盆底肌肉锻炼在预防中低位直肠癌保肛术后患者大便失禁的研究  

作　　者：郑美春[1] 张惠芹[1] 王玲燕[1] 温咏珊[1] 孔令亨[1] 万德森[1] 覃惠英[1] 周志伟[1] 朱亚萍[1] 

机构地区：[1]华南肿瘤学国家重点实验室中山大学肿瘤防治中心,广东广州510060

出　　处：《现代临床护理》2009年第12期1-3,共3页Modern Clinical Nursing

基　　金：广东省医学科研基金项目;项目编号A2006234

摘　　要：目的探讨盆底肌肉锻炼预防中低位直肠癌保肛术后患者大便失禁的效果。方法选择160例中低位直肠癌保肛术后患者,随机分为实验组和对照组,实验组患者入院后由造口治疗师指导其进行盆底肌肉锻炼,术前掌握训练方法,术后1w起持续进行盆底肌肉锻炼6个月,对照组按常规护理。术后1个月、3个月、6个月评价患者排便功能情况。结果实验组患者术后3个月、6个月的排便功能明显优于对照组,两组比较,均P<0.05,差异具有统计学意义。结论盆底肌肉锻炼可预防中低位直肠癌保肛术后患者大便失禁的发生。Objective To study the effect of pelvic floor muscle exercise in the prevention of copracrasia by sphincter preservation operation on mid-lower rectal cancer.Methods 160 patients with mid-lower rectal carcinoma treated with sphincter preservation operation were randomized into experimental and control groups in equal number.Those in the experimental group were instructed with pelvic floor muscle exercise right after admission,learned the training method before operation and conducted the exercises for 6 months from week 1 postoperatively,while those in the control group were routinely nursed.Defecation functions were evaluated at months 1,3 and 6 after operation.Result The control in defecation functions in the experimental group was significantly better than that in the control group at months 3 and 6（all P0.05）.Conclusion Training of basilar pelvic muscles may prevent copracrasia by sphincter preservation operation on mid-lower rectal cancer.

关 键 词：中低位直肠癌 保肛手术 大便失禁 盆底肌肉锻炼 

分 类 号：R473.73[医药卫生—护理学]