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盆底肌锻炼对尿失禁的有效性:一项系统文献综述与荟萃分析

The Effectiveness of Pelvic Floor Muscle Exercise in Urinary Incontinence: A Systematic Literature Review and Meta-Analysis.

作者信息

Parra Nicole S, Jaramillo Arturo P, Zambrano Jhon, Segovia Diego, Castells Javier, Revilla Jhoanny C

机构信息

Internal Medicine, Pontificia Universidad Católica del Ecuador, Quito, ECU.

General Practice, Universidad Estatal de Guayaquil, Machala, ECU.

出版信息

Cureus. 2023 Sep 11;15(9):e45011. doi: 10.7759/cureus.45011. eCollection 2023 Sep.

Abstract

Urinary incontinence (UI) is a prevalent health concern in females over 60, but it is prevalent in a smaller percentage of males. The medical and social elements of UI are crucial. This disorder may cause embarrassment and low self-esteem, reducing social and physical activities. Consequently, this may impair healthy aging. Researchers have shown that pelvic floor muscle training (PFMT) may improve UI symptoms in middle-aged, older, and young people. Clinical practice highlights the importance of PFMT for UI due to its low cost-effectiveness. To assess PFMT's overall efficacy, we conducted a systematic review of the literature (SRL) and a meta-analysis (MA) of randomized clinical trials (RCTs). The previous 10 years of published material were combed using the online databases the Cochrane Library, PubMed, and Google Scholar. Eligible total studies were RCTs referring to the effectiveness of PFMT. The pooled incidence, risk ratio, and 95% confidence interval (CI) of the effectiveness of PFMT were calculated using the fixed effects model. Given the possibility of a between-study variance, we used the fixed effects model rather than the random effects model.

摘要

尿失禁(UI)是60岁以上女性中普遍存在的健康问题,但在男性中所占比例较小。尿失禁的医学和社会因素至关重要。这种疾病可能会导致尴尬和自尊心低落,减少社交和体育活动。因此,这可能会损害健康老龄化。研究人员表明,盆底肌肉训练(PFMT)可以改善中年、老年和年轻人的尿失禁症状。临床实践强调了PFMT对尿失禁的重要性,因为其成本效益较低。为了评估PFMT的总体疗效,我们对文献进行了系统评价(SRL)并对随机临床试验(RCT)进行了荟萃分析(MA)。使用Cochrane图书馆、PubMed和谷歌学术等在线数据库梳理了过去10年发表的资料。符合条件的全部研究均为涉及PFMT有效性的RCT。使用固定效应模型计算PFMT有效性的合并发病率、风险比和95%置信区间(CI)。鉴于研究间存在差异的可能性,我们使用了固定效应模型而非随机效应模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e40/10501848/cb88e6c0c076/cureus-0015-00000045011-i01.jpg

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