Background:To systematically evaluate the effect of pelvic floor muscle training with biofeedback v.s.pelvic floor muscle exercise alone on stress urinary incontinence in women.Methods:PubMed,the Cochrane Library,Web ...Background:To systematically evaluate the effect of pelvic floor muscle training with biofeedback v.s.pelvic floor muscle exercise alone on stress urinary incontinence in women.Methods:PubMed,the Cochrane Library,Web of Science,Ovid,Ebsco,PEDro,WanFang Data,VIP and CNKI databases were electronically searched to collect randomized controlled trials that meet inclusion criteria.After quality assessment,meta-analysis was conducted by RevMan 5.3 software.Results:A total of 8 randomized controlled trials were included.The results of meta-analysis supported the effectiveness of biofeedback on improving pelvic floor muscle strength(MD=4.67,95%CI(1.86,7.49),P=0.001),increasing short(up to 1 hour)pad test(SMD=−1.11,95%CI(−1.84,−0.37),P=0.003),enhancing quality of life(SMD=−0.34,95%CI(−0.67,−0.01),P=0.04)and social activity index(MD=0.1,95%CI(0.06,0.15),P<0.001).Conclusion:Pelvic floor muscle training with biofeedback could improve pelvic floor muscles’strength and help these patients integrate into society,more high quality studies are required to verify above conclusions.展开更多
Stress urinary incontinence is not a deadly disease,but for the large population of women suffering from it,it is a very important issue.Especially in the continuously aging population all over the world,there is more...Stress urinary incontinence is not a deadly disease,but for the large population of women suffering from it,it is a very important issue.Especially in the continuously aging population all over the world,there is more and more need for treatment of this serious medical condition.Treatment of female stress urinary incontinence exists already for ages.In the 20th century invasive treatments like Burch colposuspension and pubovaginal slings were the mainstay of surgical treatments.The introduction of the midurethral sling made the procedure less invasive and accessible for more caregivers.Luckily there are many options available and the field is developing quickly.In recent years many new medical devices have been developed,that increase the number of treatment options available and make it possible to find a suitable solution for the individual patient based on subjective and objective results and the chances of complications.This manuscript provides an introduction to the therapeutical options that are available nowadays for female stress urinary incontinence.展开更多
目的探讨针灸联合生物反馈电刺激治疗产后压力性尿失禁(postpartum stress urinary incontinence,PSUI)的疗效及对国际尿失禁咨询委员会尿失禁问卷表(Incontinence Questionnaire of the International Incontinence Advisory Committee...目的探讨针灸联合生物反馈电刺激治疗产后压力性尿失禁(postpartum stress urinary incontinence,PSUI)的疗效及对国际尿失禁咨询委员会尿失禁问卷表(Incontinence Questionnaire of the International Incontinence Advisory Committee,ICI-Q-SF)评分和盆底肌表面电信号的影响。方法选取2022年6月—2023年6月于本院就诊的PSUI患者264例,随机分为对照组(n=132)和研究组(n=132),对照组采取生物反馈电刺激治疗,研究组采取针灸联合生物反馈电刺激治疗,均治疗8周,观察两组治疗疗效,对比治疗前后漏尿量、盆底功能、肌力、肌纤维疲劳度、ICI-Q-SF得分、盆底肌表面电信号、尿动力学水平[最大尿道闭合压(MUCP)、最大尿流率(MFR)、达峰时间(Tmax)、咳嗽点膀胱内压(CLPP)]。采用GEE模型评价两种治疗方法对患者ICI-Q-SF评分和盆底肌表面电信号的影响。结果对照组总有效率为74.24%,研究组总有效率为91.67%,两组临床疗效比较差异有统计学意义(P<0.05)。与治疗前比较,治疗4周、6周、8周后两组患者阴道收缩压、静息压、盆底肌表面电信号水平(活力)及尿动力学水平均有显著升高,而膀胱颈活动度、尿道旋转角度、漏尿量、ICI-Q-SF评分、盆底肌表面电信号水平(峰值)显著降低(P<0.05),且研究组优于对照组(P<0.05)。治疗4周、6周、8周后,研究组盆底肌力情况及盆底Ⅰ类、Ⅱ类肌纤维疲劳度均优于对照组,差异均有统计学意义(P<0.05)。采用GEE模型结果显示,治疗时间、治疗方案及两者的交互作用比较差异有统计学意义(P<0.05)。结论针灸联合生物反馈电刺激在治疗产后压力性尿失禁方面具有很好的应用前景,可显著改善患者的ICI-Q-SF评分和盆底肌表面电信号,应用价值较高。展开更多
