摘要
目的探讨夹管训练结合渐进性盆底肌锻炼在前列腺增生切除术后军队退休干部患者膀胱功能康复中的作用。方法选取空军军医大学第二附属医院2020年3月至2021年5月收治的行手术治疗的186例前列腺增生军队退休干部患者作为研究对象,依照信封随机法分为观察组和对照组,每组93例;对照组采用常规康复训练干预,观察组采用夹管训练结合渐进性盆底肌锻炼方案干预。在患者康复训练前及康复训练6个月后对治疗效果进行评价,包括临床疗效、控尿能力、尿动力学相关指标、国际前列腺症状评分、国际下尿路症候群症状(LUTS)评分、生活质量(QoL)评分、改良Barthel指数(MBI)、不良反应、泌尿道感染率及再次入院率。结果康复训练6个月后观察组临床疗效优于对照组(P<0.05),排尿、漏尿的次数少于对照组(P<0.05),恢复控尿的时间短于对照组(P<0.05),漏尿点压力(LPP)和最大尿道闭合压(MUCP)大于对照组(P<0.05),国际前列腺症状评分和LUTS评分低于对照组(P<0.05),MBI和QoL评分高于对照组(P<0.05),观察组泌尿道感染率和再次入院率低于对照组(P<0.05)。结论夹管训练结合渐进性盆底肌锻炼可有效促进前列腺增生切除术后军队退休干部患者的膀胱功能康复,具有较高的临床价值。
Objective To explore the effect of tube clamping training combined with progressive pelvic floor muscle exercise on bladder function rehabilitation after surgery for benign prostatic hyperplasia in military retired cadres.Methods A total of 186 patients with benign prostatic hyperplasia who underwent surgical treatment in The Second Affiliated Hospital of Air Force Medical University from March 2020 to May 2021 were enrolled in this study.They were randomly divided into control and observation groups.Routine rehabilitation training was given in the control group,and tube clamping training combined with progressive pelvic floor muscle exercise was carried out in the observation group.The therapeutic effect,urinary control,urodynamics,international prostate symptom score(IPSS),international lower urinary tract syndrome(LUTS)score,quality of life(QoL)score,modified Barthel index(MBI)urinary tract infection rate,and readmission rate were evaluated before and 6 months after treatment.Results The observation group had better clinical effect than the control group 6 months after treatment(P<0.05).The number of urination,the number of leakage of urine and the time of recovery of urinary control in the observation group were less than those in the control group(P<0.05).Leak point pressure(LPP)and maximum urethral closure pressure(MUCP)in the observation group were higher than those in the control group(P<0.05).The IPSS and LUTS score of the observation group were lower than those of the control group(P<0.05),while the QoL and MBI scores of the observation group were higher than those of the control group(P<0.05).After 6 months of rehabilitation intervention,the urinary tract infection rate and readmission rate of the observation group were significantly lower than those of the control group(P<0.05).Conclusion Tube clamping training combined with progressive pelvic floor muscle exercise can effectively promote the recovery of bladder function after surgery in military retired cadres with benign prostatic hyperplasia.
作者
宋艳
高小平
严妤
王凡
Song Yan;Gao Xiaoping;Yan Yu;Wang Fan(Department of Rehabilitation,The Second Affiliated Hospital of Air Force Medical University,Xi’an 710038,China)
出处
《海军医学杂志》
2024年第2期130-134,共5页
Journal of Navy Medicine
关键词
夹管训练
渐进性盆底肌锻炼
军队干部
前列腺增生
膀胱功能
Tube clamping training
Progressive pelvic floor muscle exercise
Military cadres
Prostatic hyperplasia
Bladder function
作者简介
通信作者:高小平,电子信箱:gxp029@163.com。
