| 李雪艳,章宗武,李令勋,李旵灿,许 芳,关艳声.盆底肌功能训练联合阴茎夹对前列腺增生术后患者尿失禁的临床应用分析[J].,2020,(18):3515-3518 |
| 盆底肌功能训练联合阴茎夹对前列腺增生术后患者尿失禁的临床应用分析 |
| Clinical Application of Pelvic Floor Muscle Function Training Combined with Penile Clamp in the Treatment of Urinary Incontinence after Prostatectomy |
| 投稿时间：2020-03-04 修订日期：2020-03-29 |
| DOI：10.13241/j.cnki.pmb.2020.18.026 |
| 中文关键词: 盆底肌功能训练 阴茎夹 前列腺增生 尿失禁 生活质量 |
| 英文关键词: Pelvic floor muscle function training Penile clamp Prostatic hyperplasia Urinary incontinence Quality of life |
| 基金项目:安徽省高等学校自然科学研究项目（12925sk2018b09） |
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| 中文摘要: |
| 摘要 目的：分析盆底肌功能训练联合阴茎夹对前列腺增生术后患者尿失禁的临床应用效果。方法：选取我院2017年4月~2019年4月收治的72例前列腺增生术后尿失禁患者，随机分为对照组和观察组各36例，两组均予盆底肌功能训练，观察组加用阴茎夹控制排尿。对比两组术后尿失禁改善情况、排尿改善情况、国际尿失禁咨询委员会尿失禁问卷表简表（ICI-Q-SF）评分变化、压力性尿失禁分度评价及经济费用情况。结果：两组干预后20 d、干预后30 d、干预后90 d尿失禁发生率均较干预后10 d下降，观察组干预后10 d、干预后20 d、干预后30 d、干预后90 d尿失禁发生率均低于对照组，差异均有统计学意义（P＜0.05）。两组干预后90 d每日总尿量较干预前升高，每日总排尿次数、每日总漏尿次数均较干预前下降；观察组干预后90 d每日总尿量高于对照组，每日总排尿次数、每日总漏尿次数均低于对照组，差异均有统计学意义（P＜0.05）。两组干预后90d ICI-Q-SF评分均较干预前下降，且观察组干预后90d ICI-Q-SF评分低于对照组，差异均有统计学意义（P＜0.05）。观察组患者干预后压力性尿失禁临床治愈率高于对照组，差异有统计学意义（P＜0.05）。两组患者压力性尿失禁分度情况比较差异无统计学意义（P>0.05）。观察组阴茎夹使用费用为（70.26±8.51）元，低于对照组的（388.71±26.44）元，差异有统计学意义（P＜0.05）。结论：在盆底肌功能训练的基础上联合阴茎夹能够有效改善前列腺增生术后患者尿失禁症状及生活质量，且有助于降低患者经济负担，值得临床推广应用。 |
| 英文摘要: |
| ABSTRACT Objective: To analyze the clinical effect of pelvic floor muscle function training combined with penile clamp in the treatment of urinary incontinence after prostatectomy. Methods: From April 2017 to April 2019, 72 patients with urinary incontinence after prostatectomy in our hospital were randomly divided into control group and observation group with 36 cases in each group. Both groups were given pelvic floor muscle function training, and the observation group was added with penile clamp to control urination.The improvement of urinary incontinence, the improvement of micturition, the change of ICI-Q-SF score, the grading evaluation of stress urinary incontinence and the economic cost were compared between the two groups. Results: The incidence of urinary incontinence in the observation group was lower than that in the control group (P<0.05). 90 d after intervention, the total daily urine volume in the two groups was higher than that before intervention, and the total times of urinations per day and total times of leakage of urine per day were lower than that before intervention; the total daily urine volume in the observation group was higher than that in the control group, and the the total times of urinations per day and total times of leakage of urine per day were lower than that in the control group 90d after intervention,with statistical significance (P<0.05). The ICI-Q-SF score 90 d after intervention in the two groups was lower than that before intervention,and the ICI-Q-SF score 90d after intervention in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). The clinical cure rate of stress urinary incontinence in the observation group was higher than that in the control group (P<0.05), and there was no significant difference in the stress urinary incontinence grade between the two groups (P>0.05). The cost of penile clamp in the observation group was (70.26±8.51) yuan, lower than that (388.71±26.44)yuan in the control group,the difference was statistically significant (P<0.05). Conclusion: On the basis of pelvic floor muscle function training, combined with penile clamp can effectively improve the symptoms of urinary incontinence and quality of life of patients after prostatectomy, and help to reduce the economic burden of patients, which is worthy of clinical application. |
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