The Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
School of Nursing, Inner Mongolia Medical University, Hohhot, China.
Medicine (Baltimore). 2023 Mar 10;102(10):e33048. doi: 10.1097/MD.0000000000033048.
We aimed to systematically review and quantify the association between acupuncture and pelvic floor muscle exercise and bladder dysfunction rehabilitation in individuals with spinal nerve injury.
A meta-analysis was conducted using an evidence-based nursing analysis method based on clinical evidence. China National Knowledge Infrastructure, PubMed, VIP database, Wan Fang database, Cochrane Library, and other databases were searched by computer from January 1, 2000 to January 1, 2021. The literature was searched for clinical randomized controlled trials on acupuncture stimulation, pelvic floor muscle function training, and bladder function recovery training after spinal cord nerve injury. Two reviewers independently used The Cochrane Collaboration recommended randomized controlled trial risk of bias assessment tool to evaluate the quality of the literature. Then, the meta-analysis was performed using RevMan 5.3 software.
A total of 20 studies were included, with a total sample size of 1468 cases, including 734 patients in the control group and 734 patients in the experimental group. The results of our meta-analysis showed that acupuncture treatment [OR = 3.98, 95% CI (2.77, 5.72), Z = 7.49, P < .001] and pelvic floor muscle treatment [OR = 7.63, 95% CI (4.47, 13.04), Z = 7.45, P < .001] was statistically significant.
Acupuncture and pelvic floor muscle exercise are effective intervention and treatment methods, which have obvious effects on rehabilitation treatment of bladder dysfunction after spinal nerve injury.
系统评价和量化针刺与盆底肌锻炼对脊髓神经损伤后膀胱功能障碍康复的相关性。
采用循证护理分析方法，基于临床证据进行荟萃分析。计算机检索中国知网、PubMed、维普数据库、万方数据库、Cochrane 图书馆等数据库，检索时间从 2000 年 1 月 1 日至 2021 年 1 月 1 日，收集针刺刺激、盆底肌功能训练和脊髓神经损伤后膀胱功能恢复训练治疗的临床随机对照试验。由 2 名评价者独立使用 Cochrane 协作推荐的随机对照试验偏倚风险评估工具评价文献质量，然后采用 RevMan 5.3 软件进行荟萃分析。
共纳入 20 项研究，共计 1468 例患者，对照组 734 例，试验组 734 例。荟萃分析结果显示，针刺治疗[OR=3.98，95%CI（2.77，5.72），Z=7.49，P<0.001]和盆底肌治疗[OR=7.63，95%CI（4.47，13.04），Z=7.45，P<0.001]差异均有统计学意义。
针刺和盆底肌锻炼是有效的干预和治疗方法，对脊髓神经损伤后膀胱功能障碍康复具有明显作用。
