首页|不同康复训练对达芬奇机器人辅助前列腺癌根治术患者的干预效果比较

不同康复训练对达芬奇机器人辅助前列腺癌根治术患者的干预效果比较

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目的 比较达芬奇机器人辅助前列腺癌根治术(RP)患者实施不同康复训练的干预效果。方法 80例达芬奇机器人辅助前列腺癌根治术患者,随机分为对照组和实验组,每组40例。对照组患者给予术后常规康复训练,实验组患者给予围手术期标准化康复训练。比较两组患者术后恢复情况、康复训练依从性、术后控尿功能、术后并发症发生情况。结果 实验组患者首次肛门排气时间(2。32±0。46)d、首次进食时间(1。56±0。34)d、首次下床活动时间(2。56±1。41)d、住院时间(9。74±0。67)d均短于对照组的(4。12±1。21)、(3。21±1。41)、(4。17±1。42)、(12。24±0。23)d,住院费用(1。83±0。34)万元少于对照组的(2。15±0。80)万元,差异具有统计学意义(P<0。05)。与对照组患者的67。50%比较,实验组患者的总依从率87。50%明显较高,差异具有统计学意义(P<0。05)。与对照组患者的72。50%比较,实验组患者的术后控尿功能优良率90。00% 明显较高,差异具有统计学意义(P<0。05)。与对照组患者的35。00% 比较,实验组患者的术后并发症发生率15。00% 明显较低,差异具有统计学意义(P<0。05)。结论 对实施达芬奇机器人辅助前列腺癌根治术患者进行围手术期标准化康复训练可显著提高患者对盆底肌训练的依从性,有效改善患者术后控尿功能,并减少术后相关并发症的发生,建议临床推广。
Comparison of the intervention effect of different rehabilitation training on patients undergoing da Vinci robot-assisted prostate cancer radical surgery
Objective To compare the intervention effect of different rehabilitation training on patients undergoing da Vinci robot-assisted radical prostatectomy (RP). Methods A total of 80 patients undergoing da Vinci robot-assisted radical prostatectomy were randomly divided into a control group and an experimental group,with 40 cases in each group. The control group received routine postoperative rehabilitation training,while the experimental group received standardized perioperative rehabilitation training. The postoperative recovery,rehabilitation training compliance,postoperative urinary control function,and occurrence of postoperative complications were compared between the two groups. Results In the experimental group,the first anal exhaust time was (2.32±0.46) d,the first eating time was (1.56±0.34) d,the first ambulation time was (2.56±1.41) d,and the hospitalization time was (9.74±0.67) d,all of which were shorter than (4.12±1.21),(3.21±1.41),(4.17±1.42),and (12.24±0.23) d in the control group;the hospitalization cost of (1.83±0.34) ten thousand yuan was less than (2.15±0.80) ten thousand yuan in the control group;and the difference was statistically significant (P<0.05). Compared with 67.50% of the control group,the total compliance rate of 87.50% in the experimental group was obviously higher,and the difference was statistically significant (P<0.05). Compared with 72.50% in the control group,the excellent rate of urinary control function of 90.00% in the experimental group was obviously higher,and the difference was statistically significant (P<0.05). Compared with 35.00% of the control group,the incidence of postoperative complications of 15.00% in the experimental group was significantly lower,and the difference was statistically significant (P<0.05). Conclusion Standardized perioperative rehabilitation training for patients undergoing da Vinci robot-assisted radical prostatectomy can significantly improve compliance with pelvic floor muscle training,effectively improve postoperative urinary control function,and reduce the occurrence of postoperative complications. It is recommended to be promoted in clinical practice.

Da Vinci robotsProstate cancer radical surgeryStandardized rehabilitation trainingIntervention effect

官俊杰、高凌燕、皮水模

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361001 厦门大学附属第一医院泌尿外科

达芬奇机器人 前列腺癌根治术 标准化康复训练 干预效果

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(20)