The Effect Of Systemic Bladder Functional Training On Preventing Urinary Retention After Radical Resection Of Cervical Cancer

Objective:To explore the effect of systemic bladder functional training on preventing urinary retention after radical resection of cervical cancer. To compare patients’incidence of urinary retention and residual urine volume after routine medical care and systematic bladder functional training. To provide a theoretical basis and support for how to take measures to reduce clinical postoperative urinary retention.Methods:The85cases of cervical cancer with radical surgery in our hospital from Oct.2009to Dce.2011were randomly divided into experimental group with43cases and control group with42cases. The experimental group was treated with systematic bladder functional training as well as routine medical care, while the control group was treated with only routine medical care. The purpose were to observe the recovery of postoperative bladder function of the two groups, including the incidence of urinary retention, time of pulling catheter, inpostoperative recovery of spontaneous voiding, and residual urine measurement, as well as to compare the two groups’routine urine test results, temperater, irritation sign of bladder, and urinary tract infection.Results:During the whole experimental process,82patients finished the experiment, with40patients in the control group and42Patients in the experimental group.1. The incidence of urinary retention after extubation in experimental group was4.76%, significantly lower than25%in the control group. The difference was statistically significant (P<0.05).2. In experimental group31cases (73.8%) had a residual urine volume of lower than50ml, which was significantly more than the15cases (37.5%) in the control group. The difference was statistically significant (P<0.01). In experimental group8cases (19.0%) had a residual urine volume of between50ml and100ml, which was less than9 cases (22.5.0%) in the control group. The difference was not statistically significant (P>0.05). In experimental group3cases (7.1%) had a residual urine volume of more than100ml, which was significantly less than the16cases (40.0%) in the control group. The difference was statistically significant (P<0.01).3. In experimental group35cases (83.3%) had a8-10d catheter removal, significantly more than the control group’s23cases (57.5%). In experimental group1cases (2.4%) had a>14d catheter removal, significantly less than the control group’s8cases (20.0%). The difference was statistically significant (P<0.05).4. In experimental group the urination successful time was (6.78±2.46) min significantly less than(10.67±2.78) min in the control group. Self-voiding cases in the experimental group were significantly more than that in the control group. The cases that use urethral catheterization with tubes again in experimental group were significantly less than that in the control group. These differences were statistically significant (P<0.05).5. In experimental group, cases of urine routine, body temperature, bladder irritation and urinary tract infection were significantly less than that in the control group. The difference was statistically significant (P <0.05).6. In experimental group the hospitalization time was (13.56±3.78)d, less than (18.94±3.89)d in the control group. These differences were statistically significant (P<0.05).Conclusion:1. The treatment of systematic bladder functional training to patients after radical treatment of cervical cancer can effectively prevent the occurrence of postoperative urinary retention, reduce cases of resetting urine tube after extubation, reduce patients’pain of resetting urine tubes, and ease the economic burden of patients.2. The treatment of systematic bladder functional training to patients after radical treatment of cervical cancer can effectively reduce the residual urine volume.3. The treatment of systematic bladder functional training to patients after radical treatment of cervical cancer can effectively reduce the indwelling catheter time and shorten the length of hospital stay.4. The treatment of systematic bladder functional training to patients after radical treatment of cervical cancer can effectively reduce patients’ irritation sign of bladder and reduce the incidence of urinary tract infections.