低位直肠癌保肛术后康复锻炼对肛门控便效果的探讨

The effect of rehabilitation exercise on defecation control of low rectal cancer patients after anus-preserving operation

目的探讨康复锻炼对低位直肠癌保肛术后肛门控便效果的影响。方法将我院普外科2004年8月至2006年7月共60例低位直肠癌保肛术后患者随机分观察组和对照组各30例。观察组采取有计划的肛门收缩运动、睡前按摩长强穴等康复锻炼方法;对照组按大肠癌病人手术后排便护理常规进行指导。两组均于术后锻炼2周后及出院时进行效果评价。结果观察组的控便效果明显优于对照组(P<0.05)。结论采取有计划的肛门收缩运动、睡前按摩长强穴等方法能明显提高肛门控便能力,效果显著,方法简便,值得临床推广。

Objective To investigate the effect of rehabilitation exercise on defecation control of low rectal cancer patients after anus-preserving operation. Methods From August 2004 to July 2006, 60 patients with low rectal cancer received anus-preserving operation were randomly divided into 2 groups.The observe group （30 cases） was applied rehabilitation exercises, including regular contraction of anal sphincters and Changqiang acupoint massage before sleep. The control group was cared for routine nursing care of post-operation colorectal cancer patients, etc. The effect was evaluated after 2 weeks of exercises and the day of discharge. Results The effect of rehabilitation exercise on the observe group was better than that of control group （P〈0.05）. Conclusion It is effective and easy to improve the defecation control of low rectal cancer patients after anus-preserving operation by rehabilitation exercises, and worth for popularization.