盆底功能训练对老年宫颈癌术后尿潴留的影响分析

摘要

Objective To analyze the effect of pelvicfloor function training on postoperative urinary retention in elderly patients with cervical cancer.Method 116 cases of elderly patients with cervical cancer in Mianyang NO.404 hospital from July 2014 to July 2016 were selected as the subjects of study. They were randomly divided into observation group and control group, each 58 cases. All patients were given routine perioperative symptomatic support such as postural maintenance, indwelling catheter, perineum irrigation and bladder function training, etc. Observation group patients were treated with pelvicfloor function training 3 days before operation. The catheter indwelling time, the first residual urine volume, postoperative urinary retention and urinary tract infection were compared between the two groups.Result The indwelling catheter time of observation group was significantly shorter than control group (P<0.05), the postoperative residual urine volume and the incidence of postoperative urinary retention were significantly less than control group (P<0.05). there was no significant difference of the incidence of urinary tract infection between the two groups (P>0.05). There were 7 patients after reimplantation catheter in observation group, and the catheter indwelling time was (3.28±0.41) days; there were 15 patients after reimplantation catheter in control group, and the catheter indwelling time was (5.50±0.55) days. The indwelling time of the catheter in observation group was significantly shorter than control group (P<0.05).Conclusion Pelvicfloor function training can effectively prevent the occurrence of urinary retention in elderly patients with cervical cancer after operation. It is of positive significance to shorten the hospitalization time and improve the quality of recovery.%目的 分析盆底功能训练对老年宫颈癌患者术后尿潴留的影响.方法 选取绵阳四〇四医院2014年7月至2016年7月收治的116例老年宫颈癌患者为研究对象.按照随机数表法将入选患者分为观察组与对照组,每组各58例,所有患者均给予保持体位、留置尿管、会阴冲洗、膀胱功能训练等常规围术期对症支持治疗,观察组患者术前3天进行盆底功能训练.比较两组患者尿管留置时间、术后首次残余尿量及术后尿潴留和尿路感染发生率.结果 观察组患者尿管留置时间显著短于对照组(P<0.05),术后首次残余尿量显著少于对照组(P<0.05),术后尿潴留发生率显著低于对照组(P<0.05),尿路感染发生率组间比较无显著差异(P>0.05).观察组7例患者术后再次置入尿管,尿管留置时间为(3.28±0.41)天;对照组15例患者术后再次置入尿管,尿管留置时间为(5.50±0.55)天,观察组患者尿管再次置入后留置时间显著短于对照组(P<0.05).结论 盆底功能训练能够有效预防老年宫颈癌患者术后尿潴留的发生,对缩短患者恢复时间、提高其恢复质量均具有积极意义.