关键词: 直肠肿瘤, Kegel运动, 水疗法, 低位直肠前切除综合征, 生活质量

Abstract: Objective　To investigate the effect of Kegel exercise combined with hydrotherapy on low anterior resection syndrome（LARS） and quality of life in patients after rectal cancer surgery.Methods　The participants were 85 cases of low rectal cancer who underwent laparoscopic low anterior resection of rectal cancer in Gastroenterological Surgery，Anhui Provincial Hospital between March 2014 and December 2016.Using an Excel formula and excluding the cases failing to complete the study，they were randomly divided into control group（41 cases） and observation group（40 cases） after admission.Both groups received the conventional nursing after surgery，the observation group additionally received Kegel exercise intervention.At 1，3，6 months after surgery，two groups' LARSS score and LARS severity were assessed by the Chinese version of Low Anterior Resection Syndrome Scale，and the quality of life status was assessed by the Chinese version of EORTC QLQ-C30，respectively.Results　Compared with the control group，the observation group demonstrated lower average LARSS score at 1，3，6 months after surgery（P<0.05），and better severity distribution of LARS at 3，6 months after surgery（χ2=6.544，χ2=6.687，P<0.05）．At 1，3，6 months after surgery，higher scores of cognitive functioning，role functioning and emotional functioning were found in the observation group（P<0.05）．Moreover，at 3，6 months after surgery，higher scores of physical functioning，social functioning and general health status were identified in the observation group（P<0.05）．Conclusion　Kegel exercise combined with hydrotherapy can improve the LARS，quality of life，as well as the recovery of patients undergoing anus-preserving surgery for low rectal cancer.

Key words: Rectal neoplasms, Kegel exercise, Hydrotherapy, Low anterior resection syndrome, Quality of life