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艾灸治疗成人中风后尿失禁:随机对照试验的系统评价和荟萃分析。

Moxibustion for post-stroke urinary incontinence in adults: A systematic review and meta-analysis of randomized controlled trials.

机构信息

Fujian University of Traditional Chinese Medicine, School of Nursing, Fuzhou, 350122, China.

Charles Darwin University, College of Nursing and Midwifery Brisbane Centre, Brisbane, QLD, 4000, Australia.

出版信息

Complement Ther Clin Pract. 2021 Feb;42:101294. doi: 10.1016/j.ctcp.2020.101294. Epub 2020 Dec 24.

Abstract

BACKGROUND AND PURPOSE

Urinary incontinence (UI) is a frequently identified complication among stroke survivors. Moxibustion is commonly used to treat post-stroke UI in Asian countries. This study aimed to synthesize the evidence of using moxibustion for post-stroke UI management.

METHODS

Twelve databases were searched to identify randomized controlled trials (RCTs) using moxibustion to improve post-stroke UI management. Four Chinese journals were also manually screened for potentially eligible articles.

RESULTS

Ten studies with a total of 719 participants and one completed trial without published results were included. Compared with "routine methods of treatment and/or care," the meta-analyses revealed that moxibustion had superior effects in improving UI symptoms and alleviating the severity of UI.

CONCLUSION

This systematic review identified preliminary research evidence that moxibustion may be effective in managing the symptoms of post-stroke UI. More rigorously designed, large-scale RCTs are warranted to provide more robust evidence in this area.

摘要

背景与目的

尿失禁(UI)是脑卒中幸存者常见的并发症之一。在亚洲国家,艾灸常用于治疗脑卒中后尿失禁。本研究旨在综合艾灸治疗脑卒中后尿失禁管理的证据。

方法

检索了 12 个数据库,以确定使用艾灸改善脑卒中后尿失禁管理的随机对照试验(RCT)。还手动筛选了 4 种中文期刊,以寻找可能符合条件的文章。

结果

共纳入 10 项研究,总计 719 名参与者,以及一项完成但未发表结果的试验。与“常规治疗方法和/或护理”相比,Meta 分析显示艾灸在改善 UI 症状和减轻 UI 严重程度方面具有更好的效果。

结论

本系统评价确定了初步的研究证据,表明艾灸可能对管理脑卒中后尿失禁的症状有效。需要更严格设计、大规模的 RCT 来为该领域提供更有力的证据。

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