生物反馈训练结合间歇性夹管对宫颈癌患者术后疼痛、膀胱功能及并发症的影响  

Effects of biofeedback training combined with intermittent clamping on postoperative pain,bladder function and complications in patients with cervical cancer

作　　者：张靖 杨茹 白惠娟 ZHANG Jing;YANG Ru;BAI Huijuan(Department of Gynecology and Oncology,Cancer Hospital Affiliated to Zhengzhou University(Henan Cancer Hospital),Zhengzhou 450008)

机构地区：[1]郑州大学附属肿瘤医院(河南省肿瘤医院)妇瘤科,郑州450008

出　　处：《郑州大学学报（医学版）》2022年第2期266-270,共5页Journal of Zhengzhou University(Medical Sciences)

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ172302031)。

摘　　要：目的:探讨生物反馈训练结合间歇性夹管对宫颈癌患者术后疼痛、膀胱功能及并发症的影响。方法:选取2019年1月至2020年12月郑州大学附属肿瘤医院收治的宫颈癌患者226例作为研究对象。根据术后治疗方式的不同将患者分为观察组(120例)和对照组(106例)。对照组采用常规清洁护理,观察组在常规清洁护理基础上,采用生物反馈训练结合间歇性夹管治疗。比较两组患者术后6、12、24 h主观疼痛感受的视觉模拟评分(VAS),储尿与排尿时的膀胱压与尿道分布压,术前3 d,术后3、14、20 d舒适状况量表(GCQ)和自我感觉负担量表(SPB)评分以及术后并发症发生情况。结果:观察组术后6、12、24 h VAS均低于对照组(P<0.05),观察组与对照组VAS随时间变化而降低(P<0.05)。储尿时,观察组膀胱压、尿道分布压均高于对照组;排尿时,观察组膀胱压高于对照组,而尿道分布压低于对照组(P<0.05)。观察组GCQ评分术后3、14、20 d高于对照组,而SPB评分低于对照组;观察组与对照组GCQ评分随时间变化而升高,而SPB评分随时间变化而降低(P<0.05)。观察组拔除导尿管后并发症发生率低于对照组,术后尿流动力学恢复情况好于对照组,术后尿路感染发生率低于对照组(P<0.05)。结论:生物反馈训练结合间歇性夹管治疗应用于宫颈癌术后患者,可明显缓解疼痛,改善膀胱功能,降低并发症发生率。Aim:To explore the effects of biofeedback training combined with intermittent clamping on postoperative pain,bladder function and complications in patients with cervical cancer.Methods:A total of 226 patients with cervical cancer treated in Cancer Hospital Affiliated to Zhengzhou University from January 2019 to December 2020 were analyzed retrospectively.According to different postoperative treatment methods,the patients were allocated into observation group(120 cases)and control group(106 cases).The control group was treated with routine cleaning care,and the observation group was treated with biofeedback training combined with intermittent clamping on the basis of routine cleaning care.The subjective pain perception(VAS score)at 6,12 and 24 hours after operation,status of urine storage and urination,GCQ score and SPB score at 3 days before operation and 3,14 and 20 days after operation,and postoperative complications of the 2 groups were compared.Results:The postoperative(6,12,24 h)VAS scores of the observation group were significantly lower than those of the control group(P<0.05).The VAS scores of both groups decreased with time(P<0.05).At the time of storage,the bladder pressure and urethral distribution pressure in the observation group were significantly higher than those in the control group;when urinating,the bladder pressure in the observation group was higher than that in the control group,while the urethral distribution pressure in the observation group was lower(P<0.05).At 3,14,and 20 days after operation,the GCQ scores of the observation group were significantly higher than those of the control group,while the SPB scores were significantly lower(P<0.05).The GCQ scores of both groups increased with time,while the SPB scores decreased with time(P<0.05).The complication rate of the observation group after urinary catheter removal was significantly lower than that of the control group,and the incidence of postoperative urodynamic recovery in the observation group was significantly higher than that of the

关 键 词：生物反馈训练 间歇性夹管 宫颈癌 膀胱功能 并发症 

分 类 号：R473.71[医药卫生—护理学]