宫颈癌根治术后即刻开始膀胱功能康复训练方案的制定及实施  

Development and implementation of a scheme on immediate bladder function rehabilitation training after radical hysterectomy

作　　者：喻越 卢吉[2] 徐蓉[1] 王常玉[2] 田媛[2] 刘园园 祝金波 邓尚暇 许丽[2] 高杰[2] 张宏[2] 刘莉[4] Yu Yue;Lu Ji;Xu Rong;Wang Changyu;Tian Yuan;Liu Yuanyuan;Zhu Jinbo;Deng Shangxia;Xu Li;Gao Jie;Zhang Hong;Liu Li(Nursing Department,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院护理部,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院妇科肿瘤专科,湖北武汉430030 [3]华中科技大学同济医学院附属同济医院产科,湖北武汉430030 [4]华中科技大学同济医学院附属同济医院妇产科教研室,湖北武汉430030

出　　处：《护理学杂志》2023年第21期6-11,共6页Journal of Nursing Science

摘　　要：目的制定并实施术后即刻开始康复训练方案,以尽早改善宫颈癌根治术后患者膀胱功能。方法按住院时间将收治的66例宫颈癌根治术患者分为对照组34例,干预组32例。对照组实施术后常规护理,干预组在常规护理基础上实施术后即刻开始的膀胱功能康复训练方案。结果两组各31例完成研究。干预组术后12~14 d、术后30 d膀胱功能、盆底肌肌力评分与对照组比较,差异有统计学意义(均P<0.05);干预组拔尿管时间显著短于对照组(P<0.05),但两组拔尿管成功率比较,差异无统计学意义(P>0.05);干预组残余尿量恢复正常时间显著短于对照组(P<0.05)。结论宫颈癌根治术后患者即刻开始膀胱功能康复训练,可以促进其膀胱功能恢复;术后更长时间的留置尿管不利于提高拔尿管成功率。Objective To develop and implement a scheme on immediately starting bladder function rehabilitation training after radical hysterectomy,so as to improve the bladder function of patients after radical hysterectomy as soon as possible.Methods A total of 66 patients after radical hysterectomy were divided into a control group(n=34)and an intervention group(n=32)chronologically.The control group received routine postoperative care,while a scheme on immediately starting bladder function rehabilitation training after radical hysterectomy was additionally implemented in the intervention group.Results Totally 31 participants in each group completed the study.There were significant differences in the score of bladder function and the pelvic floor muscle strength between the two groups at 12-14 days and 30 days after the surgery(all P<0.05).The time for removal of indwelling catheter in the intervention group was significantly earlier than that of the control group(P<0.05),while there was no significant diffe-rence in the success rate of catheter removal between the two groups(P>0.05).And the number of days required for residual urine volume returning to normal in the intervention group was significantly shorter than that in the control group(P<0.05).Conclusion Immediately conducting bladder function rehabilitation training after surgery,can improve recovering of bladder function in patients after radical hysterectomy.And long term indwelling of the catheter does not increase the success rate of catheter removal.

关 键 词：宫颈癌根治术 膀胱功能 盆底肌肌力 残余尿量 留置尿管 拔除尿管 术后即刻 康复训练 

分 类 号：R473.71[医药卫生—护理学]