膀胱功能锻炼必要性的Meta分析  

Meta-analysis of the need for functional bladder exercise

作　　者：刘永盛 黄平 林欣雨 伍耿青[2] LIU Yongsheng;HUANG Ping;LIN Xinyu;WU Gengqing(First School of Clinical Medicine,Gannan Medical University,Ganzhou 341000,Jiangxi,China;Department of Urology,the First Affiliated Hospital of Gannan Medical University,Ganzhou,341000,Jiangxi,China)

机构地区：[1]赣南医学院第一临床医学院,江西赣州341000 [2]赣南医学院第一附属医院泌尿外科,江西赣州341000

出　　处：《中国现代医生》2023年第11期16-19,共4页China Modern Doctor

基　　金：赣州市科技计划项目(GZ2021ZSF005)。

摘　　要：目的评价膀胱功能锻炼是否能使患者拔除留置尿管后获益。方法通过计算机检索PubMed、Cochrane library、Embase、Web of Science,检索时间为建库至2022年8月。由两名研究员独立筛选文献、提取数据、质量评价并交叉核对,采用Review Manager 5.4软件进行Met分析。结果研究共纳入5篇随机对照研究文献,研究对象合计1464例,膀胱功能锻炼组722例,非膀胱功能锻炼组742例。Meta分析结果显示,膀胱功能锻炼和非膀胱功能锻炼相比,在拔除留置尿管后的再次导尿率(相对危险度为0.88,95%置信区间:0.54~1.42,P=0.60)和尿路感染率(相对危险度为1.20,95%置信区间:0.84~1.71,P=0.31)方面差异无统计学意义。结论膀胱功能锻炼不能使短期留置尿管的患者受益,在没有更高质量的循证证据之前,临床应该慎重使用这种护理操作。Objective To evaluate whether bladder function exercise can benefit patients after removal of indwelling catheter.Methods PubMed,Cochrane Library,Embase and Web of Science were searched by computer.The search time was from the establishment of the database to August 2022.Two researchers independently screened the literature,extracted data,evaluated the quality and cross checked,and Meta-analysis was performed with the Review Manager 5.4 software.Results Five randomised controlled studies were included in the study literature,with a total of 1464 subjects,722 in the bladder function exercise group and 742 in the non-bladder function exercise group.The results of Meta-analysis showed that there was no statistical significance in the rate of re-catheterization(relative risk:0.88,95%confidence interval 0.54-1.42,P=0.60)and the rate of urinary tract infection(relative risk:1.20,95%confidence interval:0.84-1.71,P=0.31)between bladder function exercise and non-bladder function exercise.Conclusion Bladder function exercise do not benefit patients with short term indwelling urinary catheters and should be used with clinical caution until there is better quality evidence based evidence.

关 键 词：膀胱功能锻炼 再次导尿 尿路感染 META分析 

分 类 号：R472[医药卫生—护理学]