渐近性肌肉训练用于经尿道前列腺切除术后对膀胱痉挛的影响  

Effect of asymptotic muscle training on bladder spasm after transurethral prostatectomy

作　　者：蔡小聪 文小苗 林妹丽 Cai Xiaocong;Wen Xiaomiao;Lin Meili(Department of Urology,Danzhou people's Hospital,Danzhou 571700,China)

机构地区：[1]海南儋州市人民医院泌尿外科,571700

出　　处：《中华保健医学杂志》2022年第1期48-50,共3页Chinese Journal of Health Care and Medicine

基　　金：海南省卫生计生行业科研项目(19A200181)。

摘　　要：目的观察渐近性肌肉放松训练(PMRT)用于经尿道前列腺切除术后对膀胱痉挛的影响。方法选取2018年3月~2020年3月儋州市人民医院收治的132例行经尿道前列腺切除术患者,抽签随机分为观察组与对照组,各66例,住院期间对照组每天嘱患者做深呼吸、转移注意力,给予心理安慰等;观察组予以患者PMRT,记录两组患者术后临床指标(术后48 h内的膀胱痉挛发生次数、每次膀胱痉挛持续时间、膀胱持续冲洗时间、住院时间)、出院时活动能力[功能独立性评分表(FIM)评分],比较两组患者术后住院期间并发症发生情况。结果观察组48 h膀胱痉挛发生次数、每次膀胱痉挛持续时间、膀胱持续冲洗时间、住院时间均显著少于对照组,差异有统计学意义(P<0.05)。观察组患者自理能力、括约肌控制、转移、行进、交流、社会认知及总分均显著高于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率显著低于对照组,差异有统计学意义(P<0.05)。结论PMRT用于经尿道前列腺切除术,可有效减少术后膀胱痉挛的发生并缓解其症状,减少膀胱冲洗及住院时间,尽早恢复和改善患者的日常生活能力,并具有预防术后尿失禁等并发症的作用。Objective To observe the effect of progressive muscle relaxation training(PMRT)on bladder spasm after transurethral prostatectomy.Methods 132 patients undergoing transurethral prostatectomy were randomly divided into observation group and control group,66 cases in each group.During hospitalization,the control group asked the patients to take a deep breath,divert attention and give psychological comfort every day.The observation group was given PMRT.The postoperative clinical indexes(frequency of bladder spasm,duration of each bladder spasm,continuous bladder flushing time,hospital stay)and activity ability at discharge were recorded[functional independence measure(FIM)score].The complications were compared between the two groups.Results The frequency of 48h bladder spasm,duration of each bladder spasm,duration of bladder continuous irrigation and length of hospital stay in observation group were significantly less than those in control group,the difference was statistically significant(P<0.05).The self-care ability,sphincter control,transfer,progression,communication,social cognition and total score of the observation group were significantly higher than those of the control group,the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion PMRT used in transurethral prostatectomy can effectively reduce the occurrence of postoperative bladder spasm and alleviate its symptoms,reduce bladder irrigation and hospital stay,restore and improve patients'daily living ability as soon as possible,and prevent postoperative urinary incontinence and other complications.

关 键 词：渐进性肌肉训练 经尿道前列腺切除术 膀胱痉挛 膀胱痉挛次数 

分 类 号：R697.3[医药卫生—泌尿科学]