Effects of pelvic floor rehabilitation at different time points combined with perioperative respiratory exercise on rehabilitation of patients undergoing laparoscopic hysterectomy
Objective:To observe the effect of pelvic floor rehabilitation at different time points combined with perioperative respiratory function exercise on the recovery of patients undergoing laparoscopic hysterectomy.Methods:From Jun.2022 to Jun.2023,120 patients who underwent laparoscopic hysterectomy for benign tumors were selected as the study subjects,and randomly divided into two groups according to the principle of randomized control.Both groups were given respiratory function exercise during the perioperative period,and pelvic floor rehabilitation training started on the 7th postoperative day in the observation group,and on the 14th postoperative day in the control group.The efficacy,the incidence of postoperative lower urinary tract and intestinal adverse events,the impact of pel-vic floor function survey score,urodynamics,pelvic floor electromyography values,and the comprehensive quality of life scale score and other related indicators were compared between the two groups.Results:The incidence of urinary incontinence and urinary urgency at 12 weeks postoperatively and the rates of urinary incontinence,urinary retention,urinary urgency,and fecal incontinence at 24 weeks post-operatively in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).The maximum and average urinary flow rate at12 and24 weeks postoperatively in both groups were higher than those before training,and the time of urination and residual urine volume were lower than those before training(P＜0.05).In the observation group,the maximum urine flow rate and average urine flow rate were higher than those in the control group,and the time of urination and resid-ual urine volume were lower than those in the control group(P＜0.05).The maximum value of fast muscle contraction and the average value of 10 s and 60 s slow muscle contraction were higher in both groups than those before training(P＜0.05).The pelvic floor myoelectricity values of the observation group were higher than those of the control group(P＜0.05).The pelvic floor function impact survey scores in both groups were lower than those before training,and the observation group was lower than the control group;the com-prehensive quality of life scale scores were higher than before training(P＜0.05),and the observation group was higher than the control group(P＜0.05).The total effective rate of the observation group was higher than that of the control group,and the difference was sta-tistically significant(P＜0.05).Conclusions:Early pelvic floor rehabilitation training and perioperative respiratory exercise after laparoscopic hysterectomy can promote the recovery of pelvic floor function and bladder function,reduce the occurrence of lower urinary tract and intestinal adverse events,and improve the quality of life.
Pelvic floor rehabilitation trainingEarly stageRespiratory function exerciseHysterectomyLaparoscopyRehabil-itation
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