Volume 21 Issue 4
Apr.  2023
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ZHENG Zhi, WU Zhen, YAN Linzhi, JIN Xiaoqing, ZHAO Yu, MEI Huihong. Effect of intermittent catheterization combined with pelvic floor muscle rehabilitation training on postoperative rehabilitation in patients with cervical cancer[J]. Chinese Journal of General Practice, 2023, 21(4): 713-716. doi: 10.16766/j.cnki.issn.1674-4152.002966
Citation: ZHENG Zhi, WU Zhen, YAN Linzhi, JIN Xiaoqing, ZHAO Yu, MEI Huihong. Effect of intermittent catheterization combined with pelvic floor muscle rehabilitation training on postoperative rehabilitation in patients with cervical cancer[J]. Chinese Journal of General Practice, 2023, 21(4): 713-716. doi: 10.16766/j.cnki.issn.1674-4152.002966

Effect of intermittent catheterization combined with pelvic floor muscle rehabilitation training on postoperative rehabilitation in patients with cervical cancer

doi: 10.16766/j.cnki.issn.1674-4152.002966
Funds:

 2020KY643

 Y20210329

  • Received Date: 2022-12-20
    Available Online: 2023-05-31
  •   Objective  To explore the application of intermittent catheterization combined with pelvic floor muscle rehabilitation training in postoperative rehabilitation of patients with cervical cancer, analyze the influence on bladder function and quality of life of patients, and provide reference for the development of postoperative rehabilitation programs for cervical cancer.  Methods  A total of 94 cases of cervical cancer patients who received surgical treatment in the Second Affiliated Hospital of Wenzhou Medical University from October 2020 to October 2022 were included in the study. All patients were divided into experimental group and control group according to random number table method, with 47 cases in each group. The patients in the control group were received conventional pelvic floor rehabilitation measures after operation, and the patients in the experimental group were received intermittent catheterization combined with pelvic floor muscle rehabilitation training. The postoperative pelvic floor muscle strength recovery, pelvic floor function, bladder function and prognostic quality of life were compared between the two groups.  Results  The total effective rate of pelvic floor muscle strength rehabilitation in experimental group was 97.87% (46/47), which was higher than that in control group (72.34%, 34/47, P < 0.05). After 30 days of intervention, the maximum detrusor pressure, maximum urine flow, bladder compliance and other indicators were increased in both groups, and the bladder function index in experimental group was higher than that in control group (P < 0.05). After 30 days of intervention, PFDI-20 score of pelvic floor function was decreased in both groups, and PFDI-20 score of experimental group was lower than that in control group (P < 0.05). After 30 days of intervention, the GQOLI-74 score of quality of life in both groups was improved, and the GQOLI-74 score of experimental group was higher than that in control group (P < 0.05). The incidence of urinary tract infection, urinary retention in experimental group was lower than those in control group (P < 0.05).  Conclusion  Intermittent catheterization combined with pelvic floor muscle rehabilitation training can effectively improve the pelvic floor and bladder function of patients with cervical cancer after surgery, promote the recovery of pelvic floor muscle strength, improve the prognosis of life quality, and it is worthy of active application and promotion.

     

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