Effects of Kegel on fecal incontinence in patients with anal endoscopic microsurgery after surgery
10.3760/cma.j.issn.1674-2907.2017.22.013
- VernacularTitle:凯格尔运动疗法对经肛门内镜显微手术后患者大便失禁发生情况的影响
- Author:
Xiaohui CHENG
1
;
Yinfen JIANG
;
Hong DING
;
Lu ZHANG
;
Jiaping YIN
Author Information
1. 苏州大学附属第二医院普外科
- Keywords:
Fecal incontinence;
Kegel excercises;
Anal endoscopic microsurgery
- From:
Chinese Journal of Modern Nursing
2017;23(22):2881-2884
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study the clinical efficacy of Kegel on fecal incontinence in patients with anal endoscopic microsurgery.Methods Totally 60 patients with anal endoscopic microsurgery were randomly selected by purpose sampling method from October 2013 to June 2016,and they were divided into the control group and the observation group according to the random number table method,with 30 cases in each group. Patients in the control group received routine care,while patients in the observation group was trained by Kegel exercises before and after surgery. Incidence of fecal incontinence,anal function excellent rate and duration of fecal incontinence were observed and compared between two groups.Results The incidence rate of fecal incontinence in the observation group was 3.3%(1/30),while that of the control group was 23.3% (7/30) (P=0.052). The postoperative duration of fecal incontinence in the observation group was (3.3±0.5) d,while that of the control group was (5.3±2.4) d (t=4.468,P<0.05). Four days after surgery,the number of patients with good anal function in evaluation in the observation was 28,while that of the control group was 22 (Z=-2.020,P<0.05). ConclusionsKegel exercises before and after anal endoscopic microsurgery can effectively improve patients' anal function and shorten the duration of fecal incontinence. This method is simple,practical and can be widely used.