特色中医护理技术联合盆底肌训练治疗产后压力性尿失禁的Meta分析  

Efficacy of traditional Chinese medicine nursing combined with pelvic floor muscle training for the treatment of postpartum stress urinary incontinence:a meta-analysis

作　　者：胡丽莎 祝玲 彭淑华[1] 颜飞 汤雪棋 杜娟 HU Li-sha;ZHU Ling;PENG Shu-hua;YAN Fei;TANG Xue-qi;DU Juan(Department of Nursing,the Central Hospital of Xiaogan,Xiaogan 432000,Hubei,CHINA;Department of UrologyⅡ,the Central Hospital of Xiaogan,Xiaogan 432000,Hubei,CHINA)

机构地区：[1]孝感市中心医院护理部,湖北孝感432000 [2]孝感市中心医院泌尿外科Ⅱ病区,湖北孝感432000

出　　处：《海南医学》2025年第6期860-868,共9页Hainan Medical Journal

基　　金：湖北省孝感市自然科技项目(编号:XGK2023010027)。

摘　　要：目的系统评价特色中医护理技术联合盆底肌训练治疗产后压力性尿失禁疗效及影响。方法自建库至2024年5月检索PubMed、Embase、Web of Science、CHINAL、SinoMed、中国知网、万方数据和维普等发表的特色中医护理技术联合盆底肌训练治疗产后压力性尿失禁的随机对照试验论文。由3名医院循证实践小组成员独立进行文献的筛选、评价、提取和总结,同时利用RevMan 5.3软件进行荟萃分析。结果纳入的文献共10篇、870例患者。Meta分析结果显示:特色中医护理技术联合盆底肌训练可显著提高产后压力性尿失禁患者的临床疗效(RR=1.21,95%CI:1.13~1.30),降低尿失禁量)(SMD=-1.37,95%CI:-1.90~-0.84)、尿失禁程度评分(SMD=-1.32,95%CI:-2.45~-0.18)、ICI-Q-SF评分(SMD=-1.99,95%CI:-3.20~-0.77)、盆底脏器脱垂率(RR=0.25,95%CI:0.10~0.64)。结论特色中医护理技术联合盆底肌训练治疗产后压力性尿失禁效果显著,能提高其临床疗效,减少尿失禁量及尿失禁程度,降低盆底脏器脱垂率及ICI-Q-SF评分。Objective To systematically evaluate the efficacy and impact of traditional Chinese medicine(TCM)nursing techniques combined with pelvic floor muscle training in the treatment of postpartum stress urinary incontinence.Methods PubMed,Embase,Web of Science,CHINAL,SinoMed,China National Knowledge Infrastructure,Wanfang Data,and VIP Data and other databases were retrieved from inception to May 2024 for randomized controlled trials on applying characteristic TCM nursing techniques and pelvic floor muscle training for the treatment of postpartum stress urinary incontinence.Three members of the hospital's evidence-based practice team independently screened,evaluated,extracted,and summarized literature.RevMan 5.3 software was used for meta-analysis.Results Ten studies involving 870 patients were included.Meta-analysis showed that TCM nursing techniques combined with pelvic floor muscle training significantly improved clinical efficacy(RR=1.21,95%CI:1.13-1.30),reduced urine leakage(SMD=-1.37,95%CI:-1.90 to-0.84),decreased incontinence severity scores(SMD=-1.32,95%CI:-2.45 to-0.18),lowered ICI-Q-SF scores(SMD=-1.99,95%CI:-3.20 to-0.77),and reduced pelvic organ prolapse rates(RR=0.25,95%CI:0.10-0.64).Conclusion The combination of characteristic TCM nursing techniques and pelvic floor muscle training has a significant effect on the treatment of postpartum stress urinary incontinence,which can improve clinical outcomes,reduce the amount and degree of urinary incontinence,lower the rate of pelvic organ prolapse and ICI-Q-SF score.

关 键 词：产后 压力性尿失禁 中医护理 盆底肌训练 META分析 

分 类 号：R714.46[医药卫生—妇产科学]