{"title":"传统中医治疗女性压力性尿失禁的临床疗效:一项荟萃分析。","authors":"Hui Liu, Yanan Li, Han Zheng, Yiqun Miao, Shuliang Zhao, Wenting Sun, Yuanyuan Zhang","doi":"10.1590/1980-220X-REEUSP-2023-0153en","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the efficacy of traditional Chinese medicine (TCM) in the treatment of female stress urinary incontinence (SUI).</p><p><strong>Method: </strong>PubMed, Cochrane, Web of Science, Embase, CNKI, Wanfang, and VIP databases were searched for articles published up to September 2022. Variables were analyzed using weighted mean difference (WMD), standardized mean difference (SMD), odds ratios (OR), and 95% confidence interval (CI).</p><p><strong>Results: </strong>Eight studies containing 744 patients were included in this study. The results demonstrate that TCM therapy had more advantages in improving the clinical outcome of SUI patients (OR = 2.90, 95%CI:1.92-4.37, P = 0.000), reducing the International Consultation on Incontinence Questionnaire Short-Form (ICIQ-SF) score (WMD = -2.41, 95%CI:-2.83- -1.98, P = 0.000), reducing 1-h urinary pad leakage urine volume (WMD = -1.86, 95%CI:-2.23- -1.49, P = 0.000) and increasing Maximum urethral closure pressure (MUCP) (SMD = 0.86, 95%CI: 0.61-1.11, P = 0.000).</p><p><strong>Conclusion: </strong>TCM therapy is effective in improving urinary incontinence symptoms, urodynamics, and quality of life in patients with SUI. This article provides a reference for the application of TCM therapy in women with urinary incontinence.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"57 ","pages":"e20230153"},"PeriodicalIF":0.0000,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10849677/pdf/","citationCount":"0","resultStr":"{\"title\":\"Clinical efficacy of traditional Chinese medicine therapy for female stress urinary incontinence: a meta-analysis.\",\"authors\":\"Hui Liu, Yanan Li, Han Zheng, Yiqun Miao, Shuliang Zhao, Wenting Sun, Yuanyuan Zhang\",\"doi\":\"10.1590/1980-220X-REEUSP-2023-0153en\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To investigate the efficacy of traditional Chinese medicine (TCM) in the treatment of female stress urinary incontinence (SUI).</p><p><strong>Method: </strong>PubMed, Cochrane, Web of Science, Embase, CNKI, Wanfang, and VIP databases were searched for articles published up to September 2022. Variables were analyzed using weighted mean difference (WMD), standardized mean difference (SMD), odds ratios (OR), and 95% confidence interval (CI).</p><p><strong>Results: </strong>Eight studies containing 744 patients were included in this study. The results demonstrate that TCM therapy had more advantages in improving the clinical outcome of SUI patients (OR = 2.90, 95%CI:1.92-4.37, P = 0.000), reducing the International Consultation on Incontinence Questionnaire Short-Form (ICIQ-SF) score (WMD = -2.41, 95%CI:-2.83- -1.98, P = 0.000), reducing 1-h urinary pad leakage urine volume (WMD = -1.86, 95%CI:-2.23- -1.49, P = 0.000) and increasing Maximum urethral closure pressure (MUCP) (SMD = 0.86, 95%CI: 0.61-1.11, P = 0.000).</p><p><strong>Conclusion: </strong>TCM therapy is effective in improving urinary incontinence symptoms, urodynamics, and quality of life in patients with SUI. This article provides a reference for the application of TCM therapy in women with urinary incontinence.</p>\",\"PeriodicalId\":94195,\"journal\":{\"name\":\"Revista da Escola de Enfermagem da U S P\",\"volume\":\"57 \",\"pages\":\"e20230153\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-02-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10849677/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista da Escola de Enfermagem da U S P\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1590/1980-220X-REEUSP-2023-0153en\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista da Escola de Enfermagem da U S P","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/1980-220X-REEUSP-2023-0153en","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的:探讨传统中医药治疗女性压力性尿失禁(SUI)的疗效:研究传统中医药治疗女性压力性尿失禁(SUI)的疗效:方法:检索PubMed、Cochrane、Web of Science、Embase、CNKI、万方和VIP数据库中截至2022年9月发表的文章。采用加权平均差(WMD)、标准化平均差(SMD)、几率比(OR)和95%置信区间(CI)对变量进行分析:本研究共纳入 8 项研究,包含 744 名患者。结果表明,中医治疗在改善 SUI 患者的临床疗效(OR = 2.90,95%CI:1.92-4.37,P = 0.000)、降低尿失禁问卷短式(ICIQ-SF)得分(WMD = -2.41, 95%CI:-2.83- -1.98, P = 0.000),减少 1-h 尿垫漏尿量(WMD = -1.86, 95%CI:-2.23- -1.49, P = 0.000),增加最大尿道闭合压(MUCP)(SMD = 0.86, 95%CI: 0.61-1.11, P = 0.000):结论:中医治疗能有效改善 SUI 患者的尿失禁症状、尿动力学和生活质量。本文为中医治疗在女性尿失禁患者中的应用提供了参考。
Clinical efficacy of traditional Chinese medicine therapy for female stress urinary incontinence: a meta-analysis.
Objectives: To investigate the efficacy of traditional Chinese medicine (TCM) in the treatment of female stress urinary incontinence (SUI).
Method: PubMed, Cochrane, Web of Science, Embase, CNKI, Wanfang, and VIP databases were searched for articles published up to September 2022. Variables were analyzed using weighted mean difference (WMD), standardized mean difference (SMD), odds ratios (OR), and 95% confidence interval (CI).
Results: Eight studies containing 744 patients were included in this study. The results demonstrate that TCM therapy had more advantages in improving the clinical outcome of SUI patients (OR = 2.90, 95%CI:1.92-4.37, P = 0.000), reducing the International Consultation on Incontinence Questionnaire Short-Form (ICIQ-SF) score (WMD = -2.41, 95%CI:-2.83- -1.98, P = 0.000), reducing 1-h urinary pad leakage urine volume (WMD = -1.86, 95%CI:-2.23- -1.49, P = 0.000) and increasing Maximum urethral closure pressure (MUCP) (SMD = 0.86, 95%CI: 0.61-1.11, P = 0.000).
Conclusion: TCM therapy is effective in improving urinary incontinence symptoms, urodynamics, and quality of life in patients with SUI. This article provides a reference for the application of TCM therapy in women with urinary incontinence.