目的：探讨电刺激联合盆底肌肉训练辅以心理干预疗法对机器人辅助根治性前列腺切除术（RARP）后尿失禁 患者的影响。方法：选取 2020 年 7 月—2021 年 12 月南京医科大学第一附属医院收治的 100 例 RARP 后尿失禁患者 作为研究对象，随机将其分为对照组和试验组，每组 50 例。对照组进行电刺激联合盆底肌肉训练，试验组在此基 础上增加心理干预疗法，治疗时间均为两个月。使用国际尿失禁咨询委员会尿失禁问卷简表（ICIQ-UI SF）、愈显率、 1 h 尿垫试验、尿失禁生活质量问卷（I-QOL）、焦虑自评量表（SAS）和抑郁自评量表（SDS）评估两组的治疗效果。 结果：与治疗前相比，治疗后两组患者的 ICIQ-UI SF 评分下降、1 h 漏尿量减少、I-QOL 评分升高、SAS 评分和 SDS 评分均下降（P<0.001）。治疗后，试验组的 ICIQ-UI SF 评分、1 h 漏尿量、I-QOL 评分、SAS 评分和 SDS 评分均优 于对照组（P<0.001），且尿失禁的愈显率高于对照组（P<0.05）。结论：电刺激联合盆底肌肉训练辅以心理干预疗 法能有效缓解 RARP 后患者的尿失禁，提高其生活质量和心理健康程度。

Objective: To investigate the efficacy of electrical stimulation combined with pelvic floor muscle training supplemented with psychological intervention on urinary incontinence in patients undergoing robot-assisted radical prostatectomy (RARP). Methods: 100 patients with urinary incontinence who underwent RARP in the First Affiliated Hospital of Nanjing Medical University were selected and randomly divided into the control group (n=50) and the experimental group (n=50). The control group received pelvic floor muscle training combined with electrical stimulation therapy, while the experimental group additionally received psychological intervention therapy. The treatment lasted two months. The treatment effects were evaluated using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF), cure rate, 1-hour pad test, Incontinence Quality of Life Questionnaire (I-QOL), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS). Results: The ICIQ-UI-SF score, 1-hour urine leakage, I-QOL score, SAS score, and SDS score were all decreased in the two groups after treatment compared to before treatment (P<0.001). After treatment, the experimental group significantly outperformed the control group in terms of the ICI-Q-SF score, 1-hour urine leakage, I-QOL score, SAS score, and SDS score (P<0.001), and the recovery rate of urinary incontinence was higher than that of the control group (P<0.05). Conclusion: Electrical stimulation combined with pelvic floor muscle training supplemented with psychological intervention therapy can effectively alleviate urinary incontinence in postoperative RARP patients and improve their quality of life and psychological health.

基金项目：国家自然科学基金（82103584）  

Foundation Item: National Natural Science Foundation of China(82103584)  

通讯作者：洪含霞，Email：31849628@qq.com 

Corresponding Author: HONG Hanxia, Email: 31849628@qq.com  

引用格式：张敏，赵睿哲，洪含霞 . 电刺激联合盆底肌肉训练辅以心理干预疗法对机器人辅助根治性前列腺切除术后患者尿失禁 的影响 [J]. 机器人外科学杂志（中英文），2025，6（1）：113-117. 

Citation: ZHANG M, ZHAO R Z, HONG H X. Effect of electrical stimulation combined with pelvic floor muscle training  supplemented with psychological intervention therapy on urinary incontinence in patients undergoing robot-assisted radical  prostatectomy[J]. Chinese Journal of Robotic Surgery, 2025, 6(1): 113-117.

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