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盆底肌功能训练对良性肛肠疾病患者术后膀胱功能及尿潴留发生率的影响 被引量:1

Effects of Pelvic Floor Muscle Function Training on Postoperative Bladder Function and Incidence of Urinary Retention in Patients with Benign Anorectal Diseases
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摘要 目的探讨盆底肌功能训练在良性肛肠疾病术后患者中的干预效果.方法选取2020年1月—2022年1月我院开展良性肛肠疾病手术的94例患者为研究对象,按随机数字表法分为两组,各47例.对照组术后给予常规干预,观察组术后在对照组基础上增加盆底肌功能训练,持续干预5d.对比两组膀胱功能、尿潴留发生率及恢复情况.结果干预后,观察组尿潴留发生率为4.26%,低于对照组的21.28%,差异有统计学意义(P<0.05).观察组最大尿流率、储尿时尿道分布压力、储尿时膀胱压力均高于对照组,组间差异有统计学意义(P<0.05).观察组自行排尿时间、住院时间均短于对照组,初次排尿量多于对照组,排尿后膀胱残余尿量少于对照组,组间差异有统计学意义(P<0.05).结论盆底肌功能训练能够改善良性肛肠疾病术后患者膀胱功能,减少尿潴留的发生,利于术后尽早恢复. Objective To explore the intervention effect of pelvic floor muscle function training in patients after surgery for benign anorectal diseases.Methods A total of 94 patients underwent surgery for benign anorectal disease who were treated in our hospital from January 2020 to January 2022 were selected as the research objects,and divided into two groups according to the random number table method,with 47 cases in each group.The control group was given routine intervention,and the observation group was given additional pelvic floor muscle function training on the basis of the control group,with continuous intervention for 5 d.The bladder function,incidence of urinary retention and recovery were compared between the two groups.Results After intervention,the incidence of urinary retention of the observation group was 4.26%,which was lower than 21.28%of the control group,and the difference was statistically significant(P<0.05).The maximum urinary flow rate,urethral distribution pressure and bladder pressure during urine storage were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The spontaneous urination time and hospital stay in the observation group were shorter than those in the control group,the initial urination volume was more than that in the control group,and the residual bladder urine volume after urination was less than that in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The pelvic floor muscle function training can improve the bladder function in patients after surgery for benign anorectal diseases,reduce the occurrence of urinary retention,and facilitate early postoperative recovery.
作者 马洪静 MA Hongjing(Department of Proctology,First People's Hospital of Pingyuan County,Pingyuan Shandong,253100,China)
出处 《反射疗法与康复医学》 2022年第11期81-83,共3页 Reflexology And Rehabilitation Medicine
关键词 良性肛肠疾病 盆底肌功能训练 膀胱功能 尿潴留 Benign anorectal diseases Pelvic floor muscle function training Bladder function Urinary retention
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