摘要
目的 通过Meta分析系统评价盆底康复训练联合穴位按摩改善产后盆底功能障碍性疾病(PFD)的临床疗效。方法 检索建库至2024年3月10日在中国知网全文数据库(CNKI)、维普科技期刊数据库(VIP)、万方数据知识服务平台(WanFang Data)、PubMed、Web of Science、Embase、the Cochrane Library中发表的关于盆底康复训练联合穴位按摩的随机对照试验(RCT)。由两位研究者对文献进行筛选、提取和评价后,采用RevMan5.3软件进行Meta分析。结果 共纳入9篇文献,1 009例患者,其中对照组503例,采用盆底康复训练;研究组506例,采用盆底康复训练联合穴位按摩。Meta分析结果显示,研究组的盆底肌力分级、国际尿失禁咨询委员会问卷简表(ICIQ-SF)评分、康复满意度优于对照组,差异具有统计学意义(P<0.05);两组的盆底肌Ⅰ类肌纤维肌力、盆底肌Ⅱ类肌纤维肌力、性生活质量比较,差异无统计学意义(P>0.05)。结论 盆底康复训练联合穴位按摩可显著改善产后盆底功能、尿失禁情况,提高康复满意度。
Objective To systematically evaluate the clinical efficacy of pelvic floor rehabilitation training combined with acupoint massage in improving postpartum pelvic floor dysfunction(PFD)by Meta-analysis.Methods The randomized controlled trial(RCT)on pelvic floor rehabilitation training combined with acupoint massage published in China National Knowledge Infrastructure(CNKI),Vip Science Database(VIP),Wanfang Data Knowledge Service Platform(WanFang Data),PubMed,Web of Science,Embase,and the Cochrane Library from the establishment of the database to March 10,2024 were searched.After the literature was screened,extracted and evaluated by two researchers,Meta-analysis was performed using RevMan5.3 software.Results A total of 9 articles were included,including 1009 patients,including 503 patients in the control group who received pelvic floor rehabilitation training;the experimental group consisted of 506 cases who received pelvic floor rehabilitation training combined with acupoint massage.The results of Meta-analysis showed that the pelvic floor muscle strength grading,International Consultation on Incontinence Questionnaire-Short Form(ICIQ-SF)score and rehabilitation satisfaction of the experimental group were better than those of the control group,and the differences were statistically significant(P<0.05);there were no significant differences in pelvic floor muscle typeⅠmuscle fiber strength,pelvic floor muscle typeⅡmuscle fiber strength and sexual function between the two groups(P>0.05).Conclusion Pelvic floor rehabilitation training combined with acupoint massage can significantly improve postpartum pelvic floor function,urinary incontinence and elevate rehabilitation satisfaction.
作者
秦铭莉
江秀敏
QIN Mingli;JIANG Xiumin(School of Nursing,Fujian University of Traditional Chinese Medicine,Fuzhou 350122;Fujian Maternal and Child Health Hospital,Fuzhou 350000,China)
出处
《临床医学研究与实践》
2025年第21期124-129,共6页
Clinical Research and Practice
关键词
盆底功能障碍性疾病
盆底康复训练
穴位按摩
康复满意度
META分析
pelvic floor dysfunction
pelvic floor rehabilitation training
acupoint massage
rehabilitation satisfaction
Meta-analysis
作者简介
秦铭莉(1998-),女,硕士在读。研究方向:中医临床护理;通讯作者:江秀敏,E-mail:jzc0427@163.com.
