盆底重建术后早期低频电刺激预防尿潴留的效果分析  

The efficacy of transcutaneous electrical stimulation on urinary retention in women with pelvic reconstructive surgery

作　　者：曹婷婷[1] 孙华欣 孙秀丽[1] 杨欣[1] 王建六[1] CAO Tingling;SUN Huaxin;SUN Xiuli;YANG Xin;WANG Jianliu(Department of Obstetrics and Gynecology, Peking University People's Hospital. Beijing 100044, China)

机构地区：[1]北京大学人民医院妇产科,北京市女性盆底研究重点实验室,100044

出　　处：《中国妇产科临床杂志》2019年第2期104-107,共4页Chinese Journal of Clinical Obstetrics and Gynecology

基　　金：国家重点研发计划课题(YFC200022-04);北京市科委重大课题(D151100001915003)

摘　　要：目的探讨盆底重建术后早期低频电刺激对术后尿潴留的疗效和安全性。方法采用单中心前瞻随机对照研究方法,自2018年8月至2019年1月在北京大学人民医院妇科病房因盆腔器官脱垂接受盆底重建手术的患者,按照入排标准纳入病例,将患者随机分为干预组(36例)和对照组(28例)。干预组术后第1～5天给予膀胱区及骶3区的低频电刺激治疗,一日2次,共10次,对照组仅做常规护理,所有患者均在术后第3天拔除尿管,比较两组患者术后第3天、第7天尿潴留、残余尿量及尿流率情况。结果干预组术后第3天的最大尿流率大于对照组[16.00 ml/s(12.00～21.00 ml/s)vs 12.00 ml/s(7.00～19.00 ml/s)],术后第7天最大尿流率(ml/s)大于对照组[17.00 ml/s(11.35～25.82 ml/s)vs 13.40 ml/s(8.50～19.00 ml/s)],两组比较,差异均有统计学意义(P <0.05)。两组患者术后第3天、第7天的平均尿流率比较,差异有统计学意义(P <0.05),但两组排尿时间及达峰时间比较,差异均无统计学意义(P <0.05)。干预组术后第7天尿潴留率(2.78%,1/36)明显低于对照组(28.57%,8/28)两组均无并发症发生。结论低频电刺激能够提高盆底重建术后患者的尿流率,降低尿潴留的发生率。Objective To evaluate the efficacy of transcutaneous electrical stimulation on urinary retention in women with pelvic reconstructive surgery.Methods The study is a prospective randomized controlled study.According to the inclusion and exclusion criteria,36 patients in intervention group and 28 patients in control group are included from August 2018 to January 2019.All the patients undergo the pelvic reconstructive surgery.The 36 patients accept the therapy of transcutaneous electrical stimulation on bladder and sacral 3 region from one to five days after surgery.The other 28 patients in control group have no treatment.Three days after the surgery,all patients were removed the catheter.We compare the residual urine volume and the urine flow rate between the two groups after 3 days and 7 days postoperatively.Results There are no significant difference between the two groups on basal and surgical data.The rate of maxflow and meanflow in intervention group is higher than the control group [16.00 ml/s(12.00~21.00 ml/s) vs 12.00 ml/s(7.00~19.00 ml/s) in the third day,and 17.00(11.35~25.82 ml/s) vs 13.40 ml/s(8.50~19.00 ml/s) in the seventh day,P <0.05].However,the urine time has no significance.The rate of the urinary retention in intervention group is 2.78%,which is lower than the control group 7 days after the surgery(P <0.05).Conclusion The transcutaneous electrical stimulation can increase the flow rate of urination in patients with pelvic reconstructive surgery and can prevent the urinary retention.

关 键 词：盆底重建术 低频电刺激 尿流率 尿潴留 

分 类 号：R713[医药卫生—妇产科学]