首页|膀胱训练联合生物反馈电刺激应用于前列腺癌根治术后患者的效果

膀胱训练联合生物反馈电刺激应用于前列腺癌根治术后患者的效果

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目的 分析膀胱训练联合生物反馈电刺激在前列腺癌根治术后患者中的应用价值.方法 选取 2020 年1月—2023 年 6 月在本院接受前列腺癌根治术治疗的 68 例患者为研究对象,根据随机数字表法将其分为接受膀胱训练的对照组(n=34)和接受膀胱训练联合生物反馈电刺激的观察组(n=34).比较两组患者干预前后的排尿情况、尿动力学指标、负性情绪和生活质量.结果 干预 1 个月后,观察组Valsalva泄漏点压力、最大尿道闭合压和平均尿流率分别为(10.21±1.32)kPa、(69.48±7.60)cmH2O(1 cmH2O=0.098 kPa)、(18.04±2.56)mL/s,均高于对照组的(8.41±1.36)kPa、(63.26±6.79)cmH2O、(14.05±4.82)mL/s,最大膀胱容量为(445.52±35.59)mL,大于对照组的(412.32±37.40)mL,组间差异有统计学意义(P<0.05).干预 1个月后,观察组焦虑和抑郁自评量表评分分别为(39.98±3.22)分、(38.66±2.24)分,均低于对照组的(43.06±3.18)分、(42.60±2.83)分,组间差异有统计学意义(P<0.05).干预 1 个月后,观察组前列腺癌生活质量测定量表 5个维度评分均高于对照组,组间差异有统计学意义(P<0.05).结论 膀胱训练与生物反馈电刺激的联合应用可改善前列腺癌根治术后患者的尿动力学,可缓解负性情绪,提升生活质量.
Effect of Bladder Training Combined with Biofeedback Electrical Stimulation on Patients after Radical Prostatectomy
Objective To analyze the application value of bladder training combined with biofeedback electrical stimulation in patients after radical prostatectomy.Methods 68 patients who underwent radical prostatectomy in our hospital from January 2020 to June 2023 were selected as the study objects and divided into a control group receiving bladder training(n=34)and an observation group receiving bladder training combined with biofeedback electrical stimulation(n=34)according to the random number table method.Compare the urination status,urodynamic indicators,negative emotions,and quality of life between two groups of patients before and after intervention.Results After 1 month of intervention,the observation group of the Valsalva leakage point pressure,maximum urethral closure pressure and average urinary flow rate were(10.21±1.32)kPa,(69.48±7.60)cmH2O(1 cmH2O=0.098 kPa),(18.04±2.56)mL/s,which were exceed those of the control group(8.41±1.36)kPa,(63.26±6.79)cmH2O,(14.05±4.82)mL/s,the maximum cystometric capacity was(445.52±35.59)ml,which was greater than(412.52±37.40)mL of the control group,the differences between groups were statistically significant(P<0.05).After 1 month of intervention,in the observation group,the scores of anxiety and depression self-rating scale were(39.98±3.22)points and(38.66±2.24)points,which were lower than those in the control group(43.06±3.18)points and(42.60±2.83)points,the differences between groups were statistically significant(P<0.05).After 1 month of intervention,in the observation group,the scores of the five dimensions of the quality of life scale for prostate cancer were exceed in the control group,the differences between groups were statistically significant(P<0.05).Conclusion Bladder training combined with biofeedback electrical stimulation can effectively improve the urodynamics of patients after radical prostatectomy,which is conducive to the relief of negative emotions and the improvement of quality of life.

Radical prostatectomyBladder trainingBiofeedback electrical stimulationUrinary incontinence

李彬、安森胜

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中国人民解放军联勤保障部队第九六〇医院泌尿外科,山东济南 250031

前列腺癌根治术 膀胱训练 生物反馈电刺激 尿失禁

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(2)
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