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目的观察早期盆底肌锻炼防治经尿道前列腺汽化电切术(TUVP)后暂时性尿失禁的临床效果。方法选取医院接受TUVP术的患者84例为研究对象,随机分为对照组和观察组,每组42例。对照组在术后发生急迫性尿失禁时,接受盆底肌锻炼指导;观察组则采用早期盆底肌锻炼。在手术前、术后留置尿管期间、拔管后均进行盆底肌锻炼。观察2组患者拔管后的排尿情况,尿失禁程度及尿失禁持续时间。结果观察组出现尿失禁、尿急情况少于对照组,差异有统计学意义(P<0.01或P<0.05);尿失禁Ⅰ度与Ⅱ度发生率低于对照组(P<0.05);尿失禁持续时间(3.65±1.69)d,短于对照组的(5.15±2.21)d(P<0.01)。结论对TUVP术患者进行早期的盆底肌锻炼,可有效改善和预防术后暂时性尿失禁,安全简便,可在临床上推广应用。
Objective To observe the clinical effect of early pelvic floor muscle exercise in preventing and treating transient urinary incontinence after transurethral vaporization of the prostate (TUVP). Methods Totally 84 patients undergoing TUVP in hospital were enrolled in the study. They were randomly divided into control group and observation group, with 42 cases in each group. In the control group, urinary incontinence occurred after operation, and pelvic floor muscle training was instructed. In the observation group, pelvic floor muscle exercise was used. Preoperative and postoperative indwelling catheter, after extubation were pelvic floor muscle exercise. The urinary excretion, urinary incontinence and urinary incontinence duration after extubation in 2 groups were observed. Results The incidence of urinary incontinence in the observation group was less than that of the control group (P <0.01 or P <0.05). The incidence of grade Ⅰ and Ⅱ urinary incontinence was lower than that of the control group (P0.05) The duration of incontinence was (3.65 ± 1.69) d, shorter than that of the control group (5.15 ± 2.21) d (P <0.01). Conclusions Early pelvic floor muscle exercise in TUVP patients can effectively improve and prevent postoperative temporary urinary incontinence. It is safe and simple, and can be widely applied in clinic.