分段式凯格尔运动练习联合穴位按摩对宫颈癌患者膀胱功能的影响

Effect of segmented Kegel exercise combined with acupoint massage on bladder function in cervical cancer patients

目的探讨分段式凯格尔运动练习联合穴位按摩对宫颈癌患者膀胱功能的影响。方法回顾性分析2021年1月至2022年9月在四川大学华西厦门医院接受手术治疗的宫颈癌患者的临床资料,患者共计100例,根据护理方式的不同将其分入观察组(49例)和对照组(51例)。对照组采用常规护理加穴位按摩,观察组基于穴位按摩接受分段式凯格尔运动练习,将2组的干预效果进行比较。结果统计2组的并发症总发生率后发现,观察组更低(P<0.05)。观察组的临床指标相关数据(残余尿量、排气恢复时间、自主排尿恢复时间、首次下床活动时间及导尿管留置时间)均优于对照组(P均<0.05)。术后第3周和第7周,2组的储尿时膀胱压、储尿时尿道分布压和排尿时膀胱压均大于术后第1天,排尿时尿道分布压均小于术后第1天(P均<0.05),且观察组的膀胱功能指标均优于同期对照组(P均<0.05)。结论分段式凯格尔运动练习联合穴位按摩可改善接受手术的宫颈癌患者的膀胱功能和临床指标相关数据,降低并发症发生风险。

Objective To explore the effect of segmented Kegel exercise combined with acupoint massage on bladder function in cervical cancer patients.Methods Clinical data of 100 cervical cancer patients who underwent surgical treatment at West China Xiamen Hospital of Sichuan University from January 2021 to September 2022 were retrospectively analyzed.According to different nursing methods,they were divided into an observation group(49 cases)and a control group(51 cases).The control group received routine nursing and acupoint massage,while the observation group received segmented Kegel exercise based on acupoint massage.The intervention effects of the two groups were compared.Results After calculating the total incidence of complications in the two groups,it was found that the observation group had a lower incidence(P<0.05).The relevant data of clinical indicators(residual urine volume,recovery time of exhaust,recovery time of spontaneous urination,time of first ambulation activity,and catheterization retention time)of the observation group were all better than those of the control group(all P<0.05).At the 3rd and 7th week after surgery,the bladder pressure during storage,urethral distribution pressure during storage,and bladder pressure during urination in both groups were higher than those on the 1st day after surgery,and the urethral distribution pressure during urination was lower than those on the 1st day after surgery(all P<0.05).Moreover,the bladder function indicators in the observation group were better than those in the control group during the same period(all P<0.05).Conclusion Segmented Kegel exercise combined with acupoint massage can improve bladder function and clinical indicators in cervical cancer patients undergoing surgery,reducing the risk of complications.