二级保守管理策略在膀和肠道功能障碍中的作用:系统性审查和元分析
Adree Khondker1, Ihtisham Ahmad2, Zwetlana Rajesh2
1Division of Urology, Department of Surgery, The Hospital for Sick Children, Toronto, ON, Canada; Division of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
The Journal of pediatrics
|June 21, 2024
概括
将二次管理策略添加到泌尿疗法中,可以显著改善患有肠和膀功能障碍的儿童的治疗结果. 这些策略可以减少症状负担,感染,并改善尿液流量测试结果.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 肠道和膀功能障碍管理管理
背景情况:
- 肠道和膀功能障碍是儿童常见的疾病.
- 泌尿疗法是一种标准的保守管理方法.
- 需要进一步研究二次管理策略与泌尿疗法的作用.
研究的目的:
- 为了评估二次管理策略的影响,除了泌尿疗法,对儿科肠道和膀功能障碍的结果.
主要方法:
- 18项涉及1228名儿童的比较研究的系统审查和元分析.
- 搜索了多个数据库,包括MEDLINE,Embase和Scopus,直到2023年6月.
- 由两位作者进行的独立选和数据提取.
主要成果:
- 二级管理策略 (家庭教育,生物反,物理治疗) 显示出显著的益处.
- 这些策略与减少症状负担和减少复发性尿路感染有关.
- 与单独的泌尿疗法相比,观察到更好的泌尿流量计发现.
结论:
- 二级保守管理策略,包括家庭教育,生物反,认知行为疗法和物理治疗是有效的.
- 这些干预措施导致尿失禁减少,感染减少,尿流量测量得到改善.
- 尽管报告异质,但这些策略为泌尿疗法提供了有价值的补充.
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