膀胱康复训练联合低频理疗对宫颈癌术后排尿情况以及尿潴留发生率的影响  

The effect of bladder rehabilitation training combined with low frequency physiotherapy on urination and incidence of urinary retention after cervical cancer surgery

作　　者：钟杏 杨朗 郑柏凤 梁舟婵 ZHONG Xing;YANG Lang;ZHENG Baifeng(Department of Gynecology,Gaozhou People's Hospital,Gaozhou 525200,China)

机构地区：[1]广东省高州市人民医院妇科,525200

出　　处：《中国现代药物应用》2025年第3期173-176,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探究膀胱康复训练联合低频理疗对宫颈癌术后排尿情况及尿潴留发生率的影响。方法选取117例接受手术治疗的宫颈癌患者,根据数列分布随机抽签分为对照组(59例)与观察组(58例)。对照组予以传统术后康复,观察组予以膀胱康复训练联合低频理疗。对比两组宫颈癌术后排尿情况、盆底功能[盆底功能障碍问卷(PFDI-20)、盆底功能问题影响评估表(PFIQ-7)评分]及尿潴留发生情况。结果观察组排尿成功时间(8.81±4.08)min及术后尿管留置时间(15.88±4.52)d短于对照组的(10.74±4.55)min、(18.14±5.17)d,术后尿管拔除后残余尿量(29.84±6.83)ml少于对照组的(60.88±7.31)ml,有统计学意义(P<0.05)。干预后,两组PFDI-20、PFIQ-7评分较干预前降低,且观察组PFDI-20评分(18.33±5.77)分、PFIQ-7评分(8.42±3.8)分低于对照组的(24.19±6.93)、(15.33±4.27)分,有统计学意义(P<0.05)。观察组宫颈癌术后尿潴留发生率1.72%低于对照组的13.56%,有统计学意义(P<0.05)。结论宫颈癌术后开展膀胱康复训练联合低频理疗,可改善排尿情况,促进盆底功能修复,降低尿潴留发生几率,康复优势显著。Objective To explore the effect of bladder rehabilitation training combined with low frequency physiotherapy on urination and incidence of urinary retention after cervical cancer surgery.Methods A total of 117 patients with cervical cancer who received surgical treatment were randomly divided into control group(59 cases)and observation group(58 cases)according to series distribution.The control group was given traditional postoperative rehabilitation,and the observation group was given bladder rehabilitation training combined with low frequency physiotherapy.The postoperative urination,pelvic floor function[pelvic floor distress inventory-short form 20(PFDI-20)score,pelvic floor impact questionnaire-short form 7(PFIQ-7)score]and urinary retention were compared between the two groups.Results The successful urination time and postoperative catheter retention time of the observation group were(8.81±4.08)min and(15.88±4.52)d,which were shorter than(10.74±4.55)min and(18.14±5.17)d of the control group;the observation group had less residual urine volume of(29.84±6.83)ml than(60.88±7.31)ml in the control group;there was statistical significance(P<0.05).After intervention,PFDI-20 and PFIQ-7 scores in both groups were lower than those before intervention;PFDI-20 score and PFIQ-7 score were(18.33±5.77)and(8.42±3.8)points in the observation group,which were lower than(24.19±6.93)and(15.33±4.27)points in the control group,and there was statistical significance(P<0.05).The incidence of urinary retention after cervical cancer surgery in the observation group was 1.72%,which was lower than 13.56% in the control group,and there was statistical significance(P<0.05).Conclusion Bladder rehabilitation training combined with low frequency physiotherapy after cervical cancer surgery can improve urination,promote the repair of pelvic floor function,reduce the incidence of urinary retention,and have significant rehabilitation advantages.

关 键 词：宫颈癌 膀胱康复训练 低频理疗 排尿情况 尿潴留 

分 类 号：R737.33[医药卫生—肿瘤]