Study On The Effect Of Pelvic Floor Muscle Training Based On ERAS Concept On Intestinal Function And Quality Of Life With Rectal Cancer Patients

Objective: To explore the effect of pelvic floor muscle training based on the concept of enhanced recovery after surgery on intestinal function and quality of life in patients with laparoscopic anterior rectal resection,and to provide methods and theoretical basis for accelerating intestinal rehabilitation in patients with rectal cancer after surgery.Methods: From December 2021 to December 2022,106 patients with rectal cancer who underwent laparoscopic surgery in the Department of Rectal Surgery of a tertiary hospital in Changchun were selected as the research subjects,and the random number table method was used to divide the study subjects into control group and observation group.53 patients in the control group adopted the surgical nursing mode of enhanced recovery after surgery,and 53 patients in the observation group carried out pelvic floor muscle training on the basis of the control group.Before and 12 weeks after the intervention,the "Xu Zhongfa five-point evaluation form" was used to evaluate bowel movement,the "Chinese version of MSKCC intestinal questionnaire" to evaluate rectal function,and the "tumor quality of life measurement questionnaire(EORTC QLQ-C30)" to evaluate quality of life.SPSS 27.0 was used for statistical analysis,and the α=0.05 was set to be statistically significant with P<0.05.Results: 1.Comparison of general data of the two groups of study subjects: the patients were compared with age,gender,BMI,education level,type of medical insurance,clinical stage,tumor edge dentate line,whether to receive adjuvant chemotherapy/radiotherapy treatment,etc.The difference was not statistically significant(P>0.05),which was comparable.2.Before the intervention,the two groups had no significant difference in the excellent rate of bowel movements,rectal function(frequent and urgent stools,defecation affected by diet,and defecation sensation),quality of life(functional area,symptom area,economic status and general health)scores(P>0.05),which were comparable.3.After the intervention,the excellent rate of defecation in the two groups was compared,and the excellent rate of defecation in both groups was improved,and the excellent rate of defecation in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Compared with the two groups for rectal function,the observation group had higher scores than the total score of fecal frequency and urgency factor,defecation affected by diet,fecal sensory factor and rectal function score before the intervention,and the total score scores of the control group were statistically significant(P<0.05).Quality of life was compared,and after the intervention,the overall health score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).In terms of physical,emotional,role and social function,the scores of the observation group were better than those of the control group,and the difference was statistically significant(P<0.05),and the difference in cognition was not statistically significant(P>0.05).In the field of fatigue,pain,loss of appetite,constipation and diarrhea symptoms,the observation group had a significant effect on improving the above symptoms(P<0.05),and the difference between the two groups was not statistically significant(P>0.05).Compared with the economic conditions,the economic hardship score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion: Pelvic floor muscle training based on ERAS concept is safe,economical and feasible,and helps to improve bowel movement,rectal function and quality of life in patients with laparoscopic anterior rectal resection after surgery,and promote postoperative recovery.