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.
关键词
温针灸/压力性尿失禁/随机对照试验/Meta分析/盆底肌训练
Key words
Warm acupuncture/Stress urinary incontinence/Randomized controlled trail/Meta analysis/Pelvic floor muscle training
维普
万方数据