Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, 310053, China.
Department of Nursing, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, 310000, China.
Support Care Cancer. 2022 Apr;30(4):3241-3247. doi: 10.1007/s00520-021-06780-y. Epub 2022 Jan 4.
To explore the effectiveness of micturition interruption exercise in improving the incidence of urinary incontinence after radical prostatectomy.
With a retrospective case-control study, 96 patients admitted in the Second Affiliated Hospital of Zhejiang Chinese Medical University from August 2014 to August 2020 and underwent radical prostatectomy were collected as the subjects. Those patients who used micturition interruption exercise (n = 48) were set as the therapy group, and the control group was collected according to the ratio of 1:1; the patients used Kegel exercise (n = 48) to compare the rehabilitation of urinary incontinence in patients and the effect of training compliance on rehabilitation.
The recovery time of urinary incontinence in the therapy group was significantly shorter than that of the control group. In the therapy group, 83.3% of patients with training compliance reached an average or above, while the control group only accounted for 58.3%. International Consultation on Incontinence Questionnaire Short-Form score of the therapy group was lower than that of the control group after surgery. Spearman analysis suggests that there is a negative correlation between the postoperative urinary incontinence recovery time and compliance with the micturition interruption exercise.
Micturition interruption exercise could not only improve the compliance of patients with exercise, but also significantly shorten the recovery time of urinary incontinence after radical prostatectomy.
探讨排尿中断训练对改善根治性前列腺切除术后尿失禁发生率的效果。
采用回顾性病例对照研究，收集 2014 年 8 月至 2020 年 8 月在浙江中医药大学附属第二医院行根治性前列腺切除术的 96 例患者为研究对象。将采用排尿中断训练（n=48）的患者设为治疗组，并按照 1:1 的比例收集行凯格尔运动（n=48）的患者作为对照组，比较两组患者尿失禁康复情况及训练依从性对康复的影响。
治疗组患者尿失禁恢复时间明显短于对照组。治疗组中，训练依从性达到平均或以上的患者占 83.3%，而对照组仅占 58.3%。治疗组术后国际尿失禁咨询问卷简表评分低于对照组。Spearman 分析提示术后尿失禁恢复时间与排尿中断训练的依从性呈负相关。
排尿中断训练不仅能提高患者的运动依从性，还能显著缩短根治性前列腺切除术后尿失禁的恢复时间。
