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提肛肌训练对前列腺电切术后暂时性尿失禁的影响 被引量:190

Effect of levator ani muscles training on transient postoperative incontinence in patients undergoing transurethral resection of prostate
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摘要 目的 :评价经尿道前列腺电切术 (TURP)术前提肛肌训练对术后暂时性尿失禁的影响。方法 :选择 88例前列腺增生行TURP患者 ,随机分为两组 ,实验组 43例术前给予严格的提肛肌训练 ,对照组 45例按护理常规实施。观察术后尿失禁发生率及尿失禁时间。结果 :实验组术后尿失禁发生率 48.8% ,明显低于对照组 93 .3 % ,P <0 .0 5 ;实验组发生尿失禁持续 2± 0 .5天 ,明显少于对照组 1 3± 3 .0天 ,P <0 .0 5。结论 :TURP患者术前行提肛肌训练有助于降低术后暂时性尿失禁的发生率 。 Objective : To evaluate the effect of levator ani muscles training before transurethral resection of prostate (TURP) on transient postoperative incontinence. Methods: 88 patients (aged from 55 to 85 years; mean 74 years) with benigh prostatic hyperplasia, who underwent TURP, were randomized into two groups: the study group ( n =43) who received preoperative levator ani muscles training and the control group ( n =45) who did not receive the training but nursing routines. We observed the morbidity and the duration of transient postoperative incontinence. Results: The morbidity of postoperative incontinence of the study group was significantly lower than that of the control group (48.8% versus 93.3%, P <0.05). The mean duration of incontinence of the study group was significantly lower than that of the control group (2 days versus 13 days, P <0.05). The mean duration of incontinence of the study group was significantly lower than that of the control group (2 days versus 13 days, P <0.05). Conclusions: Preoperative levator ani muscles training would prove to be of positive help in reducing the morbidity and shortening the duration of transient postoperative incontinence in patients undergoing TURP.
出处 《中华护理杂志》 CSCD 北大核心 2002年第11期813-815,共3页 Chinese Journal of Nursing
关键词 提肛肌训练 经尿道前列腺电切除术 尿失禁 术前护理 术后并发症 Electrosurgery Transurethral resection of prostate Urinary incontinence Preoperative care
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