盆底肌锻炼预防妊娠期盆底功能障碍性疾病的最佳证据总结  

Best evidence summary of pelvic floor muscle exercises for preventing pelvic floor dysfunction in pregnancy

作　　者：王佳 杜琼靓 侯梦楠 莫晓微 吴言 阳晓丽 蒙莉萍 许晨耘 郭洪花 Wang Jia;Du Qiongliang;Hou Mengnan;Mo Xiaowei;Wu Yan;Yang Xiaoli;Meng Liping;Xu Chenyun;Guo Honghua(International Nursing School,Hainan Medical University,Haikou 570000,China;Department of Nursing,the First Affiliated Hospital of Hainan Medical University,Haikou 570000;Department of Nursing,Hainan Medical University Hainan Hospital,Haikou 570000,China)

机构地区：[1]海南医科大学国际护理学院,海口570000 [2]海南医科大学第一附属医院护理部,海口570000 [3]海南医科大学附属海南医院护理部,海口570000

出　　处：《中华现代护理杂志》2025年第2期184-191,共8页Chinese Journal of Modern Nursing

基　　金：2020年海南省高等学校教育教学改革研究项目(Hnjg2020-70)。

摘　　要：目的检索汇总盆底肌锻炼(PFME)预防妊娠期女性盆底功能障碍性疾病(PFD)的最佳证据。方法计算机检索UpToDate、Cochrane Library、PubMed、Web of Science、Embase、中国知网、维普网、万方数据库、中国生物医学文献服务系统、中华医学期刊全文数据库、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库等中关于妊娠期女性PFME的所有证据。检索时限为2018年1月1日至2023年3月16日。由2名研究者独立对临床决策、专家共识、系统评价进行质量评价,4名研究者独立对指南进行质量评价,最终由2名研究者进行证据提取与等级划分。结果共纳入9篇文献,包括指南3篇、临床决策2篇、专家共识1篇、系统评价3篇,从适应证与禁忌证、评估、方案、监督与随访、管理和效果评价6个方面汇总出20条证据。结论妊娠期女性进行PFME能够有效预防PFD。医护人员应结合临床具体情境,应用最佳证据为妊娠期女性制订PFME计划,预防PFD的发生。ObjectiveTo identify and summarize the best evidence for pelvic floor muscle exercises(PFME)in preventing pelvic floor dysfunction(PFD)during pregnancy.MethodsA systematic search was conducted in databases including UpToData,Cochrane Library,PubMed,Web of Science,Embase,China National Knowledge Infrastructure,VIP,Wanfang Data,SinoMed,Yiigle,and Joanna Briggs Institute Evidence Based Healthcare Center Database and so on.The search spanned from January 1,2018,to March 16,2023.Two researchers independently evaluated the quality of clinical decision-making articles,expert consensus,and systematic reviews,while four researchers appraised the quality of guidelines.Evidence extraction and grading were performed independently by two researchers.ResultsA total of nine documents were included:three guidelines,two clinical decision-making articles,one expert consensus,and three systematic reviews.A total of 20 evidence-based recommendations were summarized in six categories:indications and contraindications,assessment,implementation plans,supervision and follow-up,management,and outcome evaluation.ConclusionsPFME during pregnancy is effective in preventing PFD.Healthcare providers should integrate best evidence into clinical practice to develop tailored PFME plans for pregnant women,aiming to prevent PFD.

关 键 词：孕妇 妊娠期 盆底肌锻炼 盆底功能障碍性疾病 循证护理 证据总结 

分 类 号：R71[医药卫生—妇产科学]