盆地训练以预防压力尿失禁:系统性审查
S C Mantilla Toloza1, A F Villareal Cogollo1, K M Peña García1
1Departamento de Fisioterapia, Facultad de Salud, Universidad de Pamplona, Pamplona, Colombia.
Actas urologicas espanolas
|March 31, 2024
概括
盆地肌肉训练 (PFMT) 有效地预防孕妇的压力尿失禁 (SUI). 在怀孕期间早期使用PFMT可以改善分娩后的禁欲,提高生活质量.
科学领域:
- 产科和妇科 产科和妇科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 物理疗法物理治疗
背景情况:
- 压力尿失禁 (SUI) 显著影响女性的生活质量.
- 怀孕和分娩是骨盆底功能障碍和SUI的主要风险因素.
- 产后SUI的患病率在分娩后的第一年内从30-47%不等.
研究的目的:
- 系统地审查关于盆地肌肉训练 (PFMT) 对妇女SUI预防的有效性的科学文献.
- 为了评估PFMT在产前和产后期间的影响.
主要方法:
- 随机对照试验的系统审查.
- 搜索了主要的数据库:Pubmed,Scopus,Cochrane和PEDro. 在这些数据库中进行了搜索.
- 包括7项前性研究,其中1,401名孕妇使用PFMT预防SUI.
主要成果:
- 盆地肌肉训练 (PFMT) 是对盆地肌肉的可行的干预措施.
- 适当应用PFMT可以有效地预防或解决SUI.
- 有证据支持PFMT在管理SUI方面的作用.
结论:
- 在怀孕期间早期启动PFMT可以为产后禁欲带来积极的结果.
- PFMT是预防孕妇SUI的推干预措施.
相关概念视频
01:26The Micturition Reflex
587
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
587
01:23Urinary Bladder
660
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
660