提肛肌训练对经尿道前列腺电切术老年患者暂时性尿失禁的影响

目的探讨提肛肌训练对经尿道前列腺电切术(TURP)后暂时性尿失禁的影响。方法将59例行TURP的良性前列腺增生症(BPH)手术患者按照随机数字表法分为两组,对照组29例,按常规实施健康教育和膀胱功能训练;观察组30例,按常规实施健康教育和膀胱功能训练基础上,术前、术后均给予规范的提肛肌功能锻炼。观察两组术后患者暂时性尿失禁的发生率以及持续时间与失禁程度。结果观察组和对照组术后暂时性尿失禁的发生率(23.33%比44.83%)、尿失禁持续2周(14.29%比83.92%)及失禁程度比较,均差异有统计学意义(P<0.05)。结论术前及术后进行提肛肌训练能有效降低BPH患者TURP术后暂时性尿失禁的发生率,缩短患者漏尿时间,减轻失禁程度,有效促进患者康复。

Effects of levator ani muscle training on temporary incontinence in elderly patients with transurethral resection of prostate

Objective To explore the effect of levator ani muscle training on temporary incontinence after transurethral resection of prostate (TURP) in elderly patients.Methods Fifty-nine patients with benign prostate hyperplasia (BPH) were collected and randomly divided into two groups by random number table.The observation group (n=30) received levator ani muscle training before and after operation.The control group (n=29) received conventional implementation of health education and bladder function training.Results The differences about the incidence(23.33% VS.44.83%),duration(14.29% VS.83.92%) and degree of postoperative transient incontinence were significant(P<0.05) between two groups.Conclusion Levator ani muscle training before and after operation can effectively reduce the incidence of transient urinary incontinence after TURP in patients with BPH,shorten the time of leakage,reduce the degree of incontinence and promotes patients rehabilitation effectively.