盆腔肿瘤患者放疗前的膀胱充盈训练及可靠性评价

发布时间：2018-11-09 17:22

【摘要】：目的探讨盆腔肿瘤患者放疗前进行膀胱充盈训练的可靠性。方法选取40例盆腔肿瘤患者,根据是否有盆腔手术史分为手术组19例和无手术组21例,两组均在放疗前进行膀胱充盈训练,确保患者排空膀胱后每次饮水量一致,采用膀胱容量测量仪进行测量并记录,同时完成尿感量表评分。对比分析两组患者膀胱充盈训练的预测值与测量值,Pearson相关性分析尿感与测量值的相关性,并评价放疗过程中膀胱容量预测值与测量值的变化情况。结果两组预测值与测量值比较差异均无统计学意义(P0.05),无手术组患者的预测值及测量值均显著高于手术组(P0.01);无手术组患者尿感与测量值的相关性(r=0.817,P=0.007)比手术组更高(r=0.734,P=0.024);两组随着膀胱充盈训练的进展预测值及测量值均明显上升(P0.05);放疗过程中患者的膀胱容量预测值与测量值总体趋势一致,均随着放疗进展逐渐下降,且患者的预测值会略高于测量值。结论膀胱充盈训练能够帮助患者获得可靠稳定的尿感,即使存在盆腔手术史的患者也同样可以接受膀胱充盈训练,在放疗中患者的膀胱充盈量会随着放疗进展而逐渐下降,尿感可靠性也有所降低,因此在放疗后期建议采用膀胱容量探测仪进行膀胱充盈量的检测。
[Abstract]:Objective to evaluate the reliability of bladder filling training in pelvic tumor patients before radiotherapy. Methods 40 patients with pelvic neoplasms were divided into two groups according to the history of pelvic surgery: 19 cases in the operation group and 21 cases in the non-operative group. The two groups were given bladder filling training before radiotherapy to ensure the same amount of water consumed each time after the bladder emptying. The bladder volume meter was used to measure and record, and the urinary sensory scale score was completed at the same time. The predictive value and measurement value of bladder filling training in two groups were compared and compared. The correlation between urinary sensation and measurement value was analyzed by Pearson correlation and the changes of bladder volume predictive value and measurement value during radiotherapy were evaluated. Results there was no significant difference between the predicted values and the measured values of the two groups (P0.05). The predicted values and the measured values of the patients in the non-operation group were significantly higher than those in the operation group (P0.01). The correlation between urinary sensation and measurement value (r = 0.817) was higher in the non-operative group than that in the operation group (r = 0.734), and the predictive value and the measured value were significantly increased with the development of bladder filling training in both groups (P0.05). The predicted value of bladder volume was consistent with the measured value in the course of radiotherapy. The predicted value of bladder volume decreased with the progress of radiotherapy, and the predicted value of the patient was slightly higher than the measured value. Conclusion bladder filling training can help patients to obtain a reliable and stable sense of urine, even if there is a history of pelvic surgery patients can also receive bladder filling training, the bladder filling volume of patients with radiotherapy will gradually decrease with the progress of radiotherapy. The reliability of urinary sensitivity is also reduced, so it is recommended that bladder volume detector be used to detect bladder filling in late radiotherapy.
【作者单位】：郑州大学附属肿瘤医院河南省肿瘤医院放疗科;郑州大学附属肿瘤医院河南省肿瘤医院胸外科;漯河市第六人民医院普外科;
【分类号】：R730.55

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