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单独进行膀训练或与其他疗法结合,以改善过活膀症状:随机对照试验的系统审查和元分析
A K Rocha1, S Monteiro2, I Campos1
1Postgraduate Program in Rehabilitation Sciences, Institute of Motricity Sciences, Universidade Federal de Alfenas (UNIFAL-MG), Alfenas, Minas Gerais, Brazil.
Brazilian journal of physical therapy
|August 6, 2024
概括
膀训练 (BT) 与阴道内电刺激 (IVES) 结合,显示出对过度活性膀 (OAB) 症状,如夜尿和失禁等短期益处. 然而,总的来说,BT的证据支持BT.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 康复医学 康复医学 康复医学
背景情况:
- 膀训练 (BT) 是一种标准的行为疗法,用于管理过度活动膀 (OAB) 症状.
- OAB的特点是尿急,频率和夜尿,显著影响生活质量.
研究的目的:
- 评估隔离膀训练 (BT) 和其与其他治疗过活膀 (OAB) 的组合疗法的疗效.
主要方法:
- 在八个数据库中对14项随机对照试验 (RCT) 进行系统审查.
- 使用Cochrane RoB 2和GRADE方法进行质量评估.
- 对症状改善的短期随访数据的元分析.
主要成果:
- 与阴道内电刺激 (IVES) 结合的BT与单独的BT相比显著改善了夜尿,尿失禁和生活质量.
- 与药物治疗 (DT) 相结合的BT显示UI的改善比单独的BT更大.
- 有限的RCT和异质性导致BT对OAB整体影响的证据水平较低.
结论:
- 短期使用BT加IVES有效地控制了OAB症状,包括夜和UI,并提高了QOL.
- 目前关于BT在OAB中的疗效的证据基础有限且不确.
- 建议进一步进行高质量的RCT,以确定关于BT在OAB管理中的作用的最终结论.
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