Effects of bladder rehabilitation strategy based on detrusor function rating in elderly patients with benign prostatic hyperplasia
10.3760/cma.j.cn115682-20230205-00359
- VernacularTitle:基于逼尿肌功能评级的膀胱康复策略在老年良性前列腺增生患者中的应用
- Author:
Bei YANG
1
;
Aihua WANG
;
Lei SHI
;
Yunlong LI
Author Information
1. 郑州大学第一附属医院泌尿外科五病区，郑州 450080
- Keywords:
Prostatic hyperplasia;
Urinary bladder;
Detrusor function;
Bladder rehabilitation
- From:
Chinese Journal of Modern Nursing
2023;29(26):3594-3599
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of bladder rehabilitation strategy based on detrusor function rating in patients with benign prostatic hyperplasia (BPH) .Methods:From January to September 2022, 118 BPH patients who underwent transurethral resection of prostate in the Urology Surgery Department of the First Affiliated Hospital of Zhengzhou University were selected by convenience sampling. According to the random number table method, patients were divided into a control group and an observation group, with 59 cases each. The control group was given routine bladder rehabilitation, and the observation group was given bladder rehabilitation strategy based on detrusor function rating. The intervention expectation was three months. The urodynamic parameters, International Prostate Symptom Score (IPSS), Urinary Symptom Disturbance Score (USDS), urinary tract infection rate and readmission rate were compared between the two groups.Results:The maximum urinary flow rate and detrusor pressure at the maximum urinary flow rate after intervention in the observation group were higher than those before intervention and in the control group, and the differences were statistically significant ( P<0.05). There was no statistical difference in the distribution of detrusor contractile function and the classification of bladder dysfunction between the two groups after intervention ( P>0.05). The IPSS and USDS scores after intervention in both groups were lower than before intervention, and the IPSS and USDS scores after intervention in the observation group were lower than those in the control group, with statistically significant differences ( P<0.05). The rates of urinary tract infection in the control group and the observation group were 35.59% (21/59) and 15.25% (9/59) respectively, and the readmission rates were 40.68% (24/59) and 18.64% (11/59) respectively, with statistical differences ( P<0.05) . Conclusions:The bladder rehabilitation strategy based on detrusor function rating can effectively improve the bladder detrusor function of BPH patients, alleviate lower urinary tract symptoms, and reduce the postoperative urinary tract infection rate and readmission rate.
