患有前列腺切除术后尿失禁的男性的盆地肌肉训练:一个范围审查
Jackelline Evellin Moreira Dos Santos1, Virginia Visconde Brasil1, Cissa Azevedo2
1Universidade Federal de Goiás, Faculdade de Enfermagem, Goiânia, GO, Brazil.
Revista latino-americana de enfermagem
|October 30, 2024
概括
盆地肌肉训练对前列腺切除术后的尿失禁有效. 然而,协议缺乏细节和共识,需要标准化指导方针,以获得最佳的患者结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 康复医学 康复医学 康复医学
- 盆腔健康 盆腔健康
背景情况:
- 盆地肌肉训练 (PFMT) 是前列腺切除术后尿失禁的主要干预措施.
- 现有的PFMT研究往往缺乏详细的方案.
- 在标准化PFMT指令方面缺乏共识.
研究的目的:
- 绘制和分析现有的PFMT协议,以管理前列腺切除术后的尿失禁.
- 在文献中识别PFMT协议描述中的变异和共同点.
主要方法:
- 在六个数据库中进行了范围审查.
- 数据提取集中在协议细节上:会话,频率,位置和肌肉群.
- 包括24项详细介绍各种PFMT协议的研究.
主要成果:
- 常见的建议包括每天3次,每次6-15次收缩,以及躺着,坐着和站着的炼.
- 关节和bulbocavernosus肌肉收缩经常被引用.
- 协议开始,持续时间,收缩/放松时间和强度存在显著的变化.
结论:
- 对于前列腺切除术后尿失禁的PFMT协议显示出相当大的差异.
- 在定义尿和指定训练参数方面存在差异.
- 制定共识指南对于规范PFMT协议至关重要.
相关概念视频
01:23Urinary Bladder
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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...
440
01:26The Micturition Reflex
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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...
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