电刺激联合盆底肌肉训练辅以心理干预疗法对机器人辅助根治性前列腺切除术后患者尿失禁的影响  

Effect of electrical stimulation combined with pelvic floor muscle training supplemented with psychological intervention therapy on urinary incontinence in patients undergoing robot-assisted radical prostatectomy

作　　者：张敏[1] 赵睿哲[1] 洪含霞[1] ZHANG Min;ZHAO Ruizhe;HONG Hanxia(Department of Urology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院泌尿外科,江苏南京210029

出　　处：《机器人外科学杂志(中英文)》2025年第1期113-117,共5页Chinese Journal of Robotic Surgery

基　　金：国家自然科学基金(82103584)。

摘　　要：目的:探讨电刺激联合盆底肌肉训练辅以心理干预疗法对机器人辅助根治性前列腺切除术(RARP)后尿失禁患者的影响。方法:选取2020年7月—2021年12月南京医科大学第一附属医院收治的100例RARP后尿失禁患者作为研究对象,随机将其分为对照组和试验组,每组50例。对照组进行电刺激联合盆底肌肉训练,试验组在此基础上增加心理干预疗法,治疗时间均为两个月。使用国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-UISF)、愈显率、1h尿垫试验、尿失禁生活质量问卷(I-QOL)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评估两组的治疗效果。结果:与治疗前相比,治疗后两组患者的ICIQ-UI SF评分下降、1 h漏尿量减少、I-QOL评分升高、SAS评分和SDS评分均下降(P<0.001)。治疗后,试验组的ICIQ-UI SF评分、1 h漏尿量、I-QOL评分、SAS评分和SDS评分均优于对照组(P<0.001),且尿失禁的愈显率高于对照组(P<0.05)。结论:电刺激联合盆底肌肉训练辅以心理干预疗法能有效缓解RARP后患者的尿失禁,提高其生活质量和心理健康程度。Objective:To investigate the efficacy of electrical stimulation combined with pelvic floor muscle training supplemented with psychological intervention on urinary incontinence in patients undergoing robot-assisted radical prostatectomy(RARP).Methods:100 patients with urinary incontinence who underwent RARP in the First Affiliated Hospital of Nanjing Medical University were selected and randomly divided into the control group(n=50)and the experimental group(n=50).The control group received pelvic floor muscle training combined with electrical stimulation therapy,while the experimental group additionally received psychological intervention therapy.The treatment lasted two months.The treatment effects were evaluated using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form(ICIQ-UI SF),cure rate,1-hour pad test,Incontinence Quality of Life Questionnaire(I-QOL),Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS).Results:The ICIQ-UI-SF score,1-hour urine leakage,I-QOL score,SAS score,and SDS score were all decreased in the two groups after treatment compared to before treatment(P<0.001).After treatment,the experimental group significantly outperformed the control group in terms of the ICI-Q-SF score,1-hour urine leakage,I-QOL score,SAS score,and SDS score(P<0.001),and the recovery rate of urinary incontinence was higher than that of the control group(P<0.05).Conclusion:Electrical stimulation combined with pelvic floor muscle training supplemented with psychological intervention therapy can effectively alleviate urinary incontinence in postoperative RARP patients and improve their quality of life and psychological health.

关 键 词：机器人辅助手术 根治性前列腺切除术 前列腺癌 尿失禁 电刺激疗法 盆底肌肉训练 心理疗法 

分 类 号：R697.3[医药卫生—泌尿科学]