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首页> 外文OA文献 >Pelvic floor muscle training increases pelvic floor muscle strength more in post-menopausal women who are not using hormone therapy than in women who are using hormone therapy: a randomised trial
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Pelvic floor muscle training increases pelvic floor muscle strength more in post-menopausal women who are not using hormone therapy than in women who are using hormone therapy: a randomised trial

机译：骨盆底肌肉训练在未使用激素治疗的绝经后妇女比使用激素治疗的妇女更加模糊的骨骼肌肉训练增加了骨盆底肌肉力量：随机试验

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Question: Are there differences in the effectiveness of pelvic floor muscle training on pelvic floor muscle strength and urinary incontinence symptoms in postmenopausal women who are and are not using hormone therapy? Design: Randomised, controlled trial with concealed allocation, blinded assessors, and intention-to-treat analysis. Participants: Ninety-nine postmenopausal women, 38 of whom were using daily systemic oestrogen/progestogen therapy. Intervention: The experimental group (n = 51) received an intensive supervised pelvic floor muscle training protocol, and the control group (n = 48) received no intervention. The randomisation was stratified by hormone therapy use. Outcome measures: Change in pelvic floor muscle strength assessed with manometry at 12 weeks. Prevalence and severity of urinary incontinence symptoms were assessed using questionnaires. Results: Eighty-eight women provided data that could be included in the analysis. Pelvic floor muscle training increased pelvic floor muscle strength by 8.0 cmH2O (95% CI 3.4 to 12.6) in women not using hormone therapy and by –0.9 cmH20 (95% CI –6.5 to 4.8) in women using hormone therapy (interaction p = 0.018). A sensitivity analysis showed that the greater training effect in women who were not using hormone therapy was still apparent if the analysis was conducted on percentage change in strength rather than absolute change in strength. There was also a significantly greater effect of training in women not using hormone therapy on prevalence of urinary incontinence symptoms (ratio of odds ratios = 7.4; interaction p = 0.028). The difference in effects on severity of urinary incontinence symptoms was not statistically significant (interaction p = 0.37). Conclusion: Pelvic floor muscle training increases pelvic floor muscle strength more in women who are not using hormone therapy than in women using hormone therapy. Trial registration: ClinicalTrials.gov NCT02549729. [Ignácio Antônio F, Herbert RD, Bø K, Rosa-e-Silva ACJS, Lara LAS, Franco MdM, Ferreira CHJ (2018) Pelvic floor muscle training increases pelvic floor muscle strength more in post-menopausal women who are not using hormone therapy than in women who are using hormone therapy: a randomised trial. Journal of Physiotherapy 64: 166–171] Key words: Menopause hormone therapy, Physical therapy, Pelvic floor muscle, Exercise, Urinary incontinence
机译：问题：骨盆底肌肉训练对盆腔肌肉力量和尿失禁在绝经后妇女的尿失禁症状的差异是否存在差异，并且不使用激素治疗？设计：随机，受控试验，隐藏分配，盲化评估员以及意图治疗分析。参与者：九十九绝经妇女，其中38名是使用日常全身性雌激素/孕激素治疗的。干预：实验组（n = 51）接受了一个密集的监督盆底肌训练协议，对照组（n = 48）没有干预。通过激素治疗使用分层随机化。结果措施：在12周内使用测压评估骨盆底肌强度的变化。使用问卷评估尿失禁症状的患病率和严重程度。结果：八十八名女性提供了可在分析中包含的数据。骨盆地板肌肉训练增加盆底肌肉力量8.0cmH2O（95％CI 3.4至12.6），在使用激素治疗的女性中不使用激素治疗和-0.9cmH20（95％CI -6.5至4.8）（相互作用P = 0.018 ）。敏感性分析表明，如果分析在强度的百分比变化而不是强度变化的情况下进行分析而不是使用激素治疗的女性的培训效果仍然很明显。在不使用激素治疗患有尿失禁症状的患病率（几率比率= 7.4的比率= 7.4的比例，也存在显着更大的疗效。相互作用P = 0.028）。对尿失禁症状严重程度影响的影响差异在统计学上没有统计学意义（相互作用P = 0.37）。结论：骨盆底肌肉训练在不使用激素治疗的女性中增加骨盆地板肌肉力量，而不是使用激素治疗的女性。试验注册：ClinicalTrials.gov NCT02549729。 [IgnácioAntôniof，赫伯特·赫尔瓦（赫伯特Rd），罗莎 - e-Silva Acjs，Lara Las，Franco MDM，Ferreira Chj（2018）骨盆底肌肉训练增加了未使用激素治疗的绝经后妇女中更多的骨盆地板肌肉力量而不是使用激素治疗的女性：随机试验。物理治疗杂志64：166-171]关键词：更年期激素治疗，物理治疗，盆腔地板肌肉，运动，尿失禁

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