盆底肌锻炼联合膀胱训练对前列腺摘除患者术后尿失禁的影响(1)
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摘 要 目的：探讨盆底肌锻炼联合膀胱训练对前列腺摘除术后尿失禁的影响。方法：将60例前列腺增生行前列腺摘除术患者随机分为对照组和实验组各30例,对照组按常规护理；实验组除常规护理外，由责任护士指导其进行盆底肌锻炼和膀胱训练。术后10 d、20 d、30 d、90 d评价两组患者排尿功能情况。结果：术后20 d、30 d、90 d实验组尿失禁发生率均低于对照组(P<0.05),术后90 d后两组压力性尿失禁分度情况比较差异有统计学意义(P<0.05)。结论：盆底肌锻炼联合膀胱训练治疗尿失禁简单、易行且有效,可作为前列腺摘除术后轻、中度尿失禁初次治疗的首选方法。
关键词 前列腺增生；前列腺摘除术；盆底肌锻炼；膀胱训练；尿失禁
中图分类号：R473.6 文献标识码：A 文章编号：1006-7256(2011)15-0004-02
Effect of pelvic floor muscle exercise combined with bladder training on urinary incontinence
of the patients after prostatectomy
Wu Meng-ya, Tan Jian-lan, Liao Xiao-qiao, et al
(The Fourth People's Hospital of Zhanjiang Municipality, Zhanjiang Guangdong 524008, China)
Abstract Objective: To investigate the effect of pelvic floor muscle exercise combined with bladder training on urinary incontinence of the patients after prostatectomy. Methods: 60 patients who underwent prostatectomy because of prostate hyperplasia were randomly divided into control and experimental groups (30 patients for each group). The patients received routine nursing care in the control group and the patients in the experimental group had pelvic floor muscle exercises and bladder training under the guidance of primary nurses in addition to routine nursing care. The urinary function of the patients in both groups was evaluated respectively on 10 days, 20 days, 30 days and 90 days after surgery. Results: The incidence of urinary incontinence of the patients on 20 days, 30 days and 90 days after surgery was lower in the experimental group than the control group (P<0.05); the difference in the comparison of grading of stress urinary incontinence on 90 days after surgery was statistically significant between the two groups (P<0.05). Conclusion: The pelvic floor muscle exercise combined with bladder training is simple, easy and effective and it can be taken as the preferred method in the initial treatment of mild to moderate urinary incontinence after prostatectomy.
Key words Prostate hyperplasia; Prostatectomy; Pelvic floor muscle exercise; Bladder training; Urinary incontinence
手术切除是最有效的治疗前列腺癌和前列腺增生的方法之一。朱建英等[1]报道术前肛提肌训练有助于降低前列腺电切术后暂时性尿失禁的发生率,对缩短术后尿失禁持续时间有积极作用。2007年4月～2010年10月，我们对30例前列腺增生行前列腺摘除术患者进行盆底肌锻炼联合膀胱训练 ......
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