早期膀胱功能康复训练方案应用于宫颈癌根治术后患者的效果  

Effect of Early Bladder Function Rehabilitation Training Program on Patients with Cervical Cancer After Radical Operation

作　　者：郑寅茶 ZHENG Yincha(Department of Gynecology,Women and Children’s Hospital Affiliated to Xiamen University(Xiamen Maternal and Child Health Care Hospital),Xiamen,Fujian 361001,China)

机构地区：[1]厦门大学附属妇女儿童医院(厦门市妇幼保健院)妇科,福建厦门361001

出　　处：《中国医药指南》2025年第9期94-96,共3页Guide of China Medicine

摘　　要：目的探讨早期膀胱功能康复训练方案应用于宫颈癌根治术后患者的效果。方法选取厦门大学附属妇女儿童医院2021年12月至2023年12月收治的拟使用宫颈癌根治术治疗的80例宫颈癌患者,使用密封信封随机抽取住院号方式将患者分为两组。对照组40例患者使用常规宫颈癌根治术术后常规康复训练,观察组40例患者在此基础上联合使用早期膀胱功能康复训练。比较两组患者干预期间膀胱功能情况[尿管拔除时间、一次性拔管成功率、残余尿量正常时间],生活质量[盆底功能障碍患者生活质量量表(PFDI-20)]。结果干预期间,观察组患者尿管拔除时间、残余尿量正常时间较短,一次性拔管成功率较高(P<0.05)。两组患者干预前PFDI-20评分相比无统计学意义(P>0.05),干预后两组患者生活质量均有改善,与对照组相比,观察组患者PFDI-20评分较低(P<0.05)。结论宫颈癌根治术后患者使用早期膀胱功能康复训练方案效果良好,可改善患者术后膀胱功能,提高患者生活质量。Objective To explore the effect of early bladder function rehabilitation training program applied to patients with cervical cancer after radical operation.Methods From December 2021 to December 2023,80 patients with cervical cancer who were treated by radical hysterectomy were selected from Women and Children Hospital affiliated to Xiamen University,and the patients were randomly divided into two groups by using sealed envelopes.40 patients in the control group received routine rehabilitation training after radical operation of cervical cancer,while 40 patients in the observation group received early bladder function rehabilitation training on the basis of this.The bladder function(extubation time,one-time extubation success rate and normal residual urine volume)and quality of life[pelvic floor disorders impact question naire-20(PFDI-20)]were compared between the two groups.Results Compared with the control group,the time of extubation and the normal time of residual urine volume in the observation group were shorter,and the success rate of extubation at one time was higher(P<0.05).Before the intervention,there was no significant difference between the two groups in PFDI-20 score(P>0.05).After intervention,the quality of life of patients in both groups improved.Compared with the control group,the PFDI-20 score of patients in the observation group was lower(P<0.05).Conclusions Early rehabilitation training of bladder function is an effective method for patients with cervical cancer after radical operation,which can improve postoperative bladder function and improve the quality of life of patients.

关 键 词：宫颈癌 宫颈癌根治术 膀胱功能 早期康复训练 

分 类 号：R737.33[医药卫生—肿瘤]