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女性压力性尿失禁和盆腔器官脱垂患者的盆底肌训练:方案研究。

Pelvic floor muscle training in women with urinary incontinence and pelvic organ prolapse: A protocol study.

机构信息

Physical Therapy Department, Federal University of Rio Grande do Norte, Natal, RN, Brazil.

Graduate Program in Physical Therapy, Federal University of Rio Grande do Norte, Natal, Brazil.

出版信息

PLoS One. 2024 Aug 16;19(8):e0308701. doi: 10.1371/journal.pone.0308701. eCollection 2024.

DOI:10.1371/journal.pone.0308701
PMID:39150919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11329135/
Abstract

OBJECTIVE

To evaluate the effectiveness of pelvic floor muscle training (PFMT) on pelvic floor muscle (PFM) function and quality of life (QoL) in women with stress urinary incontinence (SUI) and pelvic organ prolapse (POP).

METHODS

This study will be a randomized, controlled, parallel, and blinded clinical trial. The final sample will consist of 32 women diagnosed with SUI and cystocele (stage I and II). All volunteers will be assessed and reassessed using the same protocol: assessment form, gynecological examination, functional evaluation of PFM, and questionnaires to assess quality of life, urinary function, and sexual function. All volunteers will be evaluated for satisfaction levels post-treatment. The intervention will be PFMT, totaling 16 sessions to be conducted twice a week. Reevaluation will take place at the end of treatment and 1 month after completion of PFMT. Descriptive analysis and repeated measures ANOVA will be used for result analysis. A significance level of p<0.05 will be considered for all statistical tests.

ETHICS AND DISSEMINATION

This study has been submitted to the Ethics in Research Committee of the Federal University of Rio Grande do Norte and approved under protocol number 5.826.563. It has been registered with the Brazilian Clinical Trials Registry ReBec (RBR-49p6g3t). It is expected that these studies will provide a deeper understanding of the efficacy of PFMT in women with SUI and cystocele. Additionally, it aims to provide more insights into the efficacy of PFMT prior to surgery.

摘要

目的

评估盆底肌训练(PFMT)对压力性尿失禁(SUI)和盆腔器官脱垂(POP)女性盆底肌(PFM)功能和生活质量(QoL)的有效性。

方法

本研究将采用随机、对照、平行、盲法临床试验。最终样本将包括 32 名诊断为 SUI 和膀胱膨出(I 期和 II 期)的女性。所有志愿者将使用相同的方案进行评估和重新评估:评估表、妇科检查、PFM 功能评估以及评估生活质量、尿功能和性功能的问卷。所有志愿者将在治疗后评估满意度。干预措施将是 PFMT,共 16 次,每周进行两次。治疗结束和 PFMT 完成后 1 个月将进行重新评估。将使用描述性分析和重复测量方差分析进行结果分析。所有统计检验均将 p<0.05 作为显著性水平。

伦理和传播

本研究已提交给北里奥格兰德州联邦大学的研究伦理委员会,并获得了协议号 5.826.563 的批准。它已在巴西临床试验注册处 ReBec(RBR-49p6g3t)注册。预计这些研究将更深入地了解 PFMT 对 SUI 和膀胱膨出女性的疗效。此外,它旨在为手术前 PFMT 的疗效提供更多的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deea/11329135/fa9eed167b1d/pone.0308701.g007.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deea/11329135/716d43acca0e/pone.0308701.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deea/11329135/1aa9ca52f9e4/pone.0308701.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deea/11329135/685708b1fc17/pone.0308701.g003.jpg
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Pessaries (mechanical devices) for managing pelvic organ prolapse in women.用于治疗女性盆腔器官脱垂的子宫托(机械装置)。
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