摘要
目的研究盆底肌瑜伽训练联合清洁间歇性导尿术对宫颈癌根治术后患者膀胱功能的影响.方法选择2019年5月—2021年6月于本院行宫颈癌根治术治疗的92例患者,按随机数字表法分成两组,各46例.对照组接受清洁间歇性导尿术干预,研究组行盆底肌瑜伽训练联合清洁间歇性导尿术干预.对比两组患者膀胱功能恢复效果、宫颈癌生活质量工具(QLICP-CE)量表评分、并发症发生率.结果研究组患者术后自主排尿恢复时间、留置导尿管时间均较对照组更短,残余尿量较对照组更少,膀胱颈移动度较对照组更低,组间差异有统计学意义(P<0.05).术前,两组QLICP-CE评分比较,差异无统计学意义(P>0.05);术后2个月,研究组QLICP-CE评分较对照组更高,差异有统计学意义(P<0.05).研究组并发症总发生率4.35%较对照组的17.39%更低,差异有统计学意义(P<0.05).结论盆底肌瑜伽训练联合清洁间歇性导尿术能促进宫颈癌根治术后患者膀胱功能康复,改善生活质量,减少并发症的发生.
Objective To study the effect of pelvic floor muscle yoga training combined with clean intermittent catheterization on bladder function in patients after radical cervical cancer surgery.Methods 92 patients who underwent radical cervical cancer treatment in our hospital from May 2019 to June 2021 were selected and divided into 2 groups of 46 patients each according to the random number table method.The control group received clean intermittent catheterization intervention,and the study group received pelvic floor muscle yoga training combined with clean intermittent catheterization intervention.The results of bladder function recovery,quality of life tool for cervical cancer(QLICP-CE)scale scores and complication rates were compared between the two groups.Results The patients in the study group had a shorter recovery time from voluntary voiding and a shorter duration of indwelling catheter,less residual urine volume and lower bladder neck mobility than the control group after surgery,and the differences between the groups were statistically significant(P<0.05).Preoperatively,there was no statistically significant difference in QLICP-CE scores between the two groups(P>0.05);2 months after surgery,the QLICP-CE scores were higher in the study group than in the control group,and the difference was statistically significant(P<0.05).The overall complication rate of 4.35%was lower in the study group compared with 17.39%in the control group,and the difference was statistically significant(P<0.05).Conclusion Pelvic floor muscle yoga training combined with clean intermittent catheterisation promotes bladder function recovery,improves quality of life and reduces complications in patients after radical cervical cancer surgery.
作者
邢晶
XING Jing(Department of Obstetrics and Gynecology,First Factory Hospital,Qiqihar,Heilongjiang Province,Qiqihar Heilongjiang,161000,China)
出处
《反射疗法与康复医学》
2022年第8期91-94,共4页
Reflexology And Rehabilitation Medicine
关键词
宫颈癌根治术
盆底肌瑜伽
清洁间歇性导尿术
膀胱功能
Radical operation of cervical cancer
Pelvic floor muscle yoga
Clean intermittent catheterization
Bladder function
作者简介
邢晶(1982-),女,蒙族,黑龙江齐齐哈尔人,本科,副主任医师,研究方向:妇产科疾病的诊治。
