目的 检索并总结孕产妇盆底肌功能障碍预防及康复管理的最佳证据。方法 基于PIPOST构建循证问题，根据"6S"证据模型检索BMJ Best Practice、JBI循证卫生保健中心数据库、Up To Date、Cochrane Library、医脉通指南网、PubMed、国际指南协作网、苏格兰学院间指南网、加拿大安大略注册护士协会、中国生物医学数据库、万方数据库、维普等数据库中关于孕产妇盆底肌功能障碍预防及康复管理的相关文献，并由3名研究者对文献进行质量评价、证据提取和汇总。检索时限为建库至2023年2月26日。结果 共纳入15篇文献，包括4篇指南、2篇专家共识及9篇系统评价，并总结出预防及康复的益处、预防及康复的时机、评估与诊断、多学科管理、日常生活管理、预防管理策略、康复管理策略及注意事项8个方面共28条最佳证据。结论 本研究总结了孕产妇盆底肌功能障碍预防及康复管理的最佳证据，可为临床医护人员开展预防及康复管理提供参考，但最佳证据的应用还需结合孕产妇具体情况，并在临床实践中不断完善。
Summary of the best evidence of prevention and rehabilitation management for pelvic floor muscles dysfunction in pregnancy and postpartum women
Objective To search and summarize the best evidence for the prevention and rehabilitation manage-ment of pelvic floor muscles dysfunction in pregnant and postpartum women.Method Evidence-based questions were constructed based on PIPOST,and relevant literatures on the prevention and rehabilitation management of pelvic floor muscles dysfunction in pregnant and postpartum women in BMJ Best Practice,J BI evidence-based healthcare center database,Up To Date,Cochrane Library,PubMed,International Guidelines Collaboration Network,Scottish Intercollegiate Guidelines Network,Ontario Registered Nurses Association of Canada,Chinese Biomedical Database,Wanfang Database,and VIP Database were searched based on the"6S"evidence model.The quality of the literature,extraction and summary of the evidence were evaluated by 3 researchers.The search deadline was from the establish-ment of the database to February 26,2023.Result A total of 15 articles were included,including 4 guidelines,2 ex-pert consensus articles,and 9 systematic reviews.The 28 best pieces of evidence were summarized from 8 aspects,in-cluding the benefits of prevention and rehabilitation,timing of prevention and rehabilitation,evaluation and diagno-sis,multidisciplinary management,daily life management,prevention management strategies,rehabilitation man-agement strategies,and precautions.Conclusion This study summarizes the best evidence for the prevention and rehabilita-tion management of pelvic floor muscle dysfunction in pregnant women,which can provide reference for clinical medical staff to carry out prevention and rehabilitation management.However,the application of the best evidence still needs to be com-bined with the specific situation of pregnant women and continuously improved in clinical practice.
万方数据
维普
