盆底肌功能锻炼联合膀胱训练对老年前列腺癌术后尿失禁的疗效观察  

Curative Effect of Pelvic Floor Muscle Function Exercise plus Bladder Training on Urinary Incontinence in Elderly Patients after Radical Prostatectomy

作　　者：王莺[1] 

机构地区：[1]复旦大学附属华山医院护理部,上海200040

出　　处：《老年医学与保健》2017年第1期55-57,共3页Geriatrics & Health Care

摘　　要：目的探讨老年前列腺癌患者行盆底肌功能锻炼和膀胱训练对术后尿失禁的影响。方法选取前列腺癌患者120例,随机分为观察组和对照组各60例。观察组从术前1周开始盆底肌功能锻炼至术后3个月+拔除导尿管后的膀胱训练,对照组按前列腺癌根治术常规护理。观察术后有尿失禁的患者在拔除导尿管后1个月、3个月和6个月尿失禁的改善情况。结果观察组拔除导尿管后1个月、3个月和6个月尿失禁改善情况均优于对照组(P<0.005)。结论对老年前列腺癌根治术后尿失禁的患者进行早期的盆底肌功能锻炼和膀胱训练,可改善患者尿失禁状况,使患者早日恢复控尿功能。Objective To discuss the effect of pelvic floor muscle function exercise plus bladder training on urinary incontinence in elderly patients after radical prostatectomy. Methods 120 cases with prostate cancer were selected and randomly divided into 2 groups： observation group and control group, 60 cases in each; pelvic floor muscle function exercise in cases in observation group started 1 week before operation and lasted to the 3rd month after operation combined with bladder training after removal of catheter while routine nursing was applied to cases in control group; an observation was made to the impro-vement of postoperative urinary incontinence 1 month, 3 months and 6 months after the removal of catheter. Results The improvement in observation group was superior to that in control group （P〈 0.05）. Conclusions Early pelvic floor muscle training exercise and bladder training is helpful for urinary incontinence improvement in elderly patients with urinary inconti-nence after radical prostatectomy.

关 键 词：老年 前列腺癌 尿失禁 盆底肌功能锻炼 膀胱训练 

分 类 号：R473.73[医药卫生—护理学]