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目的系统评价盆底肌功能训练治疗盆腔器官脱垂(POP)的疗效。方法计算机检索Medline、EMbase、EBM、Cochrane、CNKI和万方数据库,检索时间截止2015年3月。收集盆底肌功能训练治疗盆腔器官脱垂的随机对照试验(RCT),两名研究者独立进行文献的筛选与数据提取。结果最终纳入8篇RCT文献,共1 642例患者。与生活方式干预组比较,盆底肌功能训练组的脱垂程度改善(OR=2.00,95%CI:1.30~3.08),盆腔器官脱垂症状缓解(OR=5.41,95%CI:3.45~8.49),POP症状量表评分降低(MD=-2.53,95%CI:-3.62~-1.44)。结论盆底肌功能训练可以预防盆腔器官脱垂加重,减轻症状,但长期疗效还需进一步研究。
Objective To evaluate the effect of pelvic floor muscle function training on pelvic organ prolapse (POP). Methods Medline, EMbase, EBM, Cochrane, CNKI and Wanfang database were searched by computer. The search time was up to March 2015. Pelvic floor muscle function training for the treatment of pelvic organ prolapse randomized controlled trials (RCT), two researchers independent literature screening and data extraction. Results The final 8 RCTs were enrolled in a total of 1 642 patients. Compared with the lifestyle intervention group, the degree of prolapse in pelvic floor muscle function training group was improved (OR = 2.00, 95% CI: 1.30-3.08), pelvic organ prolapse symptoms were relieved (OR = 5.41, 95% CI: 3.45-8.49 ), The POP symptom scale score decreased (MD = -2.53, 95% CI: -3.62 to -1.44). Conclusions Pelvic floor muscle function training can prevent pelvic organ prolapse and reduce symptoms, but long-term efficacy needs further study.