Kegel运动联合水疗法对直肠癌患者术后发生低位直肠前切除综合征及生命质量的临床效果研究

Effect of Kegel Exercise Combined with Hydrotherapy on Low Anterior Resection Syndrome and Quality of Life in Patients after Rectal Cancer Surgery:a Clinical Study

目的研究Kegel运动联合水疗法对直肠癌患者术后发生低位直肠前切除综合征(LARS)及生命质量的影响。方法选取2014年3月—2016年12月在安徽省立医院胃肠外科行腹腔镜辅助低位直肠癌根治术治疗的低位直肠癌患者85例,入院后采用Excel随机数据法分组,剔除未完成研究者后,对照组41例,观察组40例。对照组患者给予常规护理措施;观察组患者在对照组的基础上,采用Kegel运动联合水疗法。比较两组患者术后1、3、6个月前切除综合征评分量表(LARSS)汉化版得分、LARS程度及生命质量测定量表(EORTC QLQ-C30)中文版得分。结果观察组患者术后1、3、6个月LARSS得分均低于对照组(P<0.05)。观察组术后3、6个月LARS程度均低于对照组(χ~2=6.544、6.687,P<0.05)。观察组患者术后1、3、6个月认知功能、角色功能、情绪功能得分均高于对照组(P<0.05);观察组患者术后3、6个月躯体功能、社会功能、总体健康状况得分均高于对照组(P<0.05)。结论 Kegel运动联合水疗法可改善患者术后LARS症状,提高生活质量,对低位直肠癌保肛患者康复有积极的促进作用。

Objective To investigate the effect of Kegel exercise combined with hydrotherapy on low anterior resection syndrome（LARS） and quality of life in patients after rectal cancer surgery.Methods The participants were 85 cases of low rectal cancer who underwent laparoscopic low anterior resection of rectal cancer in Gastroenterological Surgery,Anhui Provincial Hospital between March 2014 and December 2016.Using an Excel formula and excluding the cases failing to complete the study,they were randomly divided into control group（41 cases） and observation group（40 cases） after admission.Both groups received the conventional nursing after surgery,the observation group additionally received Kegel exercise intervention.At 1,3,6 months after surgery,two groups＇ LARSS score and LARS severity were assessed by the Chinese version of Low Anterior Resection Syndrome Scale,and the quality of life status was assessed by the Chinese version of EORTC QLQ-C30,respectively.Results Compared with the control group,the observation group demonstrated lower average LARSS score at 1,3,6 months after surgery（P0.05）,and better severity distribution of LARS at 3,6 months after surgery（χ^2=6.544,χ^2=6.687,P0.05）.At 1,3,6 months after surgery,higher scores of cognitive functioning,role functioning and emotional functioning were found in the observation group（P0.05）.Moreover,at 3,6 months after surgery,higher scores of physical functioning,social functioning and general health status were identified in the observation group（P0.05）.ConclusionKegel exercise combined with hydrotherapy can improve the LARS,quality of life,as well as the recovery of patients undergoing anus-preserving surgery for low rectal cancer.