首页|温针灸联合盆底肌训练治疗压力性尿失禁临床疗效的Meta分析

温针灸联合盆底肌训练治疗压力性尿失禁临床疗效的Meta分析

扫码查看
目的:对温针灸联合盆底肌训练治疗压力性尿失禁(stress urinary incontinence,SUI)相关文献进行 Meta 分析,为温针灸联合盆底肌训练治疗压力性尿失禁提供循证医学依据.方法:以温针灸、尿失禁、压力性尿失禁等为主题词,检索PubMed、Cochrane图书馆中心数据库、Embase、中国生物医学文献数据库(CBM)、中国知网数据库(CNKI)、万方数据知识服务平台(Wanfang Data)、维普期刊全文数据库(VIP),检索时限均为自建库至 2022 年 11 月.参照Cochrane系统评价的要求,对选择纳入的临床试验进行方法学质量评估、数据提取和数据分析.结果:共纳入11 个研究,774 例患者,与常规只进行单一的盆底肌训练治疗相比,Meta结果分析显示,温针灸联合盆底肌训练组治疗SUI总有效率高于对照组[OR=4.02,95%CI(2.58,6.26),P<0.000 01];ICI-Q-SF评分[MD=-1.17,95%CI(-1.63,-0.7),P<0.000 01];1 h尿垫试验[MD=-1.65,95%CI(-2.07,-1.23),P<0.000 01],差异具有统计学意义;纳入文献均未报告不良反应.结论:温针灸联合盆底肌训练治疗压力性尿失禁,对提高患者的生活质量、减少漏尿量有较好的疗效.
Meta analysis of clinical effect of warm acupuncture combining with pelvic floor muscle training on stress urinary incontinence
Objective:To provide evidence-based medical basis for the treatment of stress urinary inconti-nence(SUI)by warm acupuncture combining with pelvic floor muscle training using Meta-analysis.Methods:The subject words"warm acupuncture","urinary incontinence"and"stress urinary incontinence"were searched in PubMed,Cochrane Library Central Database,Embase,Chinese Biomedical Literature Database(CBM),China Knowledge Network Database(CNKI),Wanfang Data Knowledge Service Platform(Wanfang Data),and VIP Journal Full-text Database(VIP).The retrieval time limit was from the establishment of the database to June 2022.According to the requirements of Cochrane system evaluation,the methodological quality of the selected clini-cal trials was evaluated,the data were extracted and analyzed.Results:A total of 11 studies and 774 patients were included.Compared with the control group(conventional pelvic floor muscle training),Meta-analysis results showed that the total effective rate of warm acupuncture combined with pelvic floor muscle training group in the treatment of SUI was higher than that of the control group[OR=4.02,95%CI(2.58,6.26),P<0.00001],with the ICI-Q-SF score of[MD=-1.17,95%CI(-1.63,-0.7),P<0.000 01]and 1 h pad test of[MD=-1.65,95%CI(-2.07,-1.23),P<0.00001],and the difference was statistically significant.No adverse re-actions were reported in the included literature.Conclusion:Warm acupuncture combining with pelvic floor muscle training in the treatment of SUI can improve the quality of life of patients and reduce leakage of urine,which has a good effect.

Warm acupunctureStress urinary incontinenceRandomized controlled trailMeta analysisPelvic floor muscle training

尤晓凤、黄锦华、金鑫悦、李壮苗

展开 >

福建中医药大学护理学院,福建 福州 350122

福建中医药大学附属人民医院

温针灸 压力性尿失禁 随机对照试验 Meta分析 盆底肌训练

福建省科技厅引导性项目国家中医临床研究基地

2020Y0101JDZX201921

2024

包头医学院学报
内蒙古科技大学包头医学院

包头医学院学报

影响因子:0.543
ISSN:1006-740X
年,卷(期):2024.40(7)