摘要
目的探讨间歇性夹管训练联合凯格尔运动在宫颈癌术后膀胱功能障碍患者中的应用效果.方法选取2019年2月—2020年12月该院收治的92例宫颈癌术后膀胱功能障碍患者为研究对象,按随机数字表法分为两组,每组46例.对照组采用间歇性夹管训练,试验组采用间歇性夹管训练联合凯格尔运动.对比两组的膀胱功能、尿动力学指标及尿潴留发生情况.结果试验组干预后的膀胱功能分级优于对照组,差异有统计学意义(P<0.05).干预前,两组的各项尿动力学指标比较,组间差异无统计学意义(P>0.05);干预后,两组的最大尿流率、最大膀胱容量、排尿期尿道分布压力、排尿前膀胱压均优于干预前,且试验组的上述指标均优于对照组,组间差异有统计学意义(P<0.05).试验组的尿潴留发生率为4.35%,低于对照组的19.57%,差异有统计学意义(P<0.05).结论间歇性夹管训练联合凯格尔运动治疗宫颈癌术后膀胱功能障碍患者,能够促进其膀胱功能恢复,改善尿动力学指标,有效减少尿潴留的发生.
Objective To explore the application effect of intermittent tube clamping training combined with Kegel exercise in patients with bladder dysfunction after cervical cancer surgery.Methods 92 patients with bladder dysfunction after cervical cancer surgery admitted to the hospital from February 2019 to December 2020 were randomly divided into two groups,46 cases in each group.The control group used intermittent tube clamping training and the test group used intermittent tube clamping training combined with Kegel exercises.Bladder function,urodynamic indexs and the occurrence of urinary retention were compared between the two groups.Results The bladder function classification of the test group after intervention was better than that of the control group,and the difference was statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in urodynamic indexs between the two groups(P>0.05);after the intervention,the maximum urinary flow rate,maximum bladder capacity,urethral distribution pressure during voiding,and prevoid bladder pressure in both groups were better than before the intervention,the levels of the above indicators in the test group were better than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of urinary retention was 4.35%in the test group,which was lower than 19.57%of in the control group,and the difference was statistically significant(P<0.05).Conclusion Intermittent tube clamping training combined with Kegel exercises for patients with bladder dysfunction after cervical cancer surgery can promote their bladder function recovery,improve urodynamic indexs,and effectively reduce the occurrence of urinary retention.
作者
文庆玲
WEN Qingling(Department of Obstetrics,Maternal and Child Health Hospital of Junan County,Linyi City,Linyi Shandong,276600,China)
出处
《反射疗法与康复医学》
2021年第11期142-144,共3页
Reflexology And Rehabilitation Medicine
关键词
宫颈癌
膀胱功能障碍
间歇性夹管训练
凯格尔运动
尿动力学
尿潴留
Cervical cancer
Bladder dysfunction
Intermittent tube clamping training
Kegel exercise
Urodynamics
Urinary retention
作者简介
文庆玲(1979-),女,山东临沂人,本科,主治医师,研究方向:高危妊娠、剖宫产的治疗。
