摘要
目的 讨论膀胱功能训练在子宫切除术及盆底重建术患者中的应用效果。方法 选择我院2021.08-2024.04所接收的84例子宫切除术及盆底重建术患者患者为研究对象，平均分为观察组（膀胱功能训练）与对照组（常规护理），将两组术后恢复情况和术后并发症情况以及患者满意度、生活质量进行比较。结果 1.观察组术后恢复情况[首次排气时间（17.43±2.45）h，拔管时间（12.83±1.53）h]优于对照组（P<0.05）；2.观察组术后并发症风险（4.76%）低于对照组（P<0.05）；3.观察组满意度（92.86%）高于对照组（P<0.05）；4.观察组生活质量[躯体功能（78.32±7.23）分，角色功能（76.31±8.15）分，情绪功能（79.85±6.43）分，认知功能（82.82±9.58）分，社会功能（81.56±8.37）分]高于对照组，（P<0.05）。结论 子宫切除术及盆底重建术患者中膀胱功能训练实施的效果明显，值得广泛推广与应用。
关键词： 膀胱功能训练；子宫切除术；盆底重建术；应用效果
Abstract
Objective Discuss the application effect of bladder function training in patients undergoing hysterectomy and pelvic floor reconstruction. Methods 84 patients who underwent hysterectomy and pelvic floor reconstruction in our hospital from August 2021 to April 2024 were selected as the research subjects. They were evenly divided into an observation group (bladder function training) and a control group (routine nursing). The postoperative recovery, postoperative complications, patient satisfaction, and quality of life were compared between the two groups. Results 1. The postoperative recovery of the observation group [first exhaust time (17.43 ± 2.45) hours, extubation time (12.83 ± 1.53) hours] was better than that of the control group (P<0.05); The risk of postoperative complications in the observation group (4.76%) was lower than that in the control group (P<0.05); 3. The satisfaction rate of the observation group (92.86%) was higher than that of the control group (P<0.05); 4. The quality of life of the observation group [physical function score (78.32 ± 7.23), role function score (76.31 ± 8.15), emotional function score (79.85 ± 6.43), cognitive function score (82.82 ± 9.58), social function score (81.56 ± 8.37)] was higher than that of the control group (P<0.05). Conclusion Bladder function training has a significant effect on patients undergoing hysterectomy and pelvic floor reconstruction, and is worthy of wide promotion and application.
Key words： Bladder function training; Hysterectomy; Pelvic floor reconstruction surgery; Application effect
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