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目的探讨盆底肌功能锻炼联合生物反馈训练应用于宫颈癌患者,提高病人膀胱充盈感觉,恢复自主排尿功能的临床效果。方法2000年10月￣2005年11月53例宫颈癌Ⅰb-Ⅱa患者,按随机的原则分为实验组和对照组,对实验组27例病人,即术前3天始进行盆底肌功能锻炼,联合术后生物反馈训练,分阶段管理,观察病人对膀胱充盈容量的感觉及自主排尿的情况;而实验组则按妇科腹部手术护理常规,结合盆底肌功能锻炼的方法对病人进行护理。结果试验组病人术后拔出尿管后第一次测残余尿量<100ml者有18例,而对照组仅有6例,其差异有高度显著性意义(P<0.01)。结论盆底肌功能锻炼联合生物反馈训练能有效地提高宫颈癌患者术后自主排尿功能,降低尿管拔出后尿潴留的发生率。
Objective To investigate the clinical effect of pelvic floor muscle function training combined with biofeedback training applied to patients with cervical cancer to improve bladder filling sensation and to restore autonomic urinary function. Methods From October 2000 to November 2005, 53 cases of cervical cancer Ⅰb-Ⅱa were randomly divided into experimental group and control group. 27 cases of experimental group, ie, pelvic floor muscle function exercise , Combined with postoperative biofeedback training, phased management to observe the patient’s feeling of bladder filling capacity and autonomic urination; while the experimental group according to gynecological abdominal surgery nursing routine, combined with pelvic floor muscle functional exercise method of patient care. Results In the test group, 18 patients with residual urine less than 100 ml after the catheter was removed and only 6 patients in the control group showed significant difference (P <0.01). Conclusions pelvic floor muscle exercise combined with biofeedback training can effectively improve the autonomic urination function of patients with cervical cancer and reduce the incidence of urinary retention after catheter pull-out.