渐进式阻力运动训练在机器人辅助根治性前列腺切除术患者中的应用

Application of progressive resistance exercise training in patients underwent robot-assisted radical prostatectomy

目的:探究渐进式阻力运动训练在机器人辅助根治性前列腺切除术(RARP)患者中的应用。方法:选取2020年6月—2023年6月于空军军医大学第一附属医院行RARP的82例患者为研究对象。依据入院时间不同将其分为两组,其中2020年6月—2021年12月的RARP患者为对照组,2022年1月—2023年6月的RARP患者为试验组,每组41例。对照组行常规运动训练,试验组行渐进式阻力运动训练。比较两组患者手术指标、疼痛程度、出院活动能力、并发症及总发生率。结果:比较两组患者手术指标,试验组首次进食时间、首次排气时间、首次下床活动时间和术后住院时间均显著低于对照组(P<0.05)。两组患者疼痛程度相比,试验组术后6 h、12 h、24 h疼痛程度均显著低于对照组(P<0.05)。两组患者出院活动能力相比,试验组括约肌控制、自理能力、转移、行进、交流、社会认知及总分均显著高于对照组(P<0.05)。试验组患者并发症发生率为9.76%(4/41),显著低于对照组的31.71%(13/41)(P<0.05)。结论:渐进式阻力运动训练在RARP患者中的应用效果显著。

Objective:To explore the application effect of progressive resistance exercise training in patients underwent robot-assisted radical prostatectomy(RARP).Methods:82 patients who underwent RARP in the First Affiliated Hospital of Air Force Medical University from June 2020 to June 2023 were selected.Based on the time of admission,patients who were admitted in the hospital from June 2020 to December 2021 were divided into the control group,and patients from January 2022 to June 2023 were divided into the experimental group,with 41 cases in each group.The control group received routine exercise training,while the experimental group received progressive resistance exercise training.The surgical indicators,pain level,activity after being discharged,complications and total incidence rate of patients in the two groups were compared.Results:Compared with the control group,the first feeding time,first exhaust time,first ambulation,and postoperative hospitalization time in the experimental group were significantly lower(P<0.05).The pain levels of patients at 6 h,12 h and 24 h after surgery in the experimental group were significantly lower than those in the control group(P<0.05).The sphincter control ability,self-care ability,transfer,locomotion,communication,social cognition,and total score of patients in the experimental group were significantly higher than those in the control group(P<0.05).The total incidence of complications in the experimental group was 9.76%(4/41),which was significantly lower than that in the control group of 31.71%(13/41)(P<0.05).Conclusion:The application of progressive resistance exercise training in patients underwent RARP could achieve good effects.