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运动疗法对产后尿失禁的有效性 - 系统性审查

Maitane Cuesta-Paredes1,2, Noé Labata-Lezaun3,4, Cristina Orts-Ruiz5

  • 1Department of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Barcelona, Spain.

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运动疗法 (ET) 在治疗产后尿失禁 (UI) 方面表现有前途. 监督的盆地肌肉训练 (PFMT) 可能提供更大的好处,但需要更多关于长期有效性的研究.

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运动疗法 运动疗法在产后的产后期.尿失禁是尿失禁的原因之一.

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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:

  • 产后尿失禁 (UI) 显著影响妇女的生活质量 (QoL).
  • 运动疗法 (ET),特别是盆地肌肉训练 (PFMT),是产后UI的建议保守治疗方法.

研究的目的:

  • 评估运动治疗 (ET) 在治疗产后UI的有效性.
  • 评估ET对产后妇女的骨盆底功能和QoL的影响.

主要方法:

  • 对临床试验和随机对照试验的系统搜索,涉及18岁以上的女性,患有产后UI.
  • 包括ET作为主要干预的研究;排除非尿路原因或并发病理的研究.

主要成果:

  • 在包括的四项试验中,有三项报告了UI结果的显著改善.
  • 与无监督训练相比,受监督的PFMT在尿路症状和盆地功能方面表现出更大的改善.
  • 组合疗法 (带有生物反的PFMT,电刺激或红外物理疗法) 显示出对 incontinence,症状和 QoL 的积极影响.

结论:

  • 运动疗法 (ET) 为产后UI提供了一种有益的方法,具有适度的证据确定性.
  • 监督的PFMT似乎是最有效的,但对优越性的最终结论受到研究设计和对比器的限制.
  • 由于随访时间短,ET效益的长期有效性和可持续性需要进一步调查.