盆底肌康复训练联合心理护理干预在ⅢB型前列腺炎患者中的应用效果  

Pelvic floor muscle rehabilitation training combined with psychological nursing intervention in the treatment of typeⅢB prostatitis

作　　者：张梦夕 李光萍 陈雅芳 葛燕萍 曹廷虎 ZHANG Meng-xi;LI Guang-ping;CHEN Ya-fang;GE Yan-ping;CAO Ting-hu(Center of Health Management,Baoshan District Hospital of Integrated Chinese and Western Medicine,Shanghai 201999,China)

机构地区：[1]宝山区中西医结合医院健康管理中心,上海201999

出　　处：《中华男科学杂志》2023年第1期66-70,共5页National Journal of Andrology

摘　　要：目的:探讨盆底肌康复训练联合心理护理干预在顽固性ⅢB型前列腺炎(CPPS)的临床疗效,为临床治疗提供参考。方法:选取2020年10月至2022年10月的51例ⅢB型CPPS患者。随机分为对照组24例、干预组27例;观察组仅给予基础药物坦索罗辛治疗,干预组在此基础上进行盆底肌康复训练和心理护理干预,总疗程8周。比较两组干预前后的临床疗效、慢性前列腺炎症状指数(NIH-CPSI)、国际勃起功能指数评分(IIEF-5)、焦虑自评量表(SAS)、抑郁自评表(SDS)评分变化,以及客观指标前列腺液卵磷脂、白细胞水平,并记录不良事件发生情况。结果:干预组的总有效率明显优于对照组(88.9%vs 62.5%,P<0.05);组内对比,干预组和对照组治疗后NIH-CPSI、IIEF-5、SAS、SDS评分、卵磷脂水平均优于干预前(P<0.05);组间对比,干预后观察组NIH-CPSI、IIEF-5、SAS、SDS评分、卵磷脂水平评分优于对照组(P<0.05),白细胞未见明显改变(P>0.05)。结论:在α-受体阻滞剂治疗基础下,应用盆底康复训练联合心理护理能显著增强IIIB型前列腺炎的治疗效果,有效改善慢性前列腺炎疼痛、勃起功能、焦虑及抑郁症状,同时在提升卵磷脂小体水平,促进前列腺功能恢复也有一定帮助,不良反应率无明显增加,具有一定的临床价值。Objective:To investigate the clinical effect of pelvic floor muscle rehabilitation training combined with psychological nursing intervention in the treatment of intractable typeⅢB prostatitis.Methods:We retrospectively analyzed the clinical data on 51 cases of intractable typeⅢB prostatitis treated from October 2020 to October 2022,which were randomly assigned to receive Tamsulosin medication(the control group,n=24)or pelvic floor muscle rehabilitation training and psychological nursing in addition(the intervention group,n=27),all for 8 weeks.We obtained NIH-CPSI,IIEF-5,Self-Rating Anxiety Scale(SAS)scores,Self-Rating Depression Scale(SDS)scores,the level of lecithin and the count of leukocytes in the prostatic fluid and the incidence of adverse events,and compared them between the two groups of patients before and after treatment.Results:The total effectiveness rate was significantly higher in the intervention than in the control group(88.9%vs 62.5%,P<0.05).Compared with the baseline,the NIH-CPSI,IIEF-5,SAS and SDS scores and the lecithin level were remarkably increased in both groups after treatment(P<0.05),even more significantly in the intervention group than in the control(P<0.05).No statistically significant difference was observed in the count of leukocytes before and after treatment(P>0.05).Conclusion:On the basis of Tamsulosin medication,the application of pelvic floor rehabilitation training combined with psychological care can significantly enhance the therapeutic effect on type IIIB prostatitis,effectively relieve prostatitis pain,improve erectile function,lessen anxiety and depression symptoms,increase the level of lecithosomes and promote the recovery of prostatic function.

关 键 词：盆底肌肉康复训练 心理护理 ⅢB型前列腺炎 凯格尔运动 

分 类 号：R697.33[医药卫生—泌尿科学] R473[医药卫生—外科学]