盆底肌训练联合电刺激生物反馈用于原位新膀胱术后患者尿失禁干预  

Pelvic floor muscle training combined with electrical stimulation and biofeedback for urinary incontinence in patients after orthotopic ileal neobladder reconstruction

作　　者：彭丽仁 王惠芬[2] 刘玥 沈玲玲 Peng Liren;Wang Huifen;Liu Yue;Shen Lingling(Department of Urology,Hubei Cancer Hospital,Wuhan 430079,China)

机构地区：[1]湖北省肿瘤医院泌尿外科,湖北武汉430079 [2]湖北省肿瘤医院护理部,湖北武汉430079

出　　处：《护理学杂志》2022年第19期17-20,共4页Journal of Nursing Science

基　　金：湖北省卫生健康委科研项目(WJ2021F116);湖北省肿瘤精准医学研究中心护理专项课题(ZLJZ2020HLYB001)。

摘　　要：目的探究盆底肌训练联合电刺激生物反馈用于原位新膀胱术后患者尿失禁的效果。方法将97例膀胱癌行原位新膀胱术患者按时间段分为对照组46例、观察组51例;对照组实施术后常规盆底肌训练;观察组在对照组基础上增加盆底电刺激联合生物反馈干预。干预2个疗程后评价效果。结果观察组尿失禁干预有效率、膀胱容量、尿流率、膀胱逼尿肌压力、排尿间隔时间及平均每次尿量均显著优于对照组(均P<0.05)。结论盆底肌训练联合电刺激生物反馈可有效改善膀胱癌原位新膀胱术后患者尿失禁,提高尿控能力。Objective To explore the effect of pelvic floor muscle training combined with electrical stimulation and biofeedback on prevention of urinary incontinence in patients with orthotopic ileal neobladder.Methods Ninety-seven patients underwent radical cystectomy for bladder cancer with orthotopic ileal neobladder reconstruction were divided into a control group(n=46)and an observation group(n=51).The control group received routine pelvic floor muscle training,while the observation group was additionally given electrical stimulation and biofeedback.The effect was evaluated after two treatment cycles.Results The cure/improvement rate,bladder volume,uroflow,detrusor pressure,voiding interval and average volume per void were significantly better in the observation group than those in the control group(all P<0.05).Conclusion Pelvic floor muscle training combined with electrical stimulation and biofeedback can effectively ameliorate urinary incontinence and improve urinary control ability in patients after orthotopic ileal neobladder reconstruction.

关 键 词：膀胱癌 原位新膀胱术 尿失禁 盆底肌训练 电刺激生物反馈 康复护理 

分 类 号：R473.6[医药卫生—护理学] R493[医药卫生—临床医学]