CAJ | 학술논문

目的探讨耳穴压豆对经尿道等离子前列腺切除术(TUPK)后急迫性尿失禁的影响.方法 78例良性前列腺增生症患者均行TUPK术,随机分为两组,实验组40例术后予耳穴压豆联合肛提肌训练,对照组38例仅在术后给予肛提肌训练.观察术后尿失禁发生率及尿失禁持续时间.结果实验组患者术后尿失禁发生率(15％)明显低于对照组(42％),两组比较差异有统计学意义(x2=7.07,P＜0.05),实验组发生尿失禁持续平均(2 0±0.5)d,明显少于对照组平均(4 1±1.5)d,两组比较差异有统计学意义(x2 =2.84,P＜0.01).结论 TUPK患者术后行耳穴压豆联合肛提肌训练可有效预防术后急迫性尿失禁的发生及缩短尿失禁持续时间,减轻患者心理负担,减少术后并发症.
목적 탐토이혈압두대경뇨도등리자전렬선절제술(TUPK)후급박성뇨실금적영향.방법 78례량성전렬선증생증환자균행TUPK술,수궤분위량조,실험조40례술후여이혈압두연합항제기훈련,대조조38례부재술후급여항제기훈련.관찰술후뇨실금발생솔급뇨실금지속시간.결과실험조환자술후뇨실금발생솔(15％)명현저우대조조(42％),량조비교차이유통계학의의(x2=7.07,P＜0.05),실험조발생뇨실금지속평균(2 0±0.5)d,명현소우대조조평균(4 1±1.5)d,량조비교차이유통계학의의(x2 =2.84,P＜0.01).결론 TUPK환자술후행이혈압두연합항제기훈련가유효예방술후급박성뇨실금적발생급축단뇨실금지속시간,감경환자심리부담,감소술후병발증.
Objective To investigate of the effects of ear acupoint with beans on acute urinary incontinence after transurethral plasma kinetic resection of the prostate (TUPK).Methods 78 patients with benign prostatic hyperplasia undergoing TUPK were randomly divided into experimental group (n =40) and control group ( n =38 ).The experimental group was managed with ear acupoint with beans combined with levator ani muscle training,while the control group was only instructed with levator ani training.The occurrence rate of urinary incontinence and incontinence duration in both groups were observed and compared.Results The occurrence rate of urinary incontinence in the experimental group ( 15％ ) was obviously lower than that in the control group (42％) (x2 =7.07,P 0.05).Incontinence duration in the experimental group (2.0 ±0.5) days was obviously less than ( 4.1 ± 1.5 ) days in the control group ( x2 =2.84,P ＜ 0.01 ).Conclusions Ear acupoint with beans combined with levator ani training after TUPK could effectively prevent postoperative acute urinary incontinence,shorten the duration,alleviate patients' psychological burden,and reduce postoperative complications.