在前列腺切除术后尿失禁时进行结构化和监督的盆地肌肉训练:随机对照试验的系统审查
Ege Nur Atabey Gerlegiz1, Demet Öztürk2, Ceren Gürşen2
1Department of Fundamental Physiotherapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, 06100, Samanpazari, Ankara, Turkey. nur_atabey@hacettepe.edu.tr.
Journal of cancer survivorship : research and practice
|August 28, 2025
概括
结构化盆地肌肉训练 (PFMT) 显著改善前列腺切除术后尿失禁 (PP-UI) 的结果. 早期,密集和监督的PFMT与生物反为癌症幸存者提供了最好的结果.
科学领域:
- 泌尿外科
- 癌症学
- 康复医学
背景情况:
- 前列腺癌是全球最常见的男性恶性瘤.
- 前列腺切除术后尿失禁 (PP-UI) 是影响幸存者的生活质量的常见并发症.
- 有效的PP-UI管理策略对于患者的康复至关重要.
研究的目的:
- 系统地审查结构化和监督的盆地肌肉训练 (PFMT) 对于管理PP-UI的有效性.
- 评估手术前或手术后开始的PFMT,有或没有生物反 (BF).
- 评估对症状严重程度和与禁欲相关的生活质量的影响.
主要方法:
- 在 MEDLINE 和 Web of Science 进行了系统的搜索.
- 包括20项随机对照试验 (RCT),涉及2444名参与者.
- 由于干预和结果的异质性,进行了叙述综合.
主要成果:
- 65%的RCT报告了结构化,监督的PFMT显著改善了失禁恢复和症状严重程度.
- 早期启动,更高的强度,前侧焦点和生物反使用与更大的益处相关.
- 方案和结果的变化在研究中的一致性有限.
结论:
- 有组织的,监督的PFMT与确认的肌肉激活是有效的PP-UI管理的关键.
- 在治疗师的指导下进行早期的密集训练可能会加速康复并改善禁欲.
- 有针对性的PFMT计划提供了一种安全的,非侵入性的策略,以提高治疗后的尿和生活质量.
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