盆底功能训练联合间歇性夹管训练对子宫颈癌术后留置尿管患者的影响  

Effect of Pelvic Floor Function Training Combined with Intermittent Clamping Tube Training in Patients with Indwelling Catheter after Cervical Cancer Surgery

作　　者：陈洁玲 陈敬欢 陆新 郭海玲[1] 唐享恩 张琼青 CHEN Jieling;CHEN Jinghuan;LU Xin;GUO Hailing;TANG Xiang’en;ZHANGQiongqing(Houjie Hospital of Dongguan City,Dongguan 526900,China;不详)

机构地区：[1]东莞市厚街医院,广东东莞526900

出　　处：《中外医学研究》2022年第4期40-44,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨盆底功能训练联合间接性夹管训练对子宫颈癌术后留置尿管患者的影响。方法:选择2019年3月-2020年12月东莞市厚街医院收治的子宫颈癌患者86例。按随机数字表法分为对照组和观察组,各43例。两组行广泛性子宫切除术+盆腔淋巴结清扫术后均留置尿管,对照组进行间歇性夹管训练,观察组在对照组基础上进行盆底功能训练。比较两组术后排尿相关指标、拔除尿管后尿动力学指标、尿管重置率及并发症发生率。结果:观察组术后尿管留置时间为(9.22±1.43)d,短于对照组;观察组膀胱残余尿量为(59.46±9.32)ml,少于对照组,差异均有统计学意义(P<0.05)。观察组储尿时膀胱压为(15.93±4.25)cmH_(2)O,尿道闭合压为(61.76±6.33)cmH_(2)O,高于对照组,观察组排尿时膀胱压为(57.36±8.54)cmH_(2)O,高于对照组,尿道闭合压为(24.38±5.20)cmH_(2)O,低于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为4.65%,低于对照组的20.93%,差异有统计学意义(P<0.05)。两组尿管重置率比较差异无统计学意义(P>0.05)。结论:盆底功能训练联合间歇性夹管训练可缩短子宫颈癌术后患者留置尿管时间,提高膀胱功能,并降低并发症发生率。Objective:To explore the effect of pelvic floor function training combined with intermittent clamping tube training in patients with indwelling catheter after cervical cancer surgery.Method:A total of 86 cervical cancer patients admitted to Houjie Hospital of Dongguan City from March 2019 to December 2020 were selected and divided into control group and observation group according to the random number table method,with 43 cases in each group.The two groups received indwelling catheter after extensive hysterectomy+pelvic lymph node dissection.The control group received intermittent clamping tube training,and the observation group received pelvic floor function training on the basis of the control group.The postoperative related indexes of urination,urodynamic indexes after removing the catheter and catheter replacement rate,the incidence of complication were compared between the two groups.Result:The postoperative catheter indwelling time in the observation group was(9.22±1.43)d,which was shorter than that in the control group,the residual urine volume of the bladder in the observation group was(59.46±9.32)ml,which was less than that in the control group,the differences were statistically significant(P<0.05).In the observation group,bladder pressure was(15.93±4.25)cmH_(2)O and urethral closure pressure was(61.76±6.33)cmH_(2)O during urine storage,which were higher than those in the control group,the bladder pressure was(57.36±8.54)cmH_(2)O during urination,which was higher than that in the control group,and urethral closure pressure was(24.38±5.20)cmH_(2)O during urination,which was lower than that in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 4.65%,which was lower than 20.93%in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in catheter replacement rate between the two groups(P>0.05).Conclusion:Pelvic floor function training combined with intermittent clamp

关 键 词：子宫颈癌 盆底功能训练 间接性夹管训练 留置尿管 膀胱功能 并发症 

分 类 号：R737.33[医药卫生—肿瘤]