13, 2023
概括
行为疗法与中国草药相结合,是老年妇女尿失禁的最有效的非手术治疗方法. 由于试验质量和数量有限,需要进行进一步的研究.
科学领域:
- 老年学是一门学科.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 综合医学是一个整体的医学.
背景情况:
- 尿失禁 (UI) 是一种影响老年妇女的普遍疾病.
- 寻求非手术干预来改善或治愈UI在这个人口.
- 综合证据对于指导临床实践至关重要.
研究的目的:
- 为了比较非手术干预措施在改善或治愈60岁及以上妇女尿失禁的有效性.
- 根据现有证据,确定最佳的治疗策略.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 从2000年1月到2023年8月,搜索了多个英语和中文数据库.
- 包括32个RCT评估15个干预类别的老年女性UI.
主要成果:
- 行为治疗与其他干预措施的结合,包括中国草药,电刺激和针,显示出有效性.
- 行为疗法加上中国草药成为改善和治愈UI的最有效的干预类别.
- 结合治疗方法观察到UI的显著改善.
结论:
- 行为疗法与中国草药相结合,代表了对老年女性UI管理的有希望的最佳选择.
- 在实施这些干预措施时,临床医生应谨慎考虑证据的质量和数量.
- 需要进一步进行高质量的RCT,以加强老年女性UI管理的证据基础.
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