体质量管理对女性尿失禁疗效的Meta分析  

Effect of body mass control in female urinary incontinence atients:meta-analysis

作　　者：王梅杰 丁子钰 刘会范[2] 刘芳丽 姚卓娅[3] WANG Meijie;DING Ziyu;LIU Huifan;LIU Lifang;YAO Zhuoya(College of Nursing and Health,Henan University,Kaifeng,Henan 475000,China;Urology Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450000,China;Disinfection Supply Center,People’s Hospital of Henan Province,Zhengzhou,Henan 450000,China)

机构地区：[1]河南大学护理与健康学院,河南开封475000 [2]郑州大学第一附属医院泌尿外科,河南郑州450000 [3]河南省人民医院消毒供应中心,河南郑州450000

出　　处：《安徽医药》2020年第10期1913-1919,共7页Anhui Medical and Pharmaceutical Journal

基　　金：河南省医学科技攻关计划项目(2018010004);河南省高等学校重点科研项目计划(19B320023)。

摘　　要：目的评价控制体质量(BM)在女性尿失禁病人中的有效性。方法检索中国知网(CNKI)、万方数据库(Wanfang Date)和维普数据库(VIP)等中文数据库以及Cochrane Library、Pubmed和Web of science等英文数据库中有关控制BM对尿失禁病人的队列研究、病例对照研究和随机对照试验,同时筛检纳入文章的参考文献,检索建库至2019年5月期间公开发表的文章。采用RevMan 5.3软件进行Meta分析。结果共纳入13篇文献,涉及1079例病人。Meta分析结果显示,在6个月和12个月的随访中,控制BM显著降低了病人尿失禁的发生率[RR=2.02,95%CI(1.25~3.24),P<0.01],降低了病人的BMI[MD=12.22,95%CI(9.51~14.93),P<0.01],提高了病人的生活质量[MD=0.77,95%CI(0.43~1.00),P<0.01],改善了病人的盆底功能[MD=2.22,95%CI(13.13~31.11),P<0.01],减轻了病人尿失禁症状的严重程度[MD=4.03,95%CI(1.77~6.28),P<0.01]。结论控制BM能有效降低病人尿失禁的发生率、BMI,有效改善病人盆底功能以及尿失禁症状的严重程度,有助于提高病人的生活质量。Objective To evaluate the effectiveness of body mass control(BM)in female patients with urinary incontinence.MethodsThe Chinese national knowledge infrastructure(CNKI),Wanfang database,VIP database(VIP),Cochrane Library,Pubmed,Web of science were searched.Cohort study,case-control study,randomized control trials(RCTS)related to the effect of body mass control inpatients with urinary incontinence at home and abroad were retrieved by two valuators.The quality of the literatures meeting the inclusion and exclusion standards were evaluated and RevMan 5.3 software was use for Meta-analysis.Search for articles published between the date of database construction and May 2019.ResultsA total of 13 studies were included,with a total of1079 patients.Meta-analysis showed that during the 6-month and 12-month follow-up,body mass control significantly reduced the incidence of urinary incontinence[RR=2.02,95%CI(1.25-3.24),P<0.01],reduced the body mass index[MD=12.22,95%CI(9.51-14.93),P<0.01],improved the quality of life[MD=0.77,95%CI(0.43-1.00),P<0.01],improved pelvic floor function[MD=2.22,95%CI(13.13-31.11),P<0.01],and reduced the severity of urinary incontinence symptoms[MD=4.03,95%CI(1.77-6.28),P<0.01].ConclusionsBody mass control can effectively reduce the incidence of urinary incontinence,body mass index,and effectively improve the pelvic floor function of patients and the severity of urinary incontinence symptoms,which is conducive to improving the quality of life of patients.

关 键 词：尿失禁 体质量减轻 减肥手术 胃切除术 胃成形术 生活方式 META分析 

分 类 号：R711.59[医药卫生—妇产科学]