生物反馈在压力性尿失禁非手术治疗中的价值

Clinical value of biofeedback in non-surgical treatments for women with stress urinary incontinence

目的 通过Meta分析了解生物反馈在压力性尿失禁非手术治疗中的价值,旨在获得压力性尿失禁物理治疗的最佳方法. 方法 使用“biofeedback”及“stress urinary incontinence”及相应中文名关键词检索Pubmed、维普中文科技期刊全文数据库、万方数字化期刊全文、中国知网全文数据库所有文献,选取以生物反馈为对照治疗压力性尿失禁的文献,应用Review Manager 5.2软件进行统计学分析. 结果 共计18篇文献纳入研究.在压力性尿失禁非手术治疗中,生物反馈＋盆底肌锻炼与盆底肌锻炼对照治疗的有效率明显提高;生物反馈＋神经电刺激与盆底肌锻炼对照治疗的有效率明显提高;生物反馈＋盆底肌锻炼＋神经电刺激与盆底肌锻炼对照治疗的有效率明显提高,差异均有统计学意义. 结论 生物反馈在压力性尿失禁非手术治疗中有较好治疗效果,值得临床推广.

Objective To obtain the best effective non-surgical treatments for women with stress urinary incontinence by assessing the value of biofeedback through meta-analysis.Methods We used the key words “biofeedback”,“stress urinary incontinence” and corresponding Chinese words to search the literature in Pubmed,VIP Chinese Periodical Database,Wanfang database,and China National Knowledge Infrastructure （CNKI）.Any randomized controlled study with biofeedback was included and meta-analysis was performed using Review Manager 5.2 software.Results A total of 18 papers were extracted.In non-surgical treatments for women with stress urinary incontinence,biofeedback （BF） ＋ pelvic floor muscle training （PFMT）,BF ＋ electrical stimulation（ES）,and BF ＋ ES ＋ PFMT were more effective when compared with PFMT alone.Conclusion Biofeedback is the most effective method in non-surgical treatments for women with stress urinary incontinence.