电生理技术联合盆底肌训练治疗前列腺增生电切术后尿失禁的疗效

Effects of electrophysiological technique combined with pelvic floor muscle training on the rapid recovery of urinary incontinence after electroresection of prostatic hyperplasia

目的探讨基于加速康复外科理念下电生理技术联合盆底肌训练在前列腺增生电切术后尿失禁患者中的临床疗效。方法选取2019年10月—2022年2月就诊于新疆维吾尔自治区人民医院泌尿中心的86例前列腺增生电切术后尿失禁患者,按照随机数字表法分为对照组和观察组,每组43例。所有患者进行基础治疗(健康宣教+盆底肌训练),观察组在对照组基础上增加电生理治疗。分析两组在治疗前后尿失禁疗效评价指标中的差异。结果患者1 h尿垫试验、国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-SF)评分、最大尿流率(Qmax)、残余尿量(PVR)、国际前列腺症状评分(IPSS)、24 h尿失禁次数、尿失禁生活质量问卷评分(I-QoL)7项指标:治疗前两组上述指标比较,差异无统计学意义(P>0.05),治疗后两组上述指标比较差异均有统计学意义(观察组Qmax、I-QoL评分高于对照组,其他5个指标低于对照组,P均<0.05);观察组临床总有效率高于对照组,差异有统计学意义(P<0.05)。结论电生理技术联合盆底肌训练能有效改善前列腺增生电切术后患者尿失禁症状,促进尿控功能恢复,符合加速外科康复理念,值得深入研究及推广。

Objective To investigate the clinical effects of electrophysiological technique combined with pelvic floor muscle training on urinary incontinence after electroresection of benign prostatic hyperplasia(BPH)based on the concept of enhanced recovery after surgery(ERAS).Methods A total of 86 patients with urinary incontinence treated with electroresection of BPH during Oct.2019 and Feb.2022 were randomly divided into control group and observation group,with 43 cases in either group.All patients received health education plus pelvic floor muscle training,and the observation group also received electrophysiological treatment.The differences in the indexes before and after treatment were compared between the two groups.Results There were no significant differences in the 1 h pad test,ICIQ-SF score,maximum urinary flow rate(Qmax),post void residual(PVR),International Prostate Symptom Score(IPSS),24 h urinary incontinence frequency,and Urinary Incontinence Quality of Life Questionnaire Score(I-QoL)before treatment between the two groups(P>0.05).However,after treatment,Qmax and I-QoL score were significantly higher in the observation group than in the control group,while the other 5 indicators were significantly lower in the observation group than in the control group(all P<0.05).The total clinical effective rate was significantly higher in the observation group than in the control group(P<0.05).Conclusion Electrophysiological technique combined with pelvic floor muscle training can effectively improve the symptoms of urinary incontinence and promote the recovery of urinary control function,which is in line with the concept of ERAS and is worthy of further research and promotion.