Effect of low frequency electrotherapy combined with pelvic floor muscle exercise on urinary incontinence after robot-assisted radical prostatectomy
-
摘要: 目的：探讨低频电疗法联合盆底肌功能锻炼对行机器人辅助腹腔镜下前列腺癌根治术患者术后尿失禁（UI）的影响。方法：回顾性分析2017年1月~2018年6月在我院接受机器人辅助腹腔镜下前列腺癌根治术治疗的48例患者的临床资料，将予以常规护理的24例患者为对照组，在常规护理的基础上同时予以低频电子脉冲膀胱治疗仪联合盆底肌功能锻炼法辅助治疗的24例患者为观察组。结果：观察组患者术后早期UI的发生率明显低于对照组（37.5% vs.66.7%，P<0.05），其恢复期3个月内尿控率明显高于对照组，差异有统计学意义（P<0.05）。结论：对接受机器人辅助腹腔镜下前列腺癌根治术的患者行低频电疗法联合盆底肌功能锻炼可显著降低术后早期UI的发生率，提高恢复期控尿率，并可促进患者控尿功能的恢复。
-
关键词:
- 低频电子脉冲膀胱治疗仪 /
- 盆底肌功能锻炼 /
- 机器人 /
- 前列腺癌根治术 /
- 尿失禁
Abstract: Objective: To investigate the effect of low frequency electrotherapy combined with pelvic floor muscle exercise on urinary incontinence after robot-assisted laparoscopic radical prostatectomy.Method: A retrospective analysis was made on 48 patients who received robot-assisted laparoscopic radical prostatectomy in our hospital from January 2017 to June 2018.Twenty-four patients who received routine nursing care as the control group.Twenty-four patients who received low frequency electronic pulse bladder therapy combined with pelvic floor muscle exercise as the auxiliary treatment on the basis of routine nursing care as the observation group.Result: The incidence of early urinary incontinence in the observation group was 37.5%, which was significantly lower than 66.7% in the control group.The rate of urinary control in the recovery period of 3 months was significantly higher than that in the control group (P<0.05).Conclusion: Low frequency electrotherapy combined with pelvic floor muscle function exercise can significantly reduce the incidence of early urinary incontinence in patients undergoing robot-assisted laparoscopic radical prostatectomy, improve the rate of urinary control during recovery period, and promote the recovery of urinary control function. -
-
[1] Laurienzo C E, Magnabosco W J, Jabur F, et al.Pelvic floor muscle training and electrical stimulation as rehabilitation after radical prostatectomy:a randomized controlled trial[J].J Phys Ther Sci, 2018, 30 (6):825-831.
[2] 潘铁军, 周宇, 沈国球, 等.经精囊面吊带悬吊膀胱颈技术在腹腔镜前列腺根治切除术中的应用[J].临床泌尿外科杂志, 2014, 29 (11):957-959.
[3] Mariotti G, Salciccia S, Innocenzi M, et al.Recovery of Urinary Continence After Radical Prostatectomy Using Early vs Late Pelvic Floor Electrical Stimulation and Biofeedback-associated Treatment[J].Urology, 2015, 86 (1):115-120.
[4] Ficarra V, Novara G, Rosen R C, et al.Systematic review and meta-analysis of studies reporting urinary continence recovery after robot-assisted radical prostatectomy[J].Eur Urol, 2012, 62 (3):405-417.
[5] Asawabhamj K, Ramart P, Nualyong C, et al.Comparison of urinary continence outcome between robotic assisted laparoscopic prostatectomy versus laparoscopic radical prostatectomy[J].J Med Assoc Thai, 2014, 97 (4):393-398.
[6] 孙建萍, 孙自红, 杨支兰, 等.老年女性尿失禁护理干预及其效果评价的研究进展[J].中华护理教育, 2011, 8 (3):137-139.
[7] 付敏, 刘敏, 战国芬, 等.围术期综合护理干预在高龄前列腺癌行腹腔镜根治术患者中的应用[J].齐鲁护理杂志, 2016, 22 (16):81-83.
[8] Aydin Sayilan A, Ozbas A.The Effect of Pelvic Floor Muscle Training On Incontinence Problems After Radical Prostatectomy[J].Am J Mens Health, 2018, 12 (4):1007-1015.
[9] 许鹏, 王荫槐.前列腺癌根治术后尿失禁预防及治疗的研究进展[J].临床泌尿外科杂志, 2019, 34 (4):312-318.
[10] Laurienzo C E, Sacomani C A, Rodrigues T R, et al.Results of preoperative electrical stimulation of pelvic floor muscles in the continence status following radical retropubic prostatectomy[J].Int Braz J Urol, 2013, 39 (2):182-188.
[11] Zhu Y P, Yao X D, Zhang S L, et al.Pelvic floor electrical stimulation for postprostatectomy urinary incontinence:a meta-analysis[J].Urology, 2012, 79 (3):552-555.
[12] 岑婷, 宋真.浅谈用低频电疗法联合盆底肌功能锻炼法防治良性前列腺增生术后尿失禁的效果[J].当代医药论丛, 2017, 15 (6):92-94.
-
计量
- 文章访问数: 352
- PDF下载数: 591
- 施引文献: 0
下载: