术前盆底肌锻炼对前列腺癌根治术后尿失禁影响的Meta分析  

Effectiveness of preoperative pelvic floor muscle training for urinary incontinence after radical prostatectomy:a Meta-analysis

作　　者：罗玉红 李文娟[1] 张发 梁梦天 王超[2] 吴长富 周逢海 LUO Yuhong;LI Wenjuan;ZHANG Fa;LIANG Mengtian;WANG Chao;WU Changfu;ZHOU Fenghai(School of Nursing,Lanzhou University,Lanzhou 730000,China;Department of Urology,Gansu Provincial people's Hospital,Lanzhou 730000,China)

机构地区：[1]兰州大学护理学院,兰州市730000 [2]甘肃省人民医院泌尿外科,兰州市730000

出　　处：《护理管理杂志》2021年第2期113-117,共5页Journal of Nursing Administration

基　　金：甘肃省自然科学基金(17JR5RA333)。

摘　　要：目的系统评价术前盆底肌锻炼对前列腺癌根治术后并发症尿失禁的影响。方法计算机检索PubMed、EMbase、Cochrane Library、web of science、中国生物医学文献数据库、中国期刊全文数据库、万方数据库及维普数据库,搜集关于盆底肌锻炼对前列腺癌根治术后尿失禁影响的随机对照试验,检索时限均为从建库至2019年9月。由两位研究者独立筛选文献、提取数据和评估纳入研究的偏倚风险后,采用RevMan 5.3软件进行Meta分析。结果共纳入文献8篇。Meta分析结果显示,早期(1个月、6周和3个月)的尿失禁康复率无明显差异OR=0.85,95%CI(0.31,2.35),P=0.76,OR=0.97,95%CI(0.51,1.84),P=0.92,OR=1.18,95%CI(0.84,1.65),P=0.34;中期(6个月)、后期(12个月)的尿失禁康复率均无统计学差异OR=0.63,95%CI(0.40,1.01),P=0.06,OR=0.79,95%CI(0.45,1.39),P=0.42。结论术前盆底肌锻炼并不能提高前列腺癌根治术后早期(3个月内)、中期(6个月)或后期(12个月)的尿失禁康复率。Objective Systematic evaluation of the impact of preoperative pelvic floor muscle training on urinary incontinence after radical prostatectomy.Methods Computer search PubMed,EMbase,Cochrane Library,web of science,Chinese biomedical literature database,Chinese journal full-text database,Wanfang database and Weipu database were used to collect random controlled trials on the impact of on urinary incontinence after radical prostatectomy.The search time range was from the day the database was built until September 2019.Two researchers independently screened the literature,extracted data,and assessed the risk of bias in the included studies,and then used RevMan 5.3 software for Meta-analysis.Results A total of 8 articles were included.No significant differences in continence rates were detected at the early(1 month,6 weeks and 3 months)time points:[OR=0.85,95%CI(0.31,2.35),P=0.76],[OR=0.97,95%CI(0.51,1.84),P=0.92],[OR=1.18,95%CI(0.84,1.65),P=0.34],and interim(6-month)time point:[OR=0.63,95%CI(0.40,1.01),P=0.06],or late(12-month)recovery stage:[OR=0.79,95%CI(0.45,1.39),P=0.42].Conclusion According to the Meta-analysis,additional preoperative pelvic floor muscle training does not improve the resolution of urinary incontinence after radical prostatectomy at early(≤3-month),interim(6-month),or late(12-month)recovery stages.

关 键 词：盆底肌锻炼 前列腺癌根治术 尿失禁 

分 类 号：R473.6[医药卫生—护理学]