膀胱功能训练联合低频脉冲电刺激对中晚期宫颈癌术后患者的影响

Effects of low frequency pulse stimulation combined with bladder function training on patients with mid-stage or advanced cervical cancer after operation

目的探讨低频脉冲电刺激对中晚期宫颈癌术后患者的影响,为改善宫颈癌患者的手术效果提供依据。方法选取我院妇科于2014年1月—2016年6月收治的99例中晚期宫颈恶性癌次全切除术患者,分为对照组(n=48)和实验组(n=51)。对照组给予常规护理,即指导患者膀胱功能康复训练;实验组采取膀胱功能训练加低频脉冲电刺激干预措施。比较两组患者在术后尿管留置时间、尿潴留的发生率以及疼痛发生率的差异。结果治疗后第2、3周末,实验组尿管留置时间比对照组短,尿潴留的发生率、疼痛发生率明显低于对照组(P<0.05)。结论康复训练联合低频脉冲电刺激治疗措施能够缩短宫颈癌术后患者尿管拔除时间,降低尿潴留的发生率,并能有效缓解术后疼痛。

Objective To investigate the effects of low frequency pulse stimulation on postoperative patients with mid-stage or advanced cervical cancer and to provide evidences for improving the surgical results for patients with cervical cancer. Methods Ninety-nine mid-stage or advanced malignant cervical cancer patients who underwent subtotal hysterectomy at Gynecology Department of Luoyang Central Hospital Affiliated to Zhengzhou University from January 2014 to June 2016 were selected in this study,and all patients were divided into a control group（n=48）and an experimental group（n=51）.The control group was given routine nursing,and patients were guided to do the rehabilitation training of bladder function.The experimental group was treated with bladder function training combined with low-frequency pulse stimulation.Comparison of differences in catheter indwelling time,urinary retention rate and pain occurrence rate after operation between the two groups was performed. Results At the end of the second and the third week after operation,the experimental group had shorter catheter indwelling time,lower occurrence rate of urinary retention and lower occurrence rate of pain than the control group（P〈0.05）. Conclusion The intervention of rehabilitation training combined with low frequency pulse stimulation can shorten catheter indwelling time for postoperative patients with cervical cancer,and can reduce the incidence of urinary retention and can alleviate the postoperative pain effectively.