盆底肌锻炼对前列腺切除术后暂时性尿失禁的影响

目的:探讨盆底肌锻炼用于防治前列腺切除术后暂时性尿失禁的效果。方法:将72例需行前列腺手术的患者随机分为试验组和对照组,每组36例。试验组患者于术前、术后拔管前和拔管后计划性地进行盆底肌锻炼;对照组患者仅在术后发生尿失禁时进行盆底肌锻炼。比较两组术后暂时性尿失禁的发生率、严重程度和持续时间。结果:试验组术后拔除尿管后5d、10 d和15 d的尿失禁发生率分别为22.2%、16.7%和13.9%,对照组则相应为52.8%、33.3%和27.8%,两组差异有统计学意义(P0.05)。试验组中Ⅰ度尿失禁6例,Ⅱ度2例,Ⅲ度3例;对照组中Ⅰ度9例,Ⅱ度8例,Ⅲ度2例。对照组中Ⅱ度尿失禁发生率明显高于试验组(P0.05)。结论:盆底肌锻炼有助于降低前列腺切除术后暂时性尿失禁的发生率和严重程度,并能缩短尿失禁的持续时间。

Effect of Pelvic Floor Muscle Exercise on the Prevention and Treatment of Temporary Urinary Incontinence after Prostatectomy

Objective：To explore the effect of pelvic floor muscle exercise on the prevention and treatment of temporary urinary incontinence after prostatectomy.Methods：A total of 72 patients who underwent prostatectomy were enrolled and randomly divided into experimental group （n =36） and control group （n =36）.Patients in the experimental group received preoperative pelvic floor muscle training guidance and undertook the exercise before and after decannulation of urinary catheter.Patients in the control group undertook the exercise only in case of postoperative urinary incontinence.The postoperative incidence,severity,and duration of temporary urinary incontinence were compared between the two groups.Results：The postoperative incidences of urinary incontinence on 5-day,10-day and 15-day after decannulation were 22.2％,16.7 ％ and 13.9％ in the experimental group,respectively,and 52.8％,33.3％ and 27.8％ in the control group,respectively.The differences between the two groups were statistically significant （P＜0.05）.The numbers of cases of Class Ⅰ,Ⅱ and Ⅲ urinary incontinence were 6,2 and 3 in the experimental group,and 9,8 and 2 in the control group.The incidence of Class Ⅱ urinary incontinence in the control group was significantly higher than that in the experimental group （P＜0.05）.Conclusions：Planned pelvic floor muscle exercise is conducive in reducing the incidence,severity and duration of temporary urinary incontinence after prostatectomy.