择时按摩八髎穴联合分段式盆底肌锻炼对子宫切除术患者膀胱功能的影响

Effect of different time massage of Baliao combined with segmented pelvic floor exercise on the bladder function of patients undergoing hysterectomy

目的观察择时按摩八髎穴联合分段式盆底肌锻炼对子宫切除术患者膀胱功能的影响。方法选取2022年1-12月在江西省某三甲医院妇科病区接受子宫切除术的患者80例,采用随机数字表法分为观察组与对照组各40例。对照组进行常规护理,观察组在对照组基础上外加择时按摩八髎穴联合分段式盆底肌锻炼。观察记录2组患者术后尿潴留发生率,拔除尿管后首次自主排尿恢复时间及排尿量。采用膀胱功能评估量表(MHU)调查比较拔管当天、干预7 d后和干预14 d后2组患者膀胱功能的变化。结果观察组患者术后尿潴留发生率为2.5%,低于对照组20%(P<0.05)。观察组患者自主排尿恢复用时短于对照组(P<0.001),首次排尿量大于对照组(P<0.001)。拔管当天、干预7 d后和干预14 d后观察组患者的尿急、与尿急相关的症状、日间排尿频率、压力性尿失禁、排尿困难和MHU总分均低于对照组(P<0.05)。结论择时按摩八髎穴联合分段式盆底肌锻炼可以有效降低子宫切除术患者术后尿潴留的发生率,促进患者术后膀胱功能康复。

Objective To observe the effect of different time massage of Baliao combined with segmented pelvic floor exercise on the bladder function of patients undergoing hysterectomy.Methods A total of 80 patients undergoing hysterectomy in the gynecological department of a tertiary hospital in Jiangxi from January to December 2022 were selected and divided into the observation group and the control group according to the random number table method,with 40 cases in each group.The control group was subjected to routine nursing care,and the observation group was supplemented with different time massage of Baliao combined with segmented pelvic floor exercise on the basis of the control group.The incidence of postoperative urinary retention,the spontaneous urination time after extubation,and the volume of first urination were observed and recorded between 2 groups.The Mesure Du Handicap Urinaire Scale(MHU)was used to investigate and compare the changes of bladder function between 2 groups on the day of extubation,the 7 th day after intervention,and the 14 th day after intervention.Results The incidence of postoperative urinary retention(2.5%)of the patients in the observation group was lower than that(20%)in the control group(P<0.05).The recovery time for spontaneous urination of the patients in the observation group was shorter than that in the control group(P<0.001),and the first urination was more than that in the control group(P<0.001).On the day of extubation,the 7 th day after intervention,and the 14 th day after intervention,the scores of urinary urgency,urgency-related symptoms,frequent micturition,stress urinary incontinence,dysuria,and the total scores of MHU of the patients in the observation group were lower than those in the control group(P<0.05).Conclusion Different time massage of Baliao combined with segmented pelvic floor exercise can effectively reduce the incidence of postoperative urinary retention in patients undergoing hysterectomy and promote the recovery of patients'bladder function.