三联预康复策略在腹腔镜宫颈癌根治术中的应用价值  

Application Value of Triple Pre-rehabilitation Strategy in Laparoscopic Radical Resection of Cervical Cancer

作　　者：林仁娟 宣继敏 张小伟 刘林静 LIN Renjuan;XUAN Jimin;ZHANG Xiaowei;LIU Linjing(West Anhui Health Vocational College,Liu’an 237400,China;Department of Obstetrics and Gynecology,Jin’an District Maternal and Child Health Hospital in Liu’an City,Liu’an 237009,China;Obstetrics and Gynecology Department of Liu’an Second People’s Hospital,Liu’an 237008,China)

机构地区：[1]皖西卫生职业学院,安徽六安237400 [2]六安市金安区妇幼保健院妇产科,安徽六安237009 [3]六安市第二人民医院妇产科,安徽六安237008

出　　处：《湖北民族大学学报（医学版）》2023年第1期55-60,共6页Journal of Hubei Minzu University(Medical Edition)

摘　　要：目的研究三联预康复策略在腹腔镜宫颈癌根治术中的应用价值。方法选取2021年1月-2022年6月六安市第二人民医院诊治的腹腔镜宫颈癌根治术患者120例作为研究对象,依照不同干预方式分为观察组和对照组,每组各60例,观察组给予三联预康复方案,对照组给予常规康复方案,记录并统计干预前、干预后两组营养指数、性生活质量、负面情绪以及并发症情况。分析并发症事件的危险因素。结果观察组术后卧床时间、肛门排气排便时间、腹腔引流管留置时间均低于对照组(P<0.05)。治疗后1月、3月,观察组血清白蛋白、血红蛋白均高于对照组,但营养不良炎症评分(MIS)低于对照组(P<0.05)。干预后,观察组自我管理效能感量表评分(CSUPPH)高于对照组,但自我感受负担量表评分(SPBS)、焦虑自评量表评分(SAS)、抑郁自评量表评分(SDS)低于对照组(P<0.05)。观察组自卑、恐惧、传染或复发均低于对照组,而恢复、满意、性欲及频次改善、夫妻关系改善发生率均高于对照组(P<0.05)。观察组泌尿系统障碍、消化系统障碍、尿路感染、并发症种类数发生率低于对照组(P<0.05),但性功能障碍、肺部感染发生率比较,差异无统计学意义(P>0.05)。肿瘤分期、文化、性生活质量、血红蛋白、SPBS、SAS、肛门排气排便时间是影响并发症发生事件的影响因素。结论三联预康复策略用于腹腔镜宫颈癌根治术患者,可改善临床症状,改善营养状态,调整心理,强化自我管理,提高性生活质量,减少并发症的发生。Objective To study the application value of triple prerehabilitation strategy in laparoscopic radical operation of cervical cancer.Methods 120 patients with laparoscopic radical cervical cancer diagnosed and treated in Liu’an Second People’s Hospital from January 2021 to June 2022 were selected as the research objects.According to different intervention methods, they were divided into observation group and control group, with 60 cases in each group.The observation group was given triple pre-rehabilitation program, while the control group was given routine rehabilitation program.Nutritional index, sexual life quality, negative mood and complications were recorded before and after intervention.The risk factors of complication events were analyzed.Results The postoperative bed rest time, anal exhaust and defecation time, and abdominal drainage tube indwelling time in the observation group were all lower than those in the control group, and the differences were statistically significant(P<0.05).Within 1 month and 3 months after treatment, serum albumin and hemoglobin in the observation group were higher than those in the control group, but MIS was lower than that in the control group, and the difference was statistically significant(P<0.05).After the intervention, CSUPPU in the observation group was higher than that in the control group, but SPBS,SAS and SDS were lower than those in the control group, and the difference was statistically significant(P<0.05).The incidences of inferiority complex, fear, infection or recurrence in the observation group were lower than those in the control group, while the incidences of recovery, satisfaction, improvement in sexual desire and frequency, and improvement in the relationship between husband and wife were higher than those in the control group, and the differences were statistically significant(P<0.05).The incidences of urinary system disorders, digestive system disorders, urinary tract infections and complications in the observation group were lower than those in the co

关 键 词：三联预康复策略 腹腔镜宫颈癌根治术 应用价值 

分 类 号：R737.33[医药卫生—肿瘤]