早期盆底肌训练对前列腺增生电切术后患者排尿功能恢复的相关研究

Study of early pelvic floor exercises after TURP

目的:观察前列腺增生电切(TURP)术后患者进行盆底肌训练(PME)对于排尿参数、尿失禁、尿滴沥和生活质量的影响。方法:58例良性前列腺增生患者行TURP术。对照组(A组)28例,研究组(B组)30例。对B组详细说明如何进行盆底肌训练,在停导尿后在家行盆底肌训练。训练前、每周进行一次评价。结果:两组IPSS在术后明显改善。B组术后生活质量改善更明显,从5.5到1.5(P<0.01)。B组肌肉收缩力4周后明显增加,从2.8到3.8(P<0.01);A组无变化。在第1、2、3周B组发生尿失禁和尿滴沥现象明显降低(P<0.01)。结论:盆底肌训练在术后可明显改善排尿症状、提高生活质量。术后1周练习可减少尿失禁和尿滴沥的发生。此训练简单易行,应广泛应用于TURP术后的患者。

Objective：To observe the impact of pelvic muscle exereises（PME） for micturition parameters,urinary incontinence,post- micturition dribbling and quality of life of patients after TURP. Methods：58 patients who were selected to undergo TURP were admitted into the study,28 patients were assigned to the control group （group A） ,30 patients were assigned to the investigational group （group B ）. In the group B, after the removal of the urethral catheter,these patients were instructed to perform pelvic floor muscle exercises at home,and were evaluated before the exercises and once a week. Results： Two groups of IPSS improved significantly after TURP, quality of life of group B improved more significantty, from 5.5 to I. 5 （ P 〈 0.01 ）. The grade of muscle contractiong strength after 4 weeks increased from 2.8 to 3.8 in the group B （ P 〈 0.01 ） ; it was unc hanged in the group A. The number of patients with incontinence episodes and post - micturition dribbling was significantly lower in the group B at weeks 1,2, and 3 （ P 〈 0.01 ）. Condusion：PME after TURP can significantly improve urinary symptoms,improve quality oi＇ life. Early practice can reduces urinary incontinence and post - micturition dribbling in the first postoperative weeks. This exercise is simple and easy,should be recommended to all patients after TURP.