凯格尔运动联合艾灸穴位治疗在改善宫颈癌患者术后膀胱功能障碍中的应用  

Effects of Kegel exercise combined with moxibustion acupuncture point therapy of postoperative bladder dysfunction of patients with cervical neoplasms

作　　者：雷奕[1] 黄英凡[1] 冯茜茜[1] 常鑫[1] 杨玲[1] 覃英[1] 陈英[1] Lei Yi;Huang Yingfan;Feng Qianqian;Chang Xin;Yang Ling;Qin Ying;Chen Ying(Nursing Department,Tumor Hospital Affiliated to Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学附属肿瘤医院护理部,南宁530021

出　　处：《中华现代护理杂志》2020年第11期1434-1439,共6页Chinese Journal of Modern Nursing

基　　金：广西壮族自治区卫生和计划生育委员会中医药科技项目(GZLC16-37);广西医疗卫生适宜技术开发与推广应用项目(S2018109)。

摘　　要：目的探讨凯格尔运动联合艾灸穴位治疗在改善宫颈癌患者术后膀胱功能障碍中的应用价值。方法采用便利抽样法,选取2017年12月—2019年4月在广西医科大学附属肿瘤医院妇瘤病区行宫颈癌根治术180例患者为研究对象,随机分为3组,每组各60例。对照组患者采用常规护理方法,观察1组在对照组基础上采用凯格尔运动训练,观察2组在对照组基础上采用凯格尔运动训练配合艾灸穴位治疗。比较3组患者术后干预后尿潴留的发生率、膀胱功能恢复情况以及术后生活质量。结果干预后3组患者的留置尿管时间、残余尿量、尿潴留发生率比较差异具有统计学意义(P<0.05),3组患者术后膀胱功能分级比较差异具有统计学意义(P<0.05),观察2组膀胱功能为Ⅲ~Ⅳ级的患者比例较对照组、观察1组低。术后生活质量比较中,3组患者术后14 d生理得分、功能得分、宫颈癌分量表等维度得分和生活质量总分比较,差异具有统计学意义(P<0.05)。结论凯格尔运动联合艾灸穴位治疗能够有效降低宫颈癌患者术后尿潴留率,促进患者膀胱功能恢复,提高术后患者生活质量。Objective To explore the application value of Kegel exercise combined with moxibustion acupuncture point therapy in preventing and treating bladder dysfunction of patients with cervical neoplasms.Methods A total of 180 patients who underwent radical hysterectomy of cervical neoplasms in Department of Gynecologic Oncology in Tumor Hospital Affiliated to Guangxi Medical University from December 2017 to April 2019 were selected as research objects by the convenience sampling method.They were randomly divided into 3 groups,with 60 cases in every group.Patients in the control group were given routine nursing,the observation group one was given Kegel exercise training on the basis of the control group and the observation group two was given Kegel exercise combined with moxibustion acupuncture point therapy on basis of the control group.The incidence of urinary retention,bladder function recovery and postoperative quality of life after intervention were compared among the three groups.Results There were statistically significant differences in indwelling time,residual urine volume,and urinary retention rate among the three groups of patients(P<0.05).The differences in postoperative bladder function among the three groups were statistically significant(P<0.05).The proportion of patients with bladder function ofⅢ-Ⅳin the observation group 2 was lower than those in the control group and the observation group 1.In the comparison of Postoperative Quality of Life Scale scores,the differences between the scores of physiological scores,functional scores,cervical cancer subscales and the total Postoperative Quality of Life Scale scores of the three groups were statistically significant(P<0.05).Conclusions Kegel exercise combined with moxibustion acupuncture point therapy can effectively reduce the incidence of postoperative urinary retention in patients with cervical neoplasms,promote the recovery of bladder function and improve the quality of life of patients after surgery.

关 键 词：宫颈肿瘤 膀胱功能 凯特尔运动 艾灸 

分 类 号：R737[医药卫生—肿瘤] R4[医药卫生—临床医学]