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首页> 外文期刊>Nature clinical practice:Urology >Which nonsurgical options are effective for the treatment of female urinary incontinence?
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Which nonsurgical options are effective for the treatment of female urinary incontinence?

机译：哪些非手术疗法可有效治疗女性尿失禁？

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In this study sponsored by the US federal government, Shamliyan etal. extracted data from 96 randomized controlled trials and 3 meta-analyses, and reviewed the evidence of nonsurgical treatment for female urinary incontinence (Ui). Pelvic-floor muscle training alone, or in combination with bladder training, was found to be effective in improving Ul compared with standard care. Generalizing the clinical relevance of these studies, however, was difficult because of heterogeneity between the trials. Anticholinergic agents were also moderately effective, but adverse effects were frequent. Additionally, slight improvements on subjective variables were noted with duloxetine, but adverse effects were numerous, and some were serious. The aim of conservative treatment for Ul is often to improve quality of life rather than cure the disorder; if women are properly counseled, conservative therapies have a valuable place in the management of Ul.
机译：在这项由美国联邦政府资助的研究中，Shamliyan等人。从96项随机对照试验和3项荟萃分析中提取数据，并回顾了非手术治疗女性尿失禁（Ui）的证据。发现与标准护理相比，单独进行骨盆底肌肉训练或与膀胱训练相结合可有效改善UI。然而，由于试验之间的异质性，很难对这些研究的临床相关性进行概括。抗胆碱药也有中度疗效，但不良反应频繁。此外，度洛西汀对主观变量有轻微改善，但不良反应众多，有些严重。保守治疗Ul的目的通常是为了改善生活质量而不是治愈疾病。如果对妇女进行适当的咨询，则保守疗法在Ul的管理中占有重要地位。

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