CAJ | 학술논문

目的探讨强化提肛肌训练对促进经尿道前列腺剜除术后尿失禁恢复的效果.方法将2011年10月至2012年10月在我院行前列腺增生经尿道前列腺剜除术的178例患者随机分为实验组89例和对照组89例.实验组入院当天开始给予严格的提肛肌训练,并持续到术后尿失禁缓解为止；对照组术后拔除尿管后才给予提肛肌训练,持续到尿失禁缓解为止.比较两组术后尿失禁发生率,尿失禁严重程度,尿控恢复时间.结果实验组术后尿失禁发生率为32.6％,低于对照组91％,P＜0.001;但两组尿失禁严重程度比较差异并无统计学意义；实验组尿失禁中位恢复时间(＜1周)显著短于对照组(2周),P＜ 0.001.结论术前强化提肛肌训练对降低前列腺剜除术后尿失禁的发生率,缩短术后尿失禁恢复时间起重要作用.
목적 탐토강화제항기훈련대촉진경뇨도전렬선완제술후뇨실금회복적효과.방법 장2011년10월지2012년10월재아원행전렬선증생경뇨도전렬선완제술적178례환자수궤분위실험조89례화대조조89례.실험조입원당천개시급여엄격적제항기훈련,병지속도술후뇨실금완해위지；대조조술후발제뇨관후재급여제항기훈련,지속도뇨실금완해위지.비교량조술후뇨실금발생솔,뇨실금엄중정도,뇨공회복시간.결과 실험조술후뇨실금발생솔위32.6％,저우대조조91％,P＜0.001;단량조뇨실금엄중정도비교차이병무통계학의의；실험조뇨실금중위회복시간(＜1주)현저단우대조조(2주),P＜ 0.001.결론 술전강화제항기훈련대강저전렬선완제술후뇨실금적발생솔,축단술후뇨실금회복시간기중요작용.
Objective To observe the effect of intensive levator ani muscle training for early recovery of urinary continence following transurethral enunciative resection of prostate (TUERP).Methods We randomly assigned 178 patients undergoing TUERP from October 2011 to October 2012 in our institute into 2 groups.The study group included 89 patients starting levator ani muscle training from the admission day till the day postoperative incontinence was cured; the control group also included 89 patients who were taught to undertake levator ani muscle training from the day of catheter removal till the day postoperative incontinence was cured.The incidence of incontinence,the severity of incontinence and the duration of incontinence were compared.Results The incidence of incontinence (32.6％) in the study group was significantly lower than that in the control group (91％,P ＜ 0.001),while the severity of incontinence between 2 groups did not manifest significant difference (P--0.125).Patients in the study group underwent earlier recovery of urinary incontinence with a median recovery time of less than 1 week,compared to that in the control group of 2 weeks (P ＜ 0.001).Conclusion Intensive levator ani muscle training help reduce incontinence rate and early recovery of urinary continence following TUERP.