对直肠癌保肛术后患者采取综合盆底肌训练对患者肠道功能的意义分析

Analysis of the significance of comprehensive pelvic floor muscle training on intestinal function of rectal cancer patients after anus-preserving surgery

目的分析对直肠癌保肛术后患者采取综合盆底肌训练对患者肠道功能的意义。方法60例直肠癌保肛术后患者,随机分为试验组和对照组,每组30例。术后对照组患者采取临床常规康复方法,试验组患者在采取临床常规康复治疗方法的基础上采取综合盆底肌训练指导。比较两组患者胃肠功能(术后第1、2周的肛门直肠功能评分、生存质量评分)以及治疗效果。结果试验组患者第1周肛门直肠功能评分(6.20±0.27)分、第1周生存质量评分(60.70±0.21)分、第2周肛门直肠功能评分(8.32±0.13)分、第2周生存质量评分(86.20±0.57)分均高于对照组的(4.60±0.22)、(55.20±0.31)、(6.58±0.13)、(71.60±0.52)分,差异均具有统计学意义(P<0.05)。试验组治疗优良率86.67%高于对照组的56.67%,差异具有统计学意义(P<0.05)。结论采取综合盆底肌训练指导对直肠癌保肛术后早期康复患者效果显著,值得推广。

Objective To analyze the significance of comprehensive pelvic floor muscle training on intestinal function of rectal cancer patients after anus-preserving surgery.Methods A total of 60 patients with rectal cancer after anal-preserving surgery were randomly divided into an experimental group and a control group,with 30 cases in each group.After surgery,patients in the control group took clinical conventional rehabilitation methods,while patients in the experimental group took comprehensive pelvic floor muscle training guidance on the basis of clinical conventional rehabilitation methods.The gastrointestinal function(anorectal function score and quality of life score in the 1st and 2nd week after surgery),and the therapeutic effect of the two groups were compared.Results In the experimental group,the anorectal function score at week 1 was(6.20±0.27)points,the quality of life score at week 1 was(60.70±0.21)points,the anorectal function score at week 2 was(8.32±0.13)points,and the quality of life score at week 2 was(86.20±0.57)points,which were higher than those of(4.60±0.22),(55.20±0.31),(6.58±0.13),and(71.60±0.52)points in the control group,and the differences were statistically significant(P<0.05).The excellent treatment rate of 86.67%in the experimental group was higher than that of 56.67%in the control group,and the difference was statistically significant(P<0.05).Conclusion Comprehensive pelvic floor muscle training guidance is effective for early recovery of patients with rectal cancer after anal-preserving surgery,and is worth promoting.