Introduction: Pelvic floor muscle function of 30 overweight postmenopausal women prior to and after colporrhahpy was monitored in this study. Material and Methods: Patients diagnosed with cystokele or combined cystore...Introduction: Pelvic floor muscle function of 30 overweight postmenopausal women prior to and after colporrhahpy was monitored in this study. Material and Methods: Patients diagnosed with cystokele or combined cystorectokele was involved. 1 mg oral estriol and local estriol cream were administered for 30 days preoperatively. Pelvic floor muscle function was monitored by surface electromyography 1 month before (1st) 1 day prior to surgery (2nd), and six weeks after the surgery (3rd measurement). Body composition parameters (intra- and extracellular water and body fat) were also measured. Results: The ability to relax significantly improved (p = 0.03) in the preoperative period (between 1st and 2nd occasions). Six weeks after surgery a non-significant (p = 0.054) decrease in average muscle activity was detected when compared with values obtained before the surgery. Muscle-activity declined significantly from the first to the last measurements (p = 0.005). Conclusion: Our results confirm that postmenopausal obese women who undergo anterior or posterior colporrhaphy need a follow-up concerning pelvic floor muscle function and suggest that physiotherapy started the earliest possible may aid in preserving postoperative functionality on the long run.展开更多
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...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。展开更多
文摘Introduction: Pelvic floor muscle function of 30 overweight postmenopausal women prior to and after colporrhahpy was monitored in this study. Material and Methods: Patients diagnosed with cystokele or combined cystorectokele was involved. 1 mg oral estriol and local estriol cream were administered for 30 days preoperatively. Pelvic floor muscle function was monitored by surface electromyography 1 month before (1st) 1 day prior to surgery (2nd), and six weeks after the surgery (3rd measurement). Body composition parameters (intra- and extracellular water and body fat) were also measured. Results: The ability to relax significantly improved (p = 0.03) in the preoperative period (between 1st and 2nd occasions). Six weeks after surgery a non-significant (p = 0.054) decrease in average muscle activity was detected when compared with values obtained before the surgery. Muscle-activity declined significantly from the first to the last measurements (p = 0.005). Conclusion: Our results confirm that postmenopausal obese women who undergo anterior or posterior colporrhaphy need a follow-up concerning pelvic floor muscle function and suggest that physiotherapy started the earliest possible may aid in preserving postoperative functionality on the long run.
文摘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。
