提肛肌训练对前列腺电切术后暂时性尿失禁的影响

目的 :评价经尿道前列腺电切术 (TURP)术前提肛肌训练对术后暂时性尿失禁的影响。方法 :选择 88例前列腺增生行TURP患者 ,随机分为两组 ,实验组 43例术前给予严格的提肛肌训练 ,对照组 45例按护理常规实施。观察术后尿失禁发生率及尿失禁时间。结果 :实验组术后尿失禁发生率 48.8% ,明显低于对照组 93 .3 % ,P <0 .0 5 ;实验组发生尿失禁持续 2± 0 .5天 ,明显少于对照组 1 3± 3 .0天 ,P <0 .0 5。结论 :TURP患者术前行提肛肌训练有助于降低术后暂时性尿失禁的发生率 ,对缩短术后尿失禁持续时间有积极作用

Effect of levator ani muscles training on transient postoperative incontinence in patients undergoing transurethral resection of prostate

Objective : To evaluate the effect of levator ani muscles training before transurethral resection of prostate (TURP) on transient postoperative incontinence. Methods: 88 patients (aged from 55 to 85 years; mean 74 years) with benigh prostatic hyperplasia, who underwent TURP, were randomized into two groups: the study group ( n =43) who received preoperative levator ani muscles training and the control group ( n =45) who did not receive the training but nursing routines. We observed the morbidity and the duration of transient postoperative incontinence. Results: The morbidity of postoperative incontinence of the study group was significantly lower than that of the control group (48.8% versus 93.3%, P <0.05). The mean duration of incontinence of the study group was significantly lower than that of the control group (2 days versus 13 days, P <0.05). The mean duration of incontinence of the study group was significantly lower than that of the control group (2 days versus 13 days, P <0.05). Conclusions: Preoperative levator ani muscles training would prove to be of positive help in reducing the morbidity and shortening the duration of transient postoperative incontinence in patients undergoing TURP.