术前量化排尿训练联合术后盆底肌电刺激在前列腺癌根治术患者中的应用  

Application of preoperative quantitative urination training combined with postoperative pelvic floor electrical stimulation on patients undergoing radical prostatectomy

作　　者：徐静[1] 宋思霖[1] 许露伟[1] XU Jing;SONG Silin;XU Luwei(Department of Urology,Nanjing First Hospital,Nanjing Medical University,Jiangsu Province,Nanjing 210006,China)

机构地区：[1]南京医科大学附属南京医院,南京市第一医院泌尿外科,江苏南京210006

出　　处：《中国医药导报》2024年第3期175-178,共4页China Medical Herald

基　　金：江苏省南京市医学科技发展项目(YKK16128)。

摘　　要：目的 探讨术前量化排尿训练联合术后盆底肌电刺激对前列腺癌根治术患者的影响。方法 前瞻性纳入南京市第一医院2019年9月至2022年9月拟行前列腺癌根治术治疗的100例患者,以随机数字表法将其分为对照组与观察组,各50例。对照组接受术前常规护理与术后盆底肌电刺激,观察组在此基础上给予术前量化排尿训练。比较两组干预前后尿流动力学及排尿情况,并观察尿管拔除后24 h内及术后3个月排尿障碍发生情况。结果 干预后,两组膀胱容量、膀胱逼尿肌压力、尿流率、排尿间隔时间、每次尿量均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组夜尿次数均少于干预前,且观察组少于对照组,差异有统计学意义(P<0.05);观察组尿管拔除后24 h内、术后3个月排尿障碍发生率均低于对照组,差异有统计学意义(P<0.05)。结论 应用术前量化排尿训练联合术后盆底肌电刺激可改善前列腺癌根治术后患者膀胱功能,提高排尿及控尿能力,降低排尿障碍发生率。Objective To explore the effect of preoperative quantitative urination training combined with postoperative pelvic floor electrical stimulation on patients undergoing radical prostatectomy.Methods A total of 100 patients undergoing radical prostatectomy in Nanjing First Hospital from September 2019 to September 2022 were prospectively included.They were divided into control group and observation group by random number table method,with 50 patients in each group.Control group received preoperative routine nursing and postoperative pelvic floor electrical stimulation,and observation group was given preoperative quantitative urination training on this basis.Urodynamics and urination before and after intervention were compared in both groups,and occurrence of urination disorder within 24 hours after catheter removal and three months after surgery was observed.Results After intervention,the bladder volume,detrusor pressure,urine flow rate,urination interval time and urine volume in two groups were higher than those before intervention,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).After intervention,the number of nocturnal urination in both groups was lower than that before intervention,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).The incidence of urinary disorders in the observation group was lower than that in the control group within 24 h after catheter removal and three months after surgery,and the differences were statistically significant(P<0.05).Conclusion Preoperative quantitative urination training combined with postoperative pelvic floor electrical stimulation can improve the bladder function,improve ability of urination and urination control,and reduce incidence of dysuria in patients after radical prostatectomy.

关 键 词：前列腺癌 量化排尿训练 盆底肌电刺激 排尿障碍 

分 类 号：R473[医药卫生—护理学]