直肠癌保肛术后肛门功能评价及盆底肌训练促进肛门功能康复的临床研究

Anal Function Evaluation after Anus-saving Procedure for Rectal Cancer,and Clinical Study on Pelvic Floor Muscles Exercise Promoting Anal Function Rehabilitation

为观察直肠癌保肛术后肛门功能及盆底肌训练促进肛门功能康复的效果,将70例直肠癌患者随机分为观察组和对照组,每组35例。患者均实施直肠癌保肛术,对照组患者于术后采取常规护理,观察组患者于术后采取盆底肌训练,比较2组患者肛门功能恢复情况。结果显示,2组患者术后1个月肛管静息压、肛管最大收缩压、直肠静息压、直肠最大耐受容量、排便情况较术前有显著性差异(P<0.05);观察组患者术后6个月各项指标与术前比较无显著性差异(P>0.05),与对照组比较有显著性差异(P<0.05);观察组患者术后6个月排便改善更为明显(P<0.05)。结果表明,直肠癌保肛术在一定程度上会影响患者肛门功能,但通过盆底肌训练可使得肛门功能恢复至术前水平。

This study was to observe the anal function situation after anus-preserved procedure for rectal cancer,and the efficacy of pelvic floor muscles exrecise promoting anal function rehabilitation,randomly divided 70rectal cancer patients who had all received the anus-preserved procedure into control group(35cases,routine nursing)and observation group(35cases,after surgery,took pelvic floor muscles exercise);then,compared both groups'status on anal function recovered.As resutls,1 month after surgery both groups'patients'anal resting pressure,anal max.systolic pressure,rectal resting pressure,rectal max.tolerance volume,and defecation status had significant difference from before surgery(P<0.05);in observation group the all indexes at 6months after surgery had no significant difference from before surgery(P>0.05),but had significant difference than control group(P<0.05);at 6months after surgery observation group's patients'defecation function had more significant improvement than control group's patients'one(P<0.05).Results show that at certain extents anus-preserved procedure will influence patients'anal function,but implementing pelvic floor muscles exercise can make anal function recovered to preoperative situation.