文摘Background:To systematically evaluate the effect of pelvic floor muscle training with biofeedback v.s.pelvic floor muscle exercise alone on stress urinary incontinence in women.Methods:PubMed,the Cochrane Library,Web of Science,Ovid,Ebsco,PEDro,WanFang Data,VIP and CNKI databases were electronically searched to collect randomized controlled trials that meet inclusion criteria.After quality assessment,meta-analysis was conducted by RevMan 5.3 software.Results:A total of 8 randomized controlled trials were included.The results of meta-analysis supported the effectiveness of biofeedback on improving pelvic floor muscle strength(MD=4.67,95%CI(1.86,7.49),P=0.001),increasing short(up to 1 hour)pad test(SMD=−1.11,95%CI(−1.84,−0.37),P=0.003),enhancing quality of life(SMD=−0.34,95%CI(−0.67,−0.01),P=0.04)and social activity index(MD=0.1,95%CI(0.06,0.15),P<0.001).Conclusion:Pelvic floor muscle training with biofeedback could improve pelvic floor muscles’strength and help these patients integrate into society,more high quality studies are required to verify above conclusions.
基金supported by an unrestricted grant from Urogyn BV,Nijmegen,The Netherlands.
文摘Stress urinary incontinence is not a deadly disease,but for the large population of women suffering from it,it is a very important issue.Especially in the continuously aging population all over the world,there is more and more need for treatment of this serious medical condition.Treatment of female stress urinary incontinence exists already for ages.In the 20th century invasive treatments like Burch colposuspension and pubovaginal slings were the mainstay of surgical treatments.The introduction of the midurethral sling made the procedure less invasive and accessible for more caregivers.Luckily there are many options available and the field is developing quickly.In recent years many new medical devices have been developed,that increase the number of treatment options available and make it possible to find a suitable solution for the individual patient based on subjective and objective results and the chances of complications.This manuscript provides an introduction to the therapeutical options that are available nowadays for female stress urinary incontinence.
文摘目的探讨针灸联合生物反馈电刺激治疗产后压力性尿失禁(postpartum stress urinary incontinence,PSUI)的疗效及对国际尿失禁咨询委员会尿失禁问卷表(Incontinence Questionnaire of the International Incontinence Advisory Committee,ICI-Q-SF)评分和盆底肌表面电信号的影响。方法选取2022年6月—2023年6月于本院就诊的PSUI患者264例,随机分为对照组(n=132)和研究组(n=132),对照组采取生物反馈电刺激治疗,研究组采取针灸联合生物反馈电刺激治疗,均治疗8周,观察两组治疗疗效,对比治疗前后漏尿量、盆底功能、肌力、肌纤维疲劳度、ICI-Q-SF得分、盆底肌表面电信号、尿动力学水平[最大尿道闭合压(MUCP)、最大尿流率(MFR)、达峰时间(Tmax)、咳嗽点膀胱内压(CLPP)]。采用GEE模型评价两种治疗方法对患者ICI-Q-SF评分和盆底肌表面电信号的影响。结果对照组总有效率为74.24%,研究组总有效率为91.67%,两组临床疗效比较差异有统计学意义(P<0.05)。与治疗前比较,治疗4周、6周、8周后两组患者阴道收缩压、静息压、盆底肌表面电信号水平(活力)及尿动力学水平均有显著升高,而膀胱颈活动度、尿道旋转角度、漏尿量、ICI-Q-SF评分、盆底肌表面电信号水平(峰值)显著降低(P<0.05),且研究组优于对照组(P<0.05)。治疗4周、6周、8周后,研究组盆底肌力情况及盆底Ⅰ类、Ⅱ类肌纤维疲劳度均优于对照组,差异均有统计学意义(P<0.05)。采用GEE模型结果显示,治疗时间、治疗方案及两者的交互作用比较差异有统计学意义(P<0.05)。结论针灸联合生物反馈电刺激在治疗产后压力性尿失禁方面具有很好的应用前景,可显著改善患者的ICI-Q-SF评分和盆底肌表面电信号,应用价值较高。
