膀胱及提肛肌训练在腹腔镜前列腺癌根治术后的应用

Application of bladder and levator ANI muscle training in laparoscopic radical prostatectomy

目的:研究膀胱及提肛肌训练在腹腔镜前列腺癌根治术后的应用效果。方法:选取某医院收治的80例前列腺癌患者为研究对象,随机分为常规组和研究组,各40例。常规组患者行常规护理,研究组患者在常规组基础上行膀胱训练联合提肛肌训练,比较两组的应用效果。结果:研究组患者的术后尿失禁发生率低于常规组,尿失禁持续时间短于常规组(P<0.05);导尿管拔除后3个月,研究组患者的每日总排尿量、总排尿次数、总漏尿次数少于常规组;研究组患者的生活质量评分高于常规组(P<0.05)。结论:术前行膀胱训练、提肛肌训练,能降低术后尿失禁发生率,改善术后排尿,提高生活质量。

Objective:To study the effect of bladder and levator ANI training after laparoscopic radical prostatectomy.Methods:80 patients with prostate cancer in a hospital were selected as the research object,and randomly divided into conventional group and study group,40 cases in each group.The routine group received routine nursing,and the research group received basic upward bladder training combined with levator ANI muscle training in the routine group,and compared the application effects of the two groups.Results:The incidence of postoperative urinary incontinence in the study group was lower than that in the conventional group,and the duration of urinary incontinence was shorter than that in the conventional group(P<0.05).3 months after catheter removal,the total daily urination volume,total urination times and total urine leakage times in the study group were less than those in the conventional group(P<0.05).The quality of life score of the study group was higher than that of the conventional group(P<0.05).Conclusion:Preoperative bladder training and levator ANI training can reduce the incidence of postoperative urinary incontinence,improve postoperative urination and improve the quality of life.