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目的观察低频脉冲电刺激配合膀胱功能康复训练在预防中晚期宫颈癌术后尿潴留中的应用效果。方法 63例经同步放化疗后行广泛子宫切除术加盆腔淋巴结清扫术的宫颈癌患者,采用随机数字表法分为对照组(31例)和治疗组(32例)。对照组患者术前术后进行膀胱功能康复训练,治疗组患者在对照组康复训练基础上,术后第8天同时进行低频脉冲电刺激曲骨穴和骶尾部神经丛S3部位,比较两组患者术后尿潴留发生率、残余尿量、留置尿管时间。结果治疗组患者尿潴留发生率为6.25%,明显低于对照组的35.48%,比较差异有统计学意义(P<0.01);治疗组残余尿量为(28.43±45.32)ml,明显少于对照组(66.51±51.14)ml,差异有统计学意义(P<0.01);治疗组留置尿管时间为(14.66±1.79)d,明显短于对照组(19.13±3.81)d,差异有统计学意义(P<0.01)。结论膀胱功能康复训练联合低频脉冲电刺激治疗能有效防止尿潴留发生,缩短术后留置尿管时间,有利于患者的康复,提高术后生活质量,值得临床广泛推广。
Objective To observe the effect of low-frequency pulsed electrical stimulation combined with bladder functional rehabilitation training in the prevention of postoperative urinary retention of advanced cervical cancer. Methods Sixty-three patients with cervical cancer undergoing extensive hysterectomy and pelvic lymph node dissection after concurrent chemoradiotherapy were divided into control group (n = 31) and treatment group (n = 32) by random number table. The control group received preoperative and postoperative bladder functional rehabilitation training. On the basis of the rehabilitation training in the control group, low-frequency pulsed electrical stimulation of the S3 part of the cranial crest and sacrococcygeal plexus was performed on the 8th day after operation. The patients in both groups Postoperative urinary retention, residual urine volume, indwelling catheter time. Results The incidence of urinary retention in the treatment group was 6.25%, which was significantly lower than that in the control group (35.48%, P <0.01). The residual urine volume in the treatment group was (28.43 ± 45.32) ml, (66.51 ± 51.14) ml, the difference was statistically significant (P <0.01). The time of catheterization in treatment group was (14.66 ± 1.79) d, which was significantly shorter than that in control group (19.13 ± 3.81) d, the difference was statistically significant (P <0.01). Conclusions Bladder function rehabilitation training combined with low-frequency pulsed electrical stimulation can effectively prevent the occurrence of urinary retention, shorten the time of postoperative catheterization, is conducive to the rehabilitation of patients and improve the postoperative quality of life, which deserves wide clinical promotion.