Kegel盆底肌锻炼联合护理干预在直肠前切除综合征治疗中的应用价值

Application value of Kegel pelvic floor muscle exercises combined with nursing intervention in the treatment of anterior resection syndrome

目的探讨Kegel盆底肌锻炼联合护理干预在直肠前切除综合征治疗中的应用价值。方法前瞻性纳入2014年10月。2016年5月南京军区福州总医院467临床部门诊急迫失禁型直肠前切除综合征患者60例，按随机数字表法将其分为实验组和对照组，每组30例。对照组给予常规药物治疗和饮食运动调节，实验组在常规药物治疗和饮食运动调节基础上给予Kegel盆底肌锻炼联合护理干预。比较两组干预前、干预3个月后，直肠前切除综合征评分量表（LARS）、大便次数和大便失禁生活质量评分量表（FIQL）变化情况。结果干预3个月后，实验组LARS评分显著低于对照组，大便次数显著少于对照组，FIQL中生活方式、行为、抑郁、尬尴4个维度评分均显著高于对照组，差异有统计学意义（P〈0．05）。结论Kege]盆底肌锻炼联合护理干预有助于改善直肠前切除综合征患者临床症状并提高其生活质量。

Objective To explore the value of Kegel pelvic floor muscle exercise combined with nursing intervention in the treatment of anterior resection syndrome （ARS）. Methods From October 2014 to May 2016, 60 patients with ARS of the type of urge incontinence in the 476th Clinical Department, Fuzbou General Hospital of Nanjing Military Command were randomly divided into experimental group and control group, 30 cases in each group. The control group was given routine drug treatment and diet exercise adjustment. The experimental group was given Kegel pelvic floor muscle exer- cise combined with nursing intervention on the basis of conventional drug therapy and diet exercise regulation. The rec- tal resection syndrome score scale （LARS）, stool frequency and fecal incontinence quality of life score （FIQL） changes were compared between the two groups before and 3 months after intervention. Results After intervention for 3 months, the experimental group LARS scores was significantly lower than that of control group （P 〈 0.05）, the stool frequency was significantly lower in the experimental group （P 〈 0.05）. The four dimension score of the life style, behavior, de- pression, and embarrassment from the FIQL were significantly higher in the experimental group than that in control group （P 〈 0.05）. Conclusion Kegel pelvic floor muscle exercise combined with nursing intervention is helpful to im- prove the clinical symptoms and improve the quality of life in patients with ARS.