摘要
目的:探讨术后早期康复训练对经腹腔镜前列腺癌根治术后尿失禁的影响。方法将41例经腹腔镜前列腺癌根治术后尿失禁的患者随即分为常规护理组(对照组)和综合护理组(观察组),观察组在常规护理基础上进行盆底肌功能训练、膀胱肌训练治疗,比较两组在拔除导尿管后1个月、3个月、6个月尿失禁改善情况。结果观察组拔除尿管后1个月、3个月、6个月尿失禁改善情况均优于对照组。结论对腹腔镜下前列腺癌根治术后尿失禁的患者进行早期系统的康复训练,可改善患者尿失禁状况,使患者早日恢复控尿功能。
Objective:To investigate the occurrence of urinary incontinence after laparoscopic radical prostatectomy,and evaluate the ef ect of early rehabilitation on urinary incontinence.Method:41 patients with urinary incontinence after laparoscopic radical prostaectomy were divided randomly into control group and observation group.On the basis of conventional nursing,the patients in the observation group received a series of nursing intervention measures,including pelvic muscles training and bladder function training.The recovery condition of urinary incontinence in the two groups was observed in 1 month,3 months and 6 months after the removal of the catheters.Results:Urinary incontinence after the early rehabilitation was significantly lower than before training.Patients with urinary incontinence in the observation group had a bet er improvement than the control group.Conclusion:For the patients with urinary incontinence after laparoscopic radical prostatectomy,early systematic rehabilitation training can significantly improve the urinary incontinence status.
作者
陈涵凯
王明
CHEN Han-kai;WANG Ming(Chongqing Medical University First Affiliated Hospital,Department of Urology,Chongqing 400016,China)
关键词
腹腔镜术
前列腺癌根治术
尿失禁
早期康复训炼
Laparoscopic surgery
Radical prostateetomy
Urinary incontinence
Rehabilition
