早期康复训练在预防腹腔镜前列腺癌根治术后尿失禁的应用研究

Early rehabilitation training in preventing urinary incontinence after prostatectomy with laparoscopic

目的探讨早期康复训练对预防腹腔镜前列腺癌根治术后尿失禁的应用效果。方法将100例拟行腹腔镜前列腺癌根治术患者随机分成观察组和对照组各50例，观察组实施早期康复训练，术前及术后早期均进行提肛训练；对照组实施常规护理，仅在术后进行提肛训练。比较两组患者术后拔除尿管后尿失禁发生率、尿控功能恢复时间以及观察组术前不同提肛训练时间与术后尿失禁发生率的关系。结果观察组术后尿失禁发生率、尿控功能恢复时间均明显低于对照组（P〈0．05）；不同术前提肛训练时间尿失禁发生率比较差异无统计学意义（P〉0．05）。结论早期康复训练有助于预防腹腔前列腺癌根治术后尿失禁的发生，缩短尿控功能恢复时间。

Objectives To study application effect of early rehabilitation training in preventing urinary in- continence after prostatectomy with laparoscopic. Methods 100 cases patients with laparoscopic radical prostatec- tomy were divided into observation group （50 cases） and control group （50 cases） . Observation group was given ear- ly rehabilitation training, including preoperative and postoperative levator ani movement. Control group was given rou- tine nursing and just postoperative levator ani movement. Incidence of postoperative urinary incontinence and recovery time of urinary control function were both compared in two groups, and the correlation between time of preoperative evator ani movement and incidence of postoperative urinary incontinence was compared in observation group. Re- suits Incidence of postoperative incontinence （28. 13% ） , recovery time of urinary control function （3.24 ± 1. 05d） in observation group were significantly lower than that of control group（ P 〈0.05,0.01 ）. There was no signifi- cant difference between incidence of postoperative incontinence and the time of preoperative evator ani movement（ P 〉 0.05 ）. Conclusions Early rehabilitation training helps to preventing urinary incontinence after prostatectomy with laparoscopieand shorten recovery time of urinary function.