盆地功能障碍研究:一个与后期临床验证的文献分析
Tianhui Niu1, Bing Chen2, Yan Tu2
1Department of Obstetrics, Gynecology and Reproductive Sciences, Air Force Medical University, Air Force Medical Center, PLA, Beijing, China. niuhui81@126.com.
International urogynecology journal
|December 26, 2025
概括
盆地功能障碍研究表明,人们正在转向保守的治疗方法,比如盆地肌肉训练 (PFMT). 临床结果证实PFMT显著改善女性的肌肉功能和骨盆器官支持.
科学领域:
- 生殖医学 生殖医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 物理疗法物理治疗
背景情况:
- 骨盆底功能障碍 (PFD),包括骨盆器官脱落 (POP) 和尿失禁 (UI),显著影响妇女的生活质量.
- 目前对PFD的管理策略往往产生不理想的结果,需要更深入地了解研究趋势和临床相关性.
研究的目的:
- 通过参考资料分析PFD的全球研究趋势.
- 为了评估骨盆底肌训练 (PFMT) 在中度PFD的妇女的临床有效性.
主要方法:
- 从Web of Science核心收藏中对23005个PFD出版物 (2003-2023) 的图书统计分析.
- 对350名接受标准化PFMT的女性的临床结果进行了回顾性分析,比较治疗前和治疗后的肌肉功能 (肌电图) 和骨盆器官支持 (超声波).
主要成果:
- 自2011年以来,PFD研究加速,美国,中国和英国领先.
- 从手术管理转向预防,康复和生活质量,以 PFMT 为主要重点.
- PFMT导致肌肉力量,耐力,休息度 (p < 0.01) 和骨盆器官支持的显著改善.
结论:
- 综合文献计量和临床数据揭示了不断变化的PFD研究格局.
- 向保守管理的转变,特别是PFMT,与积极的临床结果保持一致.
- 这表明了向以功能为导向,以患者为中心的PFD护理的范式转变.
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