Kegel运动联合膀胱容量测定对宫颈癌根治术患者的影响

Effects of Kegel exercises combined with bladder volume measurement on patients with radical resection for cervical cancer

目的探讨Kegel运动联合膀胱容量测定对宫颈癌根治术患者的影响。方法将2016年6月—2017年6月徐州市中心医院收治的62例接受宫颈癌根治术的患者作为对照组,行常规夹闭导尿管定时放尿,并给予常规膀胱功能锻炼。将2017年7月—2018年7月徐州市中心医院收治的62例宫颈癌根治术患者作为观察组,行膀胱容量测定,并给予Kegel运动锻炼。对比2组拔管后第1次排尿情况、膀胱功能恢复情况、盆底肌力恢复情况及留置导尿管时间。结果观察组拔管后第1次排尿成功率显著高于对照组,差异有统计学意义(P<0.05)。观察组膀胱残余尿量、膀胱颈移动度显著低于对照组,差异有统计学意义(P<0.05)。观察组盆底肌力正常率显著高于对照组,差异有统计学意义(P<0.05)。观察组留置导尿管时间显著短于对照组,差异有统计学意义(P<0.05)。结论Kegel运动联合膀胱容量测定应用于宫颈癌根治术患者,可提高排尿成功率,促进膀胱功能和盆底肌力恢复,缩短留置导尿管时间,值得推广。

Objective To investigate the effects of Kegel exercises combined with bladder volume measurement on patients with radical resection for cervical cancer.Methods A total of 62 patients who underwent radical surgery for cervical cancer in Xuzhou Central Hospital from June 2016 to June 2017 were selected as a control group.They were routinely inserted with urinary catheters for regular urination and perform routine exercises for bladder function.Meanwhile,62 patients who underwent cervical cancer for radical surgery in Xuzhou Central Hospital from July 2017 to July 2018 were selected as an observation group.The bladder volume was measured,and Kegel exercise was performed.Then,both groups were compared for the first urination condition,the recovery of bladder function and pelvic floor muscle strength and indwelling catheter time.Results The observation group presented a remarkably higher successful rate of the first urination after extubation than the control group(P<0.05).The residual urine volume and the movement of the bladder neck in the observation group were markedly lower than those in the control group(P<0.05).The observation group presented a remarkably higher normal rate of pelvic floor muscle strength than the control group(P<0.05).The time of indwelling catheter in the observation group was markedly shorter than that in the control group(P<0.05).Conclusions Kegel exercise combined with bladder volume measurement can be applied in patients with radical resection for cervical cancer,which improves the successful rate of urination,promotes bladder function and the recovery of pelvic floor muscle strength,and shortens the time of indwelling catheter.It is worthy of promotion.