电话随访指导康复训练治疗前列腺癌根治术后尿失禁的疗效观察

OBSERVATION ON THE EFFECT OF TELEPHONE FOLLOW-UP AND REHABILITATION EXERCISE ON URINARY INCONTINENCE AFTER RADICAL PROSTATECTOMY FOR PROSTATE CANCER

目的观察电话随访指导康复训练治疗前列腺癌根治术后尿失禁的疗效。方法将前列腺癌术后尿失禁患者26例随机分为观察组13例、对照组13例,均行康复训练,观察组在此基础上加以电话随访,连续治疗12周后评价临床疗效。结果 2组患者的总漏尿次数、国际尿失禁咨询委员会尿失禁问卷简表评分及1h尿垫试验显著低于治疗前(P<0.05),而漏尿点压及最大尿道闭合压显著高于治疗前(P<0.05),且观察组与对照组比较差异均有统计学意义(P<0.05)。观察组总有效率为92.3%,显著高于对照组(77.0%)(P<0.05)。结论在康复训练的基础上辅以电话随访,有助于进一步提高前列腺癌根治术后尿失禁的疗效,减轻患者的痛苦,提高生活质量,该联合疗法值得临床推广、应用。

Objective To discuss the effect of telephone follow - up and rehabilitation exercise in treating urinary incontinence after radical prostatectomy for prostate cancer. Methods Twenty - six patients with urinary incontinence after radical prostatectomy were divided into the observation group （ 13 cases） and control group （13 cases）, all patients received rehabilitation exercise, while the patients in observation group also received telephone follow - up. The clinical curative effect was evaluated after 12 - week treatment. Results The leak times （LT）, international consultation committee on incontinence questionnaireshort form （ICI - Q - SF ） and 1 - hour pad - test （1HPT） after treatment were significantly lower than those before treatment in both groups （P 〈 0.05 ）, while leak - point pressure （LPP） and maximum urethral closure pressure （MUCP） were significantly higher than those before treatment （P 〈 0.05 ） , and the observation group and the control group showed significant difference （ P 〈 0.05 ）. The total effective rate of the observation group was 92.3 % , significantly higher than that of control group （77.0%） （ P 〈 0.05 ）. Conclusion Telephone follow - up and rehabilitation exercise can improve the curative effect of urinary incontinence after radical prostatectomy for prostate cancer, it also can improve the quality of life of patients with good social benefits.