盆底肌训练防治孕产妇尿失禁的最佳证据总结  

Summary of the best evidence for pelvic floor muscle training in preventing and treating urinary incontinence in maternal

作　　者：王彤[1] 彭玉娜[1] 郭路[1] WANG Tong;PENG Yuna;GUO Lu(Department of Obstetric,Tianjin First Central Hospital,Tianjin 300192,China)

机构地区：[1]天津市第一中心医院产科,天津300192

出　　处：《重庆医学》2023年第20期3159-3165,共7页Chongqing medicine

摘　　要：目的检索、分析并整合盆底肌训练(PFMT)预防或治疗孕产妇尿失禁的相关证据。方法系统检索英国医学杂志(BMJ)最佳临床实践、临床决策支持系统(UpToDate)、the Joanna Briggs Institute(JBI)基于医疗保健中心数据库、Cochrane Library、美国指南网、英国国家健康与临床优选研究所(NICE)网、澳大利亚国家健康与医药研究委员会、欧洲泌尿外科学协会(EAU)指南网、PubMed、EMBASE、中国知网、Web of Science、中国生物医学文献服务系统(SinoMed)、万方、维普数据库及医脉通中预防或治疗孕产妇尿失禁相关临床决策、证据总结、指南、系统评价、专家共识,检索时限为建库至2022年9月15日,由3名研究者对纳入文献的质量进行评价,并提取相关证据。结果共纳入文献13篇,其中2篇临床决策,3篇指南,5篇系统评价,3篇证据总结。提炼PFMT开始时机、尿失禁及盆底功能评估、人员与培训、PFMT方案、PFMT依从性、健康教育6个方面的24条证据。结论该研究总结了PFMT预防或治疗孕产妇尿失禁的最佳证据,医务人员和孕产妇可遵循最佳证据开展临床实践促进女性获益最大化,提高护理质量。Objective To retrieve,analyze and synthesize relevant evidence of pelvic floor muscle training(PFMT)for the prevention or treatment of urinary incontinence in maternal.Methods Clinical decisions,evidence summaries,guidelines,systematic reviews,and expert consensus related to the prevention or treatment of urinary incontinence in maternal were systematically retrieved from the British Medical Journal(BMJ)best practices,Clinical Decision Support System(UpToDate),database of Joanna Briggs Institute(JBI)based on the health care center,Cochrane Library,US Guidelines Network,National Institute for Health and Care Excellence(NICE)network,National Health and Medical Research Council of Australia(NHMRC),European Association of Urology(EAU),PubMed,EMBASE,CNKI,Web of Science,SinoMed,Wanfang,VIP database,and Medlive.The search was conducted from the establishment of the databases up to September 15,2022.The quality of the included literatures was assessed by three researchers,and relevant evidences were extracted.Results A total of 13 articles were included,including two clinical decisions,three guidelines,five systematic reviews,and three evidence summaries.A total of 24 items of evidence in 6 domains were extracted:timing of PFMT,assessment of urinary incontinence and pelvic floor function,personnel and training,PFMT protocol,PFMT compliance,and health education.Conclusion This study summarizes the best evidences for pelvic floor muscle training to prevent or treat urinary incontinence in maternal.Medical staff and maternal can follow the best evidences to carry out clinical practice,promote maximum benefits for women,and improve the nursing quality.

关 键 词：盆底肌训练 孕产妇 尿失禁 临床决策 指南 系统评价 专家共识 最佳证据 

分 类 号：R711.59[医药卫生—妇产科学]