Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, MG, Brasil.
Universidade Federal de Viçosa, Departamento de Medicina e Enfermagem, Viçosa, MG, Brasil.
Rev Lat Am Enfermagem. 2022 Jul 15;30:e3597. doi: 10.1590/1518-8345.5897.3597. eCollection 2022.
to evaluate diverse scientific evidence on the effectiveness of complementary therapies in the control of lower urinary tract symptoms in the adult and aged male population.
a systematic review developed according to the PRISMA checklist. The search was performed in the CINAHL, Embase, LILACS, PEDro, PubMed, Web of Science and Google Scholar databases.
a total of 585 records were identified and 12 clinical trials were selected that met the inclusion criteria. The outcomes considered by the studies for analyzing effectiveness of the complementary therapies were validated questionnaires to assess the severity of the lower urinary tract symptoms (sensation of incomplete bladder emptying, frequent urination, intermittent flow, weak flow, pain or difficulty urinating, nocturia and urgency) and urodynamics parameters. The studies analyzed the complementary phytotherapy (n=8) and electroacupuncture (n=4) therapies. Six studies related to phytotherapy showed statistical significance. Electroacupuncture showed a significant improvement in the symptoms in two studies.
pytotherapy was effective to control the simptoms related to frequency, urgency, nocturia, incomplete emptying, intermittence, weak flow and effort to initiate urination. To confirm the effectiveness of electroacupuncture, research studies with well-designed methodologies will also be necessary to resolve the divergences between the studies of this review.
评估补充疗法在控制成年和老年男性下尿路症状方面的有效性的各种科学证据。
根据 PRISMA 清单制定系统评价。在 CINAHL、Embase、LILACS、PEDro、PubMed、Web of Science 和 Google Scholar 数据库中进行了搜索。
共确定了 585 条记录，并选择了符合纳入标准的 12 项临床试验。研究分析补充疗法有效性的结果考虑了评估下尿路症状严重程度的验证问卷（膀胱排空不完全感、尿频、间歇性流量、弱流量、疼痛或排尿困难、夜尿和紧迫性）和尿动力学参数。研究分析了补充植物疗法（n=8）和电针疗法（n=4）。与植物疗法相关的六项研究显示具有统计学意义。两项研究表明电针治疗在症状改善方面有显著效果。
植物疗法对控制与频率、紧迫性、夜尿、排空不完全、间歇性、弱流量和开始排尿的努力相关的症状有效。为了确认电针的有效性，还需要进行设计良好的方法学研究，以解决本综述研究之间的分歧。
