间歇导尿法联合盆底肌康复训练在宫颈癌患者术后康复中的应用效果探讨  

Exploring the application effect of intermittent catheterization combined with pelvic floor muscle rehabilitation training in postoperative rehabilitation of cervical cancer patients

作　　者：王鸿根 WANG Hong-gen(Department of Obstetrics and Gynecology,Nanjing Red Cross Hospital,Nanjing 210001,China)

机构地区：[1]南京市红十字医院妇产科,210001

出　　处：《中国现代药物应用》2025年第4期166-170,共5页Chinese Journal of Modern Drug Application

摘　　要：目的探讨间歇导尿法联合盆底肌康复训练在宫颈癌患者术后康复中的应用效果。方法选取宫颈癌手术患者82例,按随机数字表法分为对照组(40例)和观察组(42例)。对照组接受盆底肌康复训练,观察组接受间歇导尿法联合盆底肌康复训练。比较两组盆底康复效果、膀胱功能(最大逼尿肌压力、膀胱顺应性与最大尿流量)、盆底功能评分、生活质量评分及术后并发症发生情况。结果观察组盆底康复总有效率92.86%高于对照组的70.00%(P<0.05)。干预1个月后,观察组最大逼尿肌压力(18.21±2.98)cm H_(2)O(1 cm H_(2)O=0.098 kPa)、膀胱顺应性(34.43±3.76)ml/cm H_(2)O、最大尿流量(15.52±2.09)ml/s均高于对照组的(14.23±2.46)cm H_(2)O、(27.20±3.27)ml/cm H_(2)O、(10.55±1.96)ml/s(P<0.05)。干预1个月后,观察组盆底功能评分(54.57±8.65)分低于对照组的(72.70±12.12)分,生活质量评分(86.78±9.48)分高于对照组的(78.70±10.46)分(P<0.05)。观察组术后并发症发生率11.90%低于对照组的45.00%(P<0.05)。结论间歇导尿法联合盆底肌康复训练可提升宫颈癌患者术后盆底康复效果,减少术后并发症发生,改善患者的盆底功能及膀胱功能,提升其生活质量。Objective To explore the application effect of intermittent catheterization combined with pelvic floor muscle rehabilitation training in postoperative rehabilitation of cervical cancer patients.Methods 82 cervical cancer surgical patients were selected and divided into a control group(40 cases)and an observation group(42 cases)using a random number table.The control group received pelvic floor muscle rehabilitation training,while the observation group received intermittent catheterization combined with pelvic floor muscle rehabilitation training.The effect of pelvic floor rehabilitation,bladder function(maximum detrusor pressure,bladder compliance,and maximum urine flow),pelvic floor function score,quality of life score,and postoperative complication rate were compared between the two groups.Results The total effective rate of pelvic floor rehabilitation was 92.86%in the observation group,which was higher than 70.00%in the control group(P<0.05).1 month after intervention,the maximum detrusor pressure,bladder compliance and maximum urine flow were(18.21±2.98)cm H_(2)O(1 cm H_(2)O=0.098 kPa),(34.43±3.76)ml/cm H_(2)O and(15.52±2.09)ml/s in the observation group,which were higher than(14.23±2.46)cm H_(2)O,(27.20±3.27)ml/cm H_(2)O and(10.55±1.96)ml/s in the control group(P<0.05).1 month after intervention,the observation group had lower pelvic floor function score of(54.57±8.65)points than(72.70±12.12)points in the control group,and higher quality of life score of(86.78±9.48)points than(78.70±10.46)points in the control group(P<0.05).The incidence of postoperative complications of 11.90%in the observation group was lower than 45.00%in the control group(P<0.05).Conclusion Intermittent catheterization combined with pelvic floor muscle rehabilitation training can improve the postoperative effect of pelvic floor muscle rehabilitation,reduce postoperative complications,improve pelvic floor function and bladder function,and enhance the quality of life of cervical cancer patients.

关 键 词：宫颈癌 间歇导尿法 盆底肌康复训练 盆底功能评分 膀胱功能 生活质量 

分 类 号：R47[医药卫生—护理学]