摘要
目的探究主动膀胱功能锻炼联合膀胱容量测定在盆腔脏器脱垂(POP)术后膀胱功能恢复中的应用。方法选取该院于2017年3月至2018年9月收治的90例POP接受手术治疗且留置导尿管的患者为研究对象,随机分为被动锻炼组(对照组,45例)和主动锻炼组(观察组,45例)。观察并比较两组术后膀胱功能恢复情况。结果观察组有44例术后残余尿量不足100mL,而对照组有37例,两组比较,差异有统计学意义(P<0.05);观察组导管拔除术后膀胱充盈感与自主排尿及其排尿完全感发生率分别为93.33%、95.56%,显著高于对照组(77.78%、82.22%),差异均有统计学意义(P<0.05);观察组患者尿路感染发生率显著低于对照组,差异有统计学意义(P<0.05)。结论予POP术后患者主动膀胱功能锻炼联合膀胱容量测定,有助于促进其术后膀胱功能的恢复,同时可有效减少尿潴留及尿路感染的发生,具有重要的临床应用价值。
Objective To explore the application of active bladder exercise combined with bladder volume measurement in the recovery of bladder function after pelvic organ prolapse.Methods 90 patients with pelvic floor prolapse and indwelling catheter from March 2017 to September 2018 in the hospital were selected as the research objects.According to the random number table method,the patients were divided into passive exercise group(control group)and active exercise group(observation group),45 cases in each group.The recovery of bladder function was observed and compared between the two groups.Results Compared with the two groups after operation,44 cases in the observation group had less than 100 mL of residual urine after operation,and 37 cases in the control group,with significant difference between the two groups(P<0.05);the sense of bladder filling,self-urination and complete sense of urination in the observation group were significantly better than those in the control group(93.33%,95.56%)vs.(77.78%,82.22%),the differences were statistically significant(P<0.05).The incidence of urinary tract infection in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Active bladder function training combined with bladder volume measurement in bladder function after pelvic organ prolapse is helpful to promote bladder function recovery and reduce urinary retention and urinary tract infection.It has important clinical value.
作者
袁莉敏
李蕾
刘冬霞
王鲁文
YUAN Limin;LI Lei;LIU Dongxia;WANG Luwen(Department of Obstetrics and Gynecology,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450052,China)
出处
《现代医药卫生》
2020年第11期1659-1660,1663,共3页
Journal of Modern Medicine & Health
关键词
主动膀胱功能锻炼
膀胱容量测定
膀胱功能
盆腔脏器脱垂术
Active bladder function exercise
Bladder volume measurement
Bladder function
Pelvic organ prolapse
