摘要
目的:分析前列腺增生术患者实施夹管训练结合渐进性盆底肌康复对术后睡眠的改善效果。方法:选取2022年11月至2023年11月福州市长乐区人民医院泌尿外科收治的手术治疗前列腺增生患者94例作为研究对象,按照随机数字表法分为对照组和观察组,每组47例。对照组给予常规护理干预,观察组给予夹管训练结合渐进性盆底肌康复干预。采用失眠严重程度指数(ISI-C)比较2组患者的失眠发生情况,采用斯坦福嗜睡量表(SSS)比较2组患者干预前后嗜睡程度的变化,采用睡眠状况自评量表(SRSS)比较2组患者的睡眠质量,比较2组患者的控尿功能,包括统计术后日漏尿次数、日排尿次数以及恢复控尿时间,并通过尿动力学分析仪监测2组患者的尿动力学指标,记录最大膀胱容量、膀胱初感容量、最大尿流率。结果:干预后,观察组SSS评分、ISI-C评分、SRSS评分均显著低于对照组,观察组最大膀胱容量、膀胱初感容量、最大尿流率均显著高于对照组,观察组日漏尿次数、日排尿次数以及恢复控尿时间均显著低于对照组,差异均有统计学意义(均P<0.05)。结论:对前列腺增生术患者实施夹管训练结合渐进性盆底肌康复可加快恢复控尿功能,改善尿动力学指标,有助于缓解嗜睡程度和失眠症状,提高睡眠质量,值得推广应用。
Objective:To analyze the effect of tube clamp training combined with progressive pelvic floor muscle rehabilitation on sleep improvement in patients with prostatic hyperplasia.Methods:A total of 94 patients with prostatic hyperplasia treated by surgery in the Urology Department of Fuzhou Changle District People′s Hospital from November 2022 to November 2023 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 47 cases in each group.The control group was given routine nursing intervention,and the observation group was given tube clamp training combined with progressive pelvic floor muscle rehabilitation intervention.Insomnia severity Index(ISI-C)was used to compare the occurrence of insomnia between the two groups,Stanford Sleepiness Scale(SSS)was used to compare the changes in sleepiness between the two groups before and after intervention,and self-rating sleep status Scale(SRSS)was used to compare the sleep quality and urinary control function of the two groups.The daily urine leakage times,daily urination times and the time to restore urine control were counted,and the urodynamics indexes of the two groups were compared.The maximum bladder volume,initial bladder sensing capacity and maximum urine flow rate were recorded.Results:After the intervention,the SSS score,ISI C score and SRSS score of the observation group were significantly lower than those of the control group;the maximum bladder capacity,bladder initial sensing capacity and maximum urine flow rate of the observation group were significantly higher than those of the control group;the daily urine leakage times,daily urination times and the time to restore urine control were significantly lower in the observation group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:The application of clamp tube training combined with progressive pelvic floor muscle rehabilitation in patients with prostatic hyperplasia can accelerate the recovery of urinary control function,improve urodynamic indexes,help to alleviate lethargy and insomnia symptoms,and improve sleep quality,which is worthy of popularization and application.
作者
卓恩萍
ZHUO Enping(Fuzhou Changle District People′s Hospital,Fuzhou 350200,China)
出处
《世界睡眠医学杂志》
2024年第8期1872-1874,1878,共4页
World Journal of Sleep Medicine
关键词
前列腺增生术
夹管训练
渐进性盆底肌康复
睡眠障碍
睡眠质量
失眠
控尿功能
尿动力学指标
Prostatic hyperplasia
Clamp tube training
Progressive pelvic floor muscle rehabilitation
Sleep disorders
Sleep quality
Insomnia
Urinary control function
Urodynamic index
