压力尿失禁患者的物理治疗:系统性审查和元分析
Fariba Ghaderi1, Ghazal Kharaji2, Sakineh Hajebrahimi3
1Department of Physiotherapy, Faculty of Rehabilitation Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
Urology research & practice
|October 25, 2023
概括
物理治疗,包括盆地肌肉训练,对于应激性尿失禁是有效的,与不治疗相比,减少尿泄漏. 它还可以改善生活质量和骨盆底肌肉功能.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 物理疗法物理治疗
- 妇女健康 妇女健康
背景情况:
- 压力尿失禁 (SUI) 是一种常见的疾病,影响了许多女性.
- 物理治疗,包括盆地肌肉训练,生物反和电刺激,是SUI的主要治疗方法.
研究的目的:
- 系统地审查SUI物理治疗的疗效.
- 为了比较物理治疗干预与对照组,如没有治疗,安慰剂,假手术或手术.
主要方法:
- 在多个数据库 (MEDLINE,Cochrane,Embase,Scopus,Web of Science,PEDro,Trip) 进行了全面的搜索,搜索到2021年1月的英语和波斯语研究.
- 包括的研究比较了物理治疗干预与非活性对照治疗.
- 数据提取和质量评估由两位独立审查员进行.
主要成果:
- 与没有治疗相比,物理治疗显著减少了尿泄漏.
- 在物理治疗和对照组之间,尿失禁严重程度没有显著差异.
- 物理治疗在生活质量 (ICIQ),测试结果和盆地肌肉功能方面表现出积极的结果.
结论:
- 盆腔物理治疗被支持作为成人SUI的第一线治疗.
- 这些发现支持将物理治疗纳入SUI管理协议.
- 进一步的研究可能会探索不同严重程度的SUI的最佳物理治疗方案.
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