髋部肌肉锻炼在腹腔镜前列腺癌术后尿失禁患者中的应用效果

Application effects of hip muscle exercise in patients with urinary incontinence after laparoscopic prostatectomy

目的探讨髋部肌肉锻炼对于腹腔镜前列腺癌术后尿失禁患者的疗效。方法选择2016年1月至2018年12月在河北医科大学第二医院泌尿外科行腹腔镜前列腺癌根治术后尿失禁患者64例,采用随机分组方法分为观察组与对照组,每组32例。对照组实施盆底肌锻炼,观察组在对照组的基础上增加髋部肌肉锻炼(包含髋外展及髋内收锻炼)。于患者锻炼12周、24周采用尿失禁问卷简表、1 h尿垫试验、焦虑量表进行效果评价。结果2组患者锻炼12周、24周组内比较尿失禁问卷简表、焦虑量得分均明显下降,1 h尿垫试验漏尿量明显减少,差异有统计学意义(P<0.05);2组患者锻炼12周、24周观察组尿失禁问卷简表、焦虑量得分均明显低于对照组,观察组1 h尿垫试验漏尿量明显少于对照组,差异有统计学意义(P<0.05)。结论腹腔镜前列腺癌术后患者在盆底肌锻炼的基础上增加抗阻力的髋部肌肉锻炼后,漏尿量明显下降,焦虑明显减轻,生活质量明显升高,是治疗前列腺癌术后尿失禁的有效锻炼方式。

Objective To investigate the application effects of hip muscle exercise in patients with urinary incontinence after laparoscopic prostatectomy.Methods A total of 64 patients with urinary incontinence after laparoscopic prostatectomy in our hospital from January 2016 to December 2018 were enrolled in the study,who were randomly divided into observation group and control group,with 32 cases in each group.The patients in control group received pelvic floor muscle exercise,however,the patients in observation group,on the basis of control group,were treated by hip muscle exercise including hip abduction and hip adduction exercise.At 12w and 24w after operation,the recovery effects were assessed by means of simple urinary incontinence questionnaire,1h urine pad test and anxiety scale.Results The scores of urinary incontinence questionnaire and anxiety at 12w and 24w after the exercise in both groups were significantly decreased,as compared with those before after the exercise(P<0.05),moreover,which in observation group were significantly lower than those in control group(P<0.05).in addition urine leakage amount by 1h urine pad test in observation group was significantly lower than that in control group(P<0.05).And the scores of urinary incontinence questionnaire and anxiety in observation group were significantly lower than those in the control group(P<0.05).Conclusion The hip muscle exercise is an effective exercise way to treat urinary incontinence of patients with prostate cancer after laparoscopic surgery,which can reduce the urine leakage amount,relieve the anxiety degree and improve the life quality of patients.