Clinical application of Kegel exercise-assisted percutaneous low-frequency electrical stimulation in placement of urinary cathe-ter after nerve-sparing cervical cancer radical resection in middle-aged and elderly patients
Objective To observe the effects of Kegel exercise-assisted percutaneous low-frequency electrical stimula-tion on shortening the indwelling catheterization time after cervical cancer radical surgery with nerve preservation.Methods A total of 42 middle-aged and elderly patients who underwent nerve preservation radical surgery for cervical cancer were selected in Cancer Hospital Affiliated to Fudan University from May 2022 to March 2023.They were randomly divided into experimen-tal group and control group by digital table method,with 21 cases in each group.The control group received conventional cath-eterization nursing combined with Kegel exercise intervention.The experimental group received percutaneous low-frequency electrical stimulation intervention in addition to the same intervention as the control group.Both groups were intervened for one week.The residual urine volume,re-insertion rate after catheter extubation,postoperative catheter retention days,bladder vol-ume at first urination(FD),bladder compliance(BC),and maximal bladder pressure capacity(MCC)were observed and compared between two groups before and after intervention.Results After intervention,the residual urine volume in the ex-perimental group was lower than that in the control group[(35.11±6.06)mL vs(46.27±8.14)mL,P＜0.05];the rate of catheter re-insertion after extubation in the experimental group was significantly lower than that in the control group(19.05％vs 52.38％,P＜0.05);the postoperative catheter retention time in the experimental group was shorter than that in the control group[(6.09±1.37)d vs(11.35±2.85)d,P＜0.05);the BC and MCC values in the experimental group were lower than those in the control group,while the FD value in the experimental group was higher than that in the control group(P＜0.05).Conclusion Kegel exercise-assisted percutaneous low-frequency electrical stimulation can improve the urinary function of pa-tients undergoing nerve preservation radical surgery for cervical cancer,reduce residual urine volume and catheter retention time,and lower the rate of re-insertion after extubation.It has certain clinical application value.
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