女性盆底康复辅助工具的研究进展。

Yuting Xu, Wenguang Yan, Xuhong Li
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引用次数: 0

摘要

盆底功能障碍(PFD)是一种常见的临床问题,可导致膀胱和肠道功能障碍,如尿失禁、尿潴留、大便失禁、盆腔器官脱垂和性功能障碍。盆底康复辅助工具是治疗 PFD 的重要工具。然而,人们对这些辅助工具的功效和机制了解有限,也缺乏针对不同类型的盆底功能障碍选择合适辅助工具的标准化指南。为了帮助患者根据自身需要选择合适的盆底康复辅助工具,有必要对这些辅助工具的现有类型、机制和应用进行总结。根据其机制和目标功能,盆底康复辅助工具主要可分为三大类。第一类包括改善盆底功能的辅助工具,如阴道哑铃、阴道棉条和阴道扩张器等,旨在增强盆底肌肉,提高尿道、阴道和肛门括约肌的收缩力,从而改善尿失禁症状。第二类是机械性阻塞出口的辅助工具,如尿道塞、尿道塞、失禁垫、失禁裤、肛门塞和阴道肠道控制系统等,可直接或间接防止尿失禁渗漏。第三类包括帮助出口排泄的辅助工具,如导尿管和肛门排泄物收集装置,它们可以帮助患者有效排出尿液、粪便和其他废物,防止尿失禁渗漏。通过总结现有的盆底康复辅助工具,可以为 PFD 患者提供个性化指导,帮助他们选择适合自己康复需求的辅助工具。
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Research progress in female pelvic floor rehabilitation aids.

Pelvic floor dysfunction (PFD) is a common clinical problem that can lead to bladder and bowel dysfunction such as urinary incontinence, urinary retention, fecal incontinence, pelvic organ prolapse, and sexual dysfunction. Pelvic floor rehabilitation aids are essential tools in the treatment of PFD. However, there is limited understanding of the efficacy and mechanisms of these aids, and there is a lack of standardized guidelines for selecting appropriate aids for different types of PFD. To assist patients in choosing suitable pelvic floor rehabilitation aids to their needs, it is necessary to summarize the existing types, mechanisms, and applications of these aids. Based on their mechanisms and target functions, pelvic floor rehabilitation aids can be mainly categorized into 3 main types. The first type includes aids that improve pelvic floor function, such as vaginal dumbbells, vaginal tampons, and vaginal dilators, which aim to strengthen pelvic floor muscles and enhance the contractility of the urethral, vaginal, and anal sphincters, thereby improving incontinence symptoms. The second type consists of aids that mechanically block the outlet, such as pessaries, urethral plugs, incontinence pads, incontinence pants, anal plugs, and vaginal bowel control systems, which directly or indirectly prevent incontinence leakage. The third type includes aids that assist in outlet drainage, such as catheters and anal excreta collection devices, which help patients effectively expel urine, feces, and other waste materials, preventing incontinence leakage. By summarizing the existing pelvic floor rehabilitation aids, personalized guidance can be provided to patients with PFD, helping them select the appropriate aids for their rehabilitation needs.

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来源期刊
中南大学学报(医学版)
中南大学学报(医学版) Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
8237
期刊介绍: Journal of Central South University (Medical Sciences), founded in 1958, is a comprehensive academic journal of medicine and health sponsored by the Ministry of Education and Central South University. The journal has been included in many important databases and authoritative abstract journals at home and abroad, such as the American Medline, Pubmed and its Index Medicus (IM), the Netherlands Medical Abstracts (EM), the American Chemical Abstracts (CA), the WHO Western Pacific Region Medical Index (WPRIM), and the Chinese Science Citation Database (Core Database) (CSCD); it is a statistical source journal of Chinese scientific and technological papers, a Chinese core journal, and a "double-effect" journal of the Chinese Journal Matrix; it is the "2nd, 3rd, and 4th China University Excellent Science and Technology Journal", "2008 China Excellent Science and Technology Journal", "RCCSE China Authoritative Academic Journal (A+)" and Hunan Province's "Top Ten Science and Technology Journals". The purpose of the journal is to reflect the new achievements, new technologies, and new experiences in medical research, medical treatment, and teaching, report new medical trends at home and abroad, promote academic exchanges, improve academic standards, and promote scientific and technological progress.
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