不同阶段康复训练治疗前列腺癌根治术后患者尿失禁的疗效观察.docxVIP

不同阶段康复训练治疗前列腺癌根治术后患者尿失禁的疗效观察 (福建省立金山医院lt;福建省立医院南院gt;福建福州350001) 【摘要】目的：探讨不同阶段盆底肌锻炼联合膀胱训练对腹腔镜下前列腺癌根 治术后患者尿失禁的疗效。方法：在不同阶段常规护理措施的干预下，结合盆底 肌联合膀胱锻炼。观察组在术前2周和术后第3天，开始盆底肌锻炼联合膀胱训 练。对照组仅在术后第3天，开始盆底肌锻炼联合膀胱训练。观察两组尿失禁发 生率在术后1个月、2个月的差异及控尿能力的差别。结果：在术后第一个月观 察组尿失禁的发生率5.8%低于对照组术后第一个月的发生36.7%在术后第二个 月观察组尿失禁的发生率5.2%低于对照组术后第二个月的发生率14.8%；组间比 较差异具有统计学意义(P|t;0.05)。结论：盆底肌锻炼联合膀胱训练对腹腔镜 下前列腺癌根治术后患者尿失禁的疗效显著，且方法简便易行，利与推广经济价 值高。尽早实施盆底肌锻炼联合膀胱训练效果更明显。 【关键词】不同阶段；前列腺癌根治术；盆底肌联合膀胱锻炼；尿失禁 【中图分类号】R737.25 【文献标识码】A 【文章编号】2095-1752 (2016) 31-0012-02 Clinical observation of the various stages of rehabilitation training in patients with prostate cancer radical surgery urinary incontinence Wu Chengjie Fujian Provincial Jinshan Hospital, Fujian Provinee, Fuzhou 350001, China 【Abstract] Objective Discuss different stage bladder training for laparoscopic pelvic floor muscle exercise combined the curative effect of postoperative urinary incontinence in patients with prostate cancer effect a radical cure. Methods Under the different stages of routine nursing intervention, joint bladder combined with pelvic floor muscle exercise. Observation group 2 weeks in preoperative and postoperative day 3, start pelvic floor muscle exercise combined bladder training. The control group only 3 days after surgery, start pelvic floor muscle exercise combined bladder training. Results For the incidenee of urinary incontinence, observation group is lower than the control group, the differenee statistically significant (P lt; 0.05). Conclusions Pelvic floor muscle exercise combined bladder training, urinary incontinence in patients with laparoscopic prostate cancer radical surgery of curative effect is distinet, and the method is simple and easy, worth clinical promoti on. 【Key words] Different stages; Prostate cancer radical; Pelvic floor muscle joint bladder exercise; Urinary incontinence 在男性最常见恶性肿瘤之中，前列腺癌的发病率居第2位，约占全部 肿瘤发病率的14%[l]o腹腔镜下前列腺癌根治术是前列腺癌最直接、最有效的 治疗方式，虽然恢复较快但术后80%患者常伴有尿失禁发生，严重影响患者术后 生活质量。大量临床研究证明盆底肌锻炼联合膀胱训练对前列腺癌根治术后患者 尿失