前列腺腺瘤手术治疗后患者在第三阶段门诊医疗康复中纳入体外磁刺激的情况

Beslan М. Nazranov, A. S. Tsogoev, E. Chalaya, Nataliya V. Efimenko
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摘要

背景:由于早期和晚期手术并发症(如继发性下尿路感染、尿动力学障碍、勃起功能障碍等)的高发率,前列腺手术治疗后患者医疗康复方法的优化问题与现代泌尿外科息息相关。目的:研究前列腺腺瘤手术治疗后患者在第三阶段门诊医疗康复中加入体外磁刺激的效果。材料与方法:共观察了 88 名前列腺腺瘤手术治疗后患者。他们被简单随机分为两组:对比组(43 人)的患者在门诊阶段接受物理治疗、心理矫正、α1-前列腺素阻滞剂坦索罗辛、经直肠磁疗;主治组的 45 名患者额外接受体外电磁刺激。通过盆腔器官超声波检查、尿流率测定、排尿障碍严重程度和生活质量评估--国际前列腺症状评分(IPSS)来监测康复措施的效果。结果:在使用体外电磁刺激对前列腺腺瘤进行手术治疗后,对患者进行分阶段医疗康复可显著改善尿动力障碍(P 0.01),在对比组中,积极的动态表现较少(平均减少 8-10%),组间无差异。根据 IPSS 的总分和生活质量指数,主要治疗组在康复后立即明显改善(P 0.01),6 个月后这些指标的积极动态明显优于对比组(P 0.05)。结论:使用体外电磁刺激对前列腺腺瘤进行手术治疗后,实施门诊康复计划能明显改善尿动力障碍(P 0.01),恢复生活质量(P 0.01)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical rehabilitation of patients after surgical treatment of prostate adenoma at the third outpatient stage of medical rehabilitation with inclusion of extracorporeal magnetic stimulation
BACKGROUND: For modern urology the problem of optimisation of approaches to medical rehabilitation of patients after surgical treatment of the prostate gland is relevant due to the high frequency of early and late surgical complications, such as secondary lower urinary tract infections, urodynamic disorders, erectile dysfunction and others. AIM: To study the effectiveness of medical rehabilitation of patients after surgical treatment of prostate adenoma at the third outpatient stage of medical rehabilitation with the inclusion of extracorporeal magnetic stimulation. MATERIALS AND METHODS: There have been observed 88 patients after surgical treatment of prostate adenoma. They were divided into 2 groups by simple randomization: in the comparison group (n=43) the patients had physical therapy, psychocorrection, alpha1-adroenblock Tamsulosin, transrectal magnetic therapy at the outpatient stage; in the main group 45 patients were additionally prescribed extracorporeal electromagnetic stimulation. The effectiveness of rehabilitation measures was monitored using ultrasound examination of pelvic organs, uroflowmetry, the assessment of the severity of urinary disorders and quality of life ― the International Prostate Symptom Score (IPSS). RESULTS: Performing stage-by-stage medical rehabilitation of the patients after surgical treatment of prostate adenoma using extracorporeal electromagnetic stimulation provides a significant leveling of urodynamic disorders (p 0.01), in the comparison group positive dynamics was expressed less (on average by 8–10%) in the absence of intergroup differences. The overall score and Quality of Life index according to IPSS significantly improved (p 0.01) immediately after rehabilitation in the main group, and 6 months later the positive dynamics of these indicators was significantly better compared to those in the comparison group (p 0.05). CONCLUSION: The implementation of the outpatient rehabilitation program after surgical treatment of prostate adenoma using extracorporeal electromagnetic stimulation provides a significant leveling of urodynamic disorders (p 0.01), restoration of quality of life (p 0.01).
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