摘要
目的:通过观察不同时期电针治疗对宫颈癌术后尿潴留患者膀胱功能恢复的影响,探讨针刺干预的最佳时间。方法:将60例宫颈癌术后留置尿管的患者等分为对照组(术后15d及以上)、观察组(术后7～14d),针刺取双侧八髎、秩边、阴陵泉、三阴交,上髎及下髎配合电针,每日治疗1次,5次为一疗程,共治疗2个疗程。测定治疗前后膀胱残余尿量,比较两组膀胱功能恢复情况。结果:第1和第2疗程治疗结束后观察组的显效率及膀胱平均残余尿量均优于对照组(P<0.05);经1个疗程治疗后观察组患者膀胱功能恢复率优于对照组(P<0.05);观察组恢复自主排尿的患者针刺治疗次数少于对照组(P<0.05)。结论:宫颈癌术后早期给予针刺干预,可明显促进膀胱功能恢复,缩短针刺治疗次数,改善术后患者生活质量。
Objective To observe the effect of electroacupuncture （EA） at different time-points after cervical carcinoma surgery on urinary bladder function of uroschesis patients so as to determine the optimum time of acupuncture intervention. Methods Sixty cervical cancer post-operation patients with catheter due to uroschesis were randomly and equally divided into late treatment group （acupuncture intervention was given from the over 15^th day on after surgery） and early treatment group （acu- puncture was given from the 7^th day to the 14^th day after surgery）. Bilateral Shangliao （BL 31 ）, Ciliao （BL 32）, Zhongliao （BL 33）, Xialiao （BL 34）, Zhibian （BL 54）, Yinlingquan （SP 9） and Sanyinjiao （SP 6） were punctured with filiform needles com- bined with electrical stimulation of bilateral BL 31 and BL 34 for 30 min, once daily for 10 sessions. The residual urine volume was measured before treatment and after 5 and 10 sessions of treatment separately. Results After 5 and 10 sessions of treatment, the average residual urine volumes of both late treatment and early treatment groups were decreased significantly（ P〈0.05）, and the residual urine volume level of the early treatment group was markedly lower than that of the late treatment group （ P〈0.05）. After 5 sessions of acupuncture treatment, of the two 30 cases in the late treatment and early treatment groups, 8 and 17 had an automatic micturition, 22 and 13 needed catheter retention, and following 10 sessions of treatment, 22 and 27 ＇had an automatic micturition, and 8 and 3 still needed catheter retention, respectively. Regarding the functional recovery state of the urinary blad- der, of the two 30 cases in the late treatment and early treatment groups, 6 and 14 were good, 24 and 16 poor respectively fol- lowing 5 sessions of treatment; 15 and 22 were good, 15 and 8 were poor respectively following 10 sessions of treatment. The therapeutic effects of the early treatment group were apparently superior to those of the late treatment group. The number of the treatment sessions for recovering the bladder function was obviously fewer in the early treatment group than in the late treatment group （P〈0.05）. Conclusion Early acupuncture intervention is significantly better than late treatment for reducing residual u- rine volume and promoting bladder function recovery for uroschesis patients undergoing cervical cancer operation.
出处
《针刺研究》
CAS
CSCD
北大核心
2013年第1期64-67,77,共5页
Acupuncture Research
基金
北京中医药大学自主选题(2009JYBZZ-JS 094)
关键词
宫颈癌手术
针刺干预
尿潴留
膀胱功能恢复
Cervical carcinoma operation
Acupuncture intervention
Uroschesis
Bladder function recovery
