排尿功能训练对机器人辅助原位新膀胱术后患者排尿功能的影响

The effect of urination function training applied to robot assisted in situ neobladder surgery patients′urination function

目的探讨排尿功能训练对机器人辅助原位新膀胱术后患者排尿功能的影响。方法选择2018年11月至2021年11月本院收治的行机器人辅助原位新膀胱术的98例膀胱癌患者,随机分为观察组和对照组,每组各49例。对照组实施常规干预,观察组实施排尿功能训练。比较两组患者术后6个月的排尿异常发生率、干预前后排尿情况、尿流动力学指标变化。结果观察组术后6个月的排尿异常总发生率低于对照组,差异有统计学意义(P<0.05);观察组术后3个月的尿量、排尿间隔时间多于对照组,差异均有统计学意义(均P<0.05);观察组术后3个月的膀胱容量、膀胱逼尿肌压力高于对照组,残余尿量少于对照组,差异均有统计学意义(均P<0.001)。结论排尿功能训练应用于机器人辅助原位新膀胱术中,可改善患者术后排尿功能及尿流动力学指标,减少排尿异常发生。

Objective To investigate the effect of urination function training on the urination function of patients after robot-assisted orthotopic bladder neoplasty.Methods A total of 98 patients undergoing robot-assisted orthotopic neobladder surgery in our hospital from November 2018 to November 2020 were selected and randomly divided into two groups,with 49 cases in each group.The control group received routine intervention,and the observation group received urination training.The incidence of abnormal urination,urination before and after intervention,and changes in urodynamic indexes were compared between the two groups at 6 months after operation.Results The total incidence of abnormal urination 6 months after operation in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The urine volume and urination interval in the observation group were higher than those in the control group at 3 months after operation,and the differences were statistically significant(all P<0.05).The bladder volume and detrusor pressure of the observation group were higher than those of the control group,and the residual urine volume was lower than that of the control group 3 months after operation,with statistical significance(all P<0.001).Conclusions The application of urination training in robot-assisted orthotopic neobladder surgery patients can improve postoperative urination function and urodynamic indexes,and reduce the occurrence of abnormal urination.