| Objective: The pelvic floor function parameters were analyzed at different times within6 months of patients undergoing rehabilitation intervention and patients without intervention after cervical cancer surgery.Discuss the change of pelvic floor function and the effects of early rehabilitation intervention.Methods: This study used a prospective cohort study.The subjects were from Shengjing Hospital from December 2017 to January 2020 underwent radical hysterectomy for cervical cancer.The experimental group had rehabilitation measures after surgery(According to the starting time,it is divided into A: 14 days after the surgery,and B: 1month after the surgery),and the control group(C)was a patient who did not undergo intervention.Record pelvic floor function data at 1 month,3 months,and 6 months after surgery.Compare the objective(I muscle strength,II muscle strength,vaginal dynamic pressure)and subjective indicators of pelvic floor function of the experimental group and control group at the same time,and compare the objective and subjective indicators of the pelvic floor of the group A and group B at the same time.To evaluate the effect of rehabilitation measures and early rehabilitation measures on patients after radical hysterectomy.The collected data was statistically analyzed using SPSS22.0 software.The test subjects generally used a two-sample t test;the measurement data were described by frequency and using the c2test;the data did not meet the normality and homogeneity of variance using the Mann-Whitney U test Methods: The test level was set to 0.05,and P<0.05 was statistically significant.Results:1.There was no significant difference in the basic conditions between the experimental group and the control group,and the patients in group A and group B(P>0.05).2.One month after surgery,the experimental group I muscle strength,vaginal dynamic pressure,and subjective symptom scores were better than the control group,and the differences were statistically significant(P <0.05).The experimental group II muscle strength was better than the control group,but the differences were No statistical significance(P>0.05).Three months after surgery,the experimental group I muscle strength,vaginal dynamic pressure,and subjective symptom scores were better than thecontrol group,the differences were statistically significant(P<0.05).The experimental group II muscle strength was better than the control group,but its The difference was still not statistically significant(P>0.05).Six months after surgery,the experimental group I muscle strength,type II muscle strength,vaginal dynamic pressure,subjective symptom score,and the ratio of people who recovered sex were better than the control group,and the differences were statistically significant(P<0.05).3.Three months after the surgery,the I muscle strength,the II muscle strength,and the subjective score of group A were better than group B.The difference was statistically significant(P<0.05).The dynamic pressure of vagina in group A was higher than in group B,but the difference was not statistical academic meaning.At 6 months after surgery,the differences in the scores of objective and subjective indicators of the pelvic floor between the A and B groups were significantly reduced,and only the differences in the muscle strength of type II were statistically significant(P<0.05).I muscle strength,PFDI-20 score,vaginal dynamic pressure,and sexual life recovery ratio were not statistically significant(P>0.05).Conclusion: 1.Pelvic floor rehabilitation measures can improve the objective and subjective indicators of the pelvic floor function within 6 months after surgery,improve the quality of life,and reduce time for begin sexual life.It is of great significance to improve the pelvic floor function of patients after surgery.2.The earlier the rehabilitation measures are given to the patient,the earlier the pelvic floor function can be improved.3.The pelvic floor function has a natural recovery trend within six months after the surgery.Recovery from 0 to 3 months after surgery was faster than from 3 to 6months.The rapid recovery of pelvic floor function in patients 0 to 3 months after surgery is a good time for begin rehabilitation measures. |
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