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Objective To evaluate the effect of levator ani muscle training on temporary incontinence after the anal sphincter preserving operation. Methods 111 rectum cancer patients were divided into two groups.53 cases in experimental group were given the strict levator ani muscle training before and after the operation ,and 58 cases in control group with the routine nursing (without muscle training).We record the occur rate and duration of the post-operative defecation incontinence. Results The rate of post-operative... Objective To evaluate the effect of levator ani muscle training on temporary incontinence after the anal sphincter preserving operation. Methods 111 rectum cancer patients were divided into two groups.53 cases in experimental group were given the strict levator ani muscle training before and after the operation ,and 58 cases in control group with the routine nursing (without muscle training).We record the occur rate and duration of the post-operative defecation incontinence. Results The rate of post-operative incontinence in experimental group was 48.8%,which is lower than the rate of 93.3% in control (P<0.05).The duration of incontinence in experimental group was (15±0.5) days,shorter than the control group with (40±3) days(P<0.05). Conclusion The levator ani muscle training before and after the anal sphincter preserving operation can help to reduce the occur rate of incontinence and shorten the incontinence duration. 目的 评价提肛运动对直肠癌保肛术后暂时性大便失禁的影响。方法 对 111例直肠癌患者 ,随机分成 2组 ,实验组 5 3例术前术后给予严格的提肛运动训练 ,对照组 5 8例按常规护理 (不指导提肛肌训练 )。观察术后大便失禁的发生率及大便失禁的时间。结果 实验组术后大便失禁的发生率为 4 8.8% ,明显低于对照组 93.3% ,P <0 .0 5 ;实验组发生暂时性大便失禁持续 (15± 0 .5 )d ,明显少于对照组 (40± 3)d ,P <0 .0 5。结论 直肠癌保肛术患者术前术后行提肛肌训练有助于降低术后暂时性大便失禁的发生率 ,对缩短术后大便失禁时间有积极的作用。
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