{"title":"电针对女性压力性尿失禁严重程度和症状的影响:随机对照试验的系统回顾和荟萃分析","authors":"F.Ş. Bilgiç , N. Gençtürk , B. Arikan","doi":"10.1016/j.acuro.2024.01.011","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Stress Urinary Incontinence is a condition that impairs the quality of life in women and randomized controlled trials of electroacupuncture for stress urinary incontinence have been conducted.</p></div><div><h3>Objective</h3><p>The aim of this systematic review and meta-analysis was to examine the effect of electroacupuncture on the severity and symptoms of urinary incontinence in women with stress urinary incontinence.</p></div><div><h3>Methods</h3><p>Literature searches were conducted in PubMed, CINAHL, Scopus and Science Citation Index until November 2023. This study was based on the recommendations of the Cochrane guidelines. Data were analyzed using the Review Manager computer program (Version 5.4). The methodological quality of the studies was assessed using the RoB-2 tool.</p></div><div><h3>Results</h3><p>The analysis included 888 women with stress urinary incontinence and three studies. In women with stress urinary incontinence, electroacupuncture intervention improved urinary incontinence severity and quality of life (MD:-2.37, 95% CI:-3.29 to 1.45, Z<!--> <!-->=<!--> <!-->5.07,p<<!--> <!-->0. 001), urinary leakage (SMD:-0.79, 95% CI:-1.02 to -0.55, Z<!--> <!-->=<!--> <!-->6.60,p<!--> <!-->=<!--> <!-->0.001) and incontinence episode frequency (SMD:-2.24, 95%CI:-4.17 to -0.32, Z<!--> <!-->=<!--> <!-->2.29,p<<!--> <!-->0.02).</p></div><div><h3>Conclusion</h3><p>In women with stress urinary incontinence, electroacupuncture intervention decreased the severity of urinary incontinence and improved the quality of life. Symptoms related to urinary incontinence were found to decrease urinary leakage and incontinence episode frequency. The studies included in the analysis were determined to be low-risk studies in quality assessment.</p></div>","PeriodicalId":7145,"journal":{"name":"Actas urologicas espanolas","volume":"48 6","pages":"Pages 437-447"},"PeriodicalIF":1.2000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"El efecto de la electroacupuntura en la gravedad y los síntomas de la incontinencia urinaria de esfuerzo en mujeres: revisión sistemática y metaanálisis de ensayos controlados aleatorizados\",\"authors\":\"F.Ş. Bilgiç , N. Gençtürk , B. Arikan\",\"doi\":\"10.1016/j.acuro.2024.01.011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Stress Urinary Incontinence is a condition that impairs the quality of life in women and randomized controlled trials of electroacupuncture for stress urinary incontinence have been conducted.</p></div><div><h3>Objective</h3><p>The aim of this systematic review and meta-analysis was to examine the effect of electroacupuncture on the severity and symptoms of urinary incontinence in women with stress urinary incontinence.</p></div><div><h3>Methods</h3><p>Literature searches were conducted in PubMed, CINAHL, Scopus and Science Citation Index until November 2023. This study was based on the recommendations of the Cochrane guidelines. Data were analyzed using the Review Manager computer program (Version 5.4). The methodological quality of the studies was assessed using the RoB-2 tool.</p></div><div><h3>Results</h3><p>The analysis included 888 women with stress urinary incontinence and three studies. In women with stress urinary incontinence, electroacupuncture intervention improved urinary incontinence severity and quality of life (MD:-2.37, 95% CI:-3.29 to 1.45, Z<!--> <!-->=<!--> <!-->5.07,p<<!--> <!-->0. 001), urinary leakage (SMD:-0.79, 95% CI:-1.02 to -0.55, Z<!--> <!-->=<!--> <!-->6.60,p<!--> <!-->=<!--> <!-->0.001) and incontinence episode frequency (SMD:-2.24, 95%CI:-4.17 to -0.32, Z<!--> <!-->=<!--> <!-->2.29,p<<!--> <!-->0.02).</p></div><div><h3>Conclusion</h3><p>In women with stress urinary incontinence, electroacupuncture intervention decreased the severity of urinary incontinence and improved the quality of life. Symptoms related to urinary incontinence were found to decrease urinary leakage and incontinence episode frequency. The studies included in the analysis were determined to be low-risk studies in quality assessment.</p></div>\",\"PeriodicalId\":7145,\"journal\":{\"name\":\"Actas urologicas espanolas\",\"volume\":\"48 6\",\"pages\":\"Pages 437-447\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Actas urologicas espanolas\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0210480624000172\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Actas urologicas espanolas","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0210480624000172","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
简介:压力性尿失禁是一种影响女性生活质量的疾病,目前已开展了电针治疗压力性尿失禁的随机对照试验。本系统综述和荟萃分析旨在研究电针对压力性尿失禁女性尿失禁严重程度和症状的影响。本研究以 Cochrane 指南的建议为基础。数据使用 Review Manager 计算机程序(5.4 版)进行分析。结果分析包括 888 名压力性尿失禁女性和三项研究。在患有压力性尿失禁的妇女中,电针干预改善了尿失禁的严重程度和生活质量(MD:-2.37, 95% CI:-3.29 to 1.45, Z = 5.07,p< 0.001) 和尿失禁发作频率 (SMD:-2.24, 95%CI:-4.17 to -0.32, Z = 2.29,p< 0.02)。与尿失禁相关的症状可减少漏尿和尿失禁发作频率。纳入分析的研究在质量评估中被确定为低风险研究。
El efecto de la electroacupuntura en la gravedad y los síntomas de la incontinencia urinaria de esfuerzo en mujeres: revisión sistemática y metaanálisis de ensayos controlados aleatorizados
Introduction
Stress Urinary Incontinence is a condition that impairs the quality of life in women and randomized controlled trials of electroacupuncture for stress urinary incontinence have been conducted.
Objective
The aim of this systematic review and meta-analysis was to examine the effect of electroacupuncture on the severity and symptoms of urinary incontinence in women with stress urinary incontinence.
Methods
Literature searches were conducted in PubMed, CINAHL, Scopus and Science Citation Index until November 2023. This study was based on the recommendations of the Cochrane guidelines. Data were analyzed using the Review Manager computer program (Version 5.4). The methodological quality of the studies was assessed using the RoB-2 tool.
Results
The analysis included 888 women with stress urinary incontinence and three studies. In women with stress urinary incontinence, electroacupuncture intervention improved urinary incontinence severity and quality of life (MD:-2.37, 95% CI:-3.29 to 1.45, Z = 5.07,p< 0. 001), urinary leakage (SMD:-0.79, 95% CI:-1.02 to -0.55, Z = 6.60,p = 0.001) and incontinence episode frequency (SMD:-2.24, 95%CI:-4.17 to -0.32, Z = 2.29,p< 0.02).
Conclusion
In women with stress urinary incontinence, electroacupuncture intervention decreased the severity of urinary incontinence and improved the quality of life. Symptoms related to urinary incontinence were found to decrease urinary leakage and incontinence episode frequency. The studies included in the analysis were determined to be low-risk studies in quality assessment.
期刊介绍:
Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology.
Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided.