盆底康复仪联合手术干预在宫颈癌术后患者康复中的应用效果  

Application effect of pelvic floor rehabilitation instrument combined with surgical intervention in postoperative rehabilitation of patients with cervical cancer

作　　者：殷浩 刘炎[1] Yin Hao;Liu Yan(Department of Obstetrics,Shihan Taihe Hospital,Shiyan 442000,China)

机构地区：[1]十堰市太和医院妇产科,十堰442000

出　　处：《现代仪器与医疗》2022年第5期78-81,共4页Modern Instruments & Medical Treatment

基　　金：湖北省自然科学基金资助项目(WJ2021MA098)。

摘　　要：目的探讨盆底康复仪联合手术干预在宫颈癌术后患者康复中的应用效果及对盆底功能的影响.方法回顾性分析2021年5月—2022年5月于我院就诊的84例宫颈癌患者的资料,患者均应用"子宫全切+盆淋清扫"手术治疗,之后依据其干预方法的不同分为两组,对照组应用常规干预,研究组在此基础上应用盆底康复仪,观察两组干预前后的盆底电生理功能情况以及干预后的生活质量评分情况、盆底功能情况、膀胱恢复情况.结果研究组干预后慢肌平均肌电值、前静息平均肌电值、快肌最大肌电值、后静息平均肌电值均比对照组高,Ⅰ类和Ⅱ类肌纤维疲劳值均比对照组低(P<0.05);研究组盆底肌力正常率61.90%比对照组30.95%高(P<0.05);研究组环境领域、生理领域、社会领域、心理领域评分均比对照组高(P<0.05);研究组膀胱残余尿量、膀胱颈移动度均比对照组小(P<0.05).结论宫颈癌术后患者联合应用手术干预+盆底康复仪效果较好,可以有效改善患者的盆底功能,提高盆底肌力正常率,同时可以加速膀胱的恢复,有利于患者生活质量的提高,值得推广应用.Objective To investigate the effect of pelvic floor rehabilitation instrument combined with surgical intervention in postoperative cervical cancer patients and the effect on pelvic floor function.Methods 84 patients with cervical cancer in our hospital from May 2021 to May 2022 were randomly divided into two groups.The control group was treated with routine surgical intervention,and the research group was treated with pelvic floor rehabilitation instrument to observe the electrophysiological function of pelvic floor before and after intervention as well as the quality of life score,pelvic floor function and bladder recovery after intervention.ResultsAfter intervention,the average EMG of slow muscle,the average emG before resting,the maximum EMG of fast muscle and the average EMG after resting in the study group were higher than those in the control group,and the fatigue values of class i and ii muscle fibers were lower than those in the control group(P<0.05).The normal rate of pelvic floor muscle strength in the study group was 61.90%higher than 30.95%in the control group(P<0.05).The scores of environmental field,physiological field,social field and psychological field in study group were higher than those in control group(P<0.05).The bladder residual urine volume and bladder neck mobility in the study group were lower than those in the control group(P<0.05).Conclusion The combined application of surgical intervention and pelvic floor rehabilitation instrument for postoperative cervical cancer patients has a good effect,which can effectively improve the pelvic floor function of patients,improve the normal rate of pelvic floor muscle,and accelerate the recovery of bladder,which is conducive to the improvement of patients quality of life,and is worthy of popularization and application.

关 键 词：盆底康复仪 手术干预 宫颈癌术后 应用效果 盆底功能 

分 类 号：R735.37[医药卫生—肿瘤]