对女性运动诱导尿失禁的保守干预:系统性审查
Marina Petter Rodrigues1, Marie-Ève Bérubé2, Marylène Charette3
1Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
BJU international
|July 23, 2024
概括
盆地肌肉训练 (PFMT) 和阴道内装置显示出对女性运动诱导尿失禁的管理有前途. 需要更多高质量的研究来确认有效性和标准化结果措施.
科学领域:
- 运动生理学 运动生理学
- 妇女健康 妇女健康
- 泌尿和妇科 泌尿和妇科
背景情况:
- 运动期间尿失禁 (UI) 是女性常见的担忧.
- 非药物保守干预提供了潜在的管理策略.
研究的目的:
- 系统地审查和综合有关女性运动相关UI非药物保守干预措施有效性的证据.
- 发现研究缺口,指导未来的研究.
主要方法:
- 在 2023 年 9 月对多个数据库 (MEDLINE,CINAHL,EMBASE,SciELO,LILACS,PEDro) 进行系统搜索.
- 纳入标准:运动诱导性UI的女性人口,非药物保守干预.
- 主要结局:UI体征和症状的严重程度.
主要成果:
- 包括19项研究,主要研究盆地肌肉训练 (PFMT) 和阴道内器械.
- 有限的随机对照试验 (RCT) 表明PFMT可以减少UI症状.
- 其他干预措施,如皮囊和卫生棉条显示出一些好处,但由于方法上的限制和偏见,结果需要谨慎解释.
结论:
- 盆地肌肉训练 (PFMT) 显示了一些有效性的证据,用于减少与运动相关的女性尿失禁,特别是通过RCT进行评估时.
- 显著需要更高质量的研究,改进报告和标准化结果测量,特别是对于板测试.
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