基于逼尿肌功能评级的膀胱康复策略在老年良性前列腺增生患者中的应用  

Effects of bladder rehabilitation strategy based on detrusor function rating in elderly patients with benign prostatic hyperplasia

作　　者：杨蓓 王爱 花师磊 李云龙[1] Yang Bei;Wang Aihua;Shi Lei;Li Yunlong(Fifth Ward of Urology Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450080,China)

机构地区：[1]郑州大学第一附属医院泌尿外科五病区,郑州450080

出　　处：《中华现代护理杂志》2023年第26期3594-3599,共6页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20190184)。

摘　　要：目的探讨基于逼尿肌功能评级的膀胱康复策略在良性前列腺增生(BPH)患者中的应用效果。方法采用便利抽样法选择2022年1—9月于郑州大学第一附属医院泌尿外科行经尿道前列腺电切术的118例BPH患者,根据随机数字表法分为对照组和观察组,各59例。对照组予以常规膀胱康复锻炼,观察组实施基于逼尿肌功能评级的膀胱康复策略,干预期均为3个月。比较两组患者的尿动力学检测指标、国际前列腺症状评分(IPSS)、泌尿症状困扰评分(USDS)、泌尿道感染率和再次入院率。结果观察组干预后的最大尿流率和最大尿流率时逼尿肌压力高于干预前及对照组,差异均有统计学意义(P<0.05);但两组干预后的逼尿肌收缩功能分布及膀胱功能障碍分型差异无统计学意义(P>0.05)。两组干预后的IPSS及USDS得分均低于干预前,且观察组干预后的IPSS及USDS得分均低于对照组,差异有统计学意义(P<0.05)。对照组和观察组的泌尿道感染率分别为35.59%(21/59)、15.25%(9/59),再次入院率分别为40.68%(24/59)、18.64%(11/59),差异均有统计学意义(P<0.05)。结论基于逼尿肌功能评级的膀胱康复策略可以有效改善BPH患者的膀胱逼尿肌功能,缓解下尿路症状,降低术后泌尿道感染率和再次入院率。Objective To explore the effect of bladder rehabilitation strategy based on detrusor function rating in patients with benign prostatic hyperplasia(BPH).Methods From January to September 2022,118 BPH patients who underwent transurethral resection of prostate in the Urology Surgery Department of the First Affiliated Hospital of Zhengzhou University were selected by convenience sampling.According to the random number table method,patients were divided into a control group and an observation group,with 59 cases each.The control group was given routine bladder rehabilitation,and the observation group was given bladder rehabilitation strategy based on detrusor function rating.The intervention expectation was three months.The urodynamic parameters,International Prostate Symptom Score(IPSS),Urinary Symptom Disturbance Score(USDS),urinary tract infection rate and readmission rate were compared between the two groups.Results The maximum urinary flow rate and detrusor pressure at the maximum urinary flow rate after intervention in the observation group were higher than those before intervention and in the control group,and the differences were statistically significant(P<0.05).There was no statistical difference in the distribution of detrusor contractile function and the classification of bladder dysfunction between the two groups after intervention(P>0.05).The IPSS and USDS scores after intervention in both groups were lower than before intervention,and the IPSS and USDS scores after intervention in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).The rates of urinary tract infection in the control group and the observation group were 35.59%(21/59)and 15.25%(9/59)respectively,and the readmission rates were 40.68%(24/59)and 18.64%(11/59)respectively,with statistical differences(P<0.05).Conclusions The bladder rehabilitation strategy based on detrusor function rating can effectively improve the bladder detrusor function of BPH patients,alleviate lower urinar

关 键 词：良性前列腺增生 膀胱功能 逼尿肌功能 膀胱康复 

分 类 号：R473.6[医药卫生—护理学]