通过便携式超声波联合检查宫颈癌患者术后膀胱功能恢复情况的研究。

IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL International Journal of Artificial Organs Pub Date : 2024-07-30 DOI:10.1177/03913988241262593
Yu-Ting Zhao, Shuai Guo, Zai-Chun Shang, Hong-Yi Ding, Jian-Hua Jin, Kai-Yue Chu, Bin-Bin Ge, Peng-Qin Xu
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引用次数: 0

摘要

背景:术后排尿功能障碍是宫颈癌患者术后常见的并发症。临床上常用便携式膀胱超声测量残余尿量。本研究旨在探讨膀胱功能训练结合便携式超声监测对宫颈癌患者训练后膀胱功能恢复的影响:方法:将 40 例宫颈癌术后患者随机分为对照组(A 组)和实验组(B 组),每组 20 例。A 组给予常规术后护理,B 组给予膀胱功能训练。拔除导尿管后,每天两次测量膀胱急尿量,连续监测五天。分别用 t 检验和卡方检验比较急迫性膀胱尿量和膀胱充盈率的差异。采用 36 项简表健康调查(SF-36)评估干预前后患者的生活质量,并通过 Mann-Whitney U 检验进行比较:结果:两组患者术前急迫尿量无明显差异。拔除导尿管后,B 组患者的膀胱容量有所增加,而 A 组患者的膀胱容量增加较少且波动较大。A 组的膀胱充盈率明显低于 B 组(5/15 vs 17/18,p p 结论:通过便携式超声监测训练憋尿的宫颈癌术后患者能够恢复膀胱功能。
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Study on the recovery of bladder function in patients with cervical cancer after operation by portable ultrasound combined.

Background: Postoperative urination dysfunction is a common complication after surgery in patients with cervical cancer. Portable bladder ultrasound are commonly utilized in clinical practice for measuring residual urine volume. This study aimed to the effect of bladder function training combined with portable ultrasound monitoring on bladder function recovery in patients with cervical cancer after training.

Methods: A total of 40 postoperative patients with cervical cancer were randomly divided into a control group (A) and an experimental group (B) of 20 cases each. Group A was given routine postoperative care, while group B was given bladder function training. Urgent urine bladder volume were taken twice daily after removal of the urinary catheter and monitored for five consecutive days. The difference of urgent urine bladder volume and bladder filling rate were compared by t-test and chi-square test respectively. The 36-item Short Form Health Survey (SF-36) was used to evaluate the quality of life of patients before and after intervention, and compared by Mann-Whitney U test.

Results: There was no significant difference in preoperative urgent urine volume between the two groups. After catheter removal, the bladder volume of patients in the B increased, while the bladder volume of patients in the A increased less and fluctuated greatly. The bladder filling rate in the A was significantly lower than that in the B (5/15 vs 17/18, p < 0.05). After intervention, the quality of life of the experimental group was better than that of the control group, including scores of general health, mental health, vitality, and physical role (p < 0.05).

Conclusion: Postoperative cervical cancer patients trained to hold urine by portable ultrasound monitoring are able to recover bladder function.

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来源期刊
International Journal of Artificial Organs
International Journal of Artificial Organs 医学-工程:生物医学
CiteScore
3.40
自引率
5.90%
发文量
92
审稿时长
3 months
期刊介绍: The International Journal of Artificial Organs (IJAO) publishes peer-reviewed research and clinical, experimental and theoretical, contributions to the field of artificial, bioartificial and tissue-engineered organs. The mission of the IJAO is to foster the development and optimization of artificial, bioartificial and tissue-engineered organs, for implantation or use in procedures, to treat functional deficits of all human tissues and organs.
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