TVSSLRP术联合渐进性放松训练对低危前列腺癌术后患者生理应激反应、勃起功能及心理状态的影响

Effects of TVSSLRP combined with progressive relaxation training on physiological stress response,erectile function and psychological state of low-risk prostate cancer patients after surgery

目的探讨低危前列腺癌术后患者应用经膀胱单孔腹腔镜前列腺癌根治术(TVSSLRP)联合渐进性放松训练对其生理应激反应、勃起功能及心理状态的影响。方法选取2018年4月至2020年4月我科86例低危前列腺癌术后患者作为研究对象,以抽签法分组。对照组43例给予TVSSLRP治疗,观察组43例增加渐进性放松训练治疗。对比两组患者生理应激反应、勃起功能及心理状态。结果术前,两组患者焦虑自评量表评分(SAS)、抑郁自评量表评分(SDS)、国际勃起功能量表评分(IIEF)、国际前列腺症状评分(IPSS)及脉搏、收缩压、舒张压水平比较均无明显差异(P>0.05);术后1个月,观察组SAS(42.53±5.89)分、SDS(42.57±5.09)分低于对照组(49.87±5.24)分、(50.41±5.82)分(P<0.05);术后3个月,观察组SAS(32.04±4.50)分、SDS(30.68±3.34)分高于对照组(45.86±5.93)分、(41.52±4.69)分(P<0.05)。术后1个月,观察组脉搏、收缩压、舒张压水平均低于对照组(P<0.05);术后3个月,两组患者脉搏、收缩压、舒张压水平比较均无统计学意义(P>0.05)。结论 TVSSLRP联合渐进性放松训练治疗能够改善低危前列腺癌术后患者勃起功能及心理状态,减轻生理应激反应。

Objective To investigate the effects of transvesical single-site laparoscopic radical prostatectomy(TVSSLRP)combined with progressive relaxation training on physiological stress response,erectile function and psychological state in low-risk prostate cancer patients. Methods A total of 86 patients with low-risk prostate cancer after surgery in our department from April 2018 to April 2020 were selected as the study subjects and grouped by lottery method. Forty-three patients in the control group were treated with TVSSLRP,and 43 patients in the observation group were treated with progressive relaxation training. Physiological stress response,erectile function and psychological state were compared between the two groups. Results Before surgery,there was no statistical significance in SAS,SDS,IIEF,IPSS,pulse,systolic blood pressure and diastolic blood pressure between 2 groups(P>0.05). One month after operation,SAS score(42.53±5.89)and SDS score(42.57±5.09)of observation group were lower than those of control group(49.87±5.24)and(50.41±5.82)(P< 0.05). The scores of SAS(32.04±4.50)and SDS(30.68±3.34)in the observation group were higher than those in the control group(45.86±5.93)and(41.52±4.69)(P<0.05). One month after surgery,the pulse,systolic blood pressure and diastolic blood pressure in the observation group were lower than those in the control group(P<0.05).3 months after surgery,there was no statistical significance in the pulse,systolic blood pressure and diastolic blood pressure between the two groups(P>0.05). Conclusion TVSSLRP combined with progressive relaxation training can improve erectile function and mental state of low-risk prostate cancer patients after surgery,and reduce physiological stress response.