摘要
目的:观察补肾利水汤联合针灸对宫颈癌术后顽固性尿潴留的影响。方法:采用简单随机抽样法将90例宫颈癌术后顽固性尿潴留患者分为对照组(n=45)和观察组(n=45),对照组给予针灸治疗,观察组给予补肾利水汤联合针灸治疗,以7天为1个疗程;比较两组临床疗效、治疗前后主要症状积分变化、尿动力学水平(残余尿量、最大尿流率、最大尿流率时逼尿肌压力)变化、尿管留置时间及不良反应。结果:观察组治疗7天后的总有效率为91. 11%,明显高于对照组的68. 89%,差异有统计学意义(P<0. 05)。治疗7天后,两组排尿无力、小腹胀痛、腰膝酸软、倦怠无力等症状积分及残余尿量、最大尿流率、最大尿流率时逼尿肌压力等尿动力学水平较治疗前均明显降低(P<0. 05),且观察组显著低于对照组(P<0. 05)。经不同疗程治疗,所有患者最终均拔出尿管,恢复自主排尿功能,观察组较对照组尿管留置时间明显缩短,差异有统计学意义(P<0. 05)。两组均无明显不良反应。结论:补肾利水汤联合针灸治疗宫颈癌术后顽固性尿潴留疗效显著,优于单纯针灸治疗。
Objective:To observe the effect of Bushen Lishui Decoction combined with acupuncture on refractory urinary retention after cervical cancer surgery.Methods :90 patients with refractory urinary retention after cervical cancer surgery were randomly divided into controlled group (n =45)and observation group (n =45).The controlled group was treated with acupuncture while the observation group was treated with Bushen Lishui Decoction combined with acupuncture.7days was 1 course of treatment.The clinical curative effect,changes of main symptom scores,urodynamic changes (residual urine volume,the maximum urine flow rate,detrusor pressure at the maximum urine flow rate)before and after treatment,catheter indwelling time and adverse reactions were compared between the two groups.Results:The total response rate of the observation group after 7d of treatment was significantly higher than that of the controlled group (91.11% vs 68.89%)(P <0.05).After 7d of treatment, scores of acraturesis,lower abdominal pain and distension,soreness and weakness of waist and knees,tiredness and weakness, the residual urine volume,the maximum urine flow rate,the detrusor pressure at maximum urinary flow rate and other urodynamic levels in the two groups were significantly decreased (P <0.05),showing the observation group <the controlled group (P < 0.05).After different courses of treatment,catheters of all patients were eventually removed and the auto-urination function was restored.The catheter indwelling time of the observation group was shorter than that of the controlled group (P<0.05).There was no obvious adverse reaction in the two groups.Conclusion:Bushen Lishui Decoction combined with acupuncture is significantly effective in the treatment of refractory urinary retention after cervical cancer surgery.The curative effect isbetter than that of acupuncture alone.
作者
王君
WANG Jun(Department of Gynaecology and Obstetrics,Yanzhou District Hospital of Traditional Chinese Medicine ,Ji'ning Shandong 272100,China)
出处
《四川中医》
2018年第11期148-151,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
宫颈癌
尿潴留
补肾利水汤
针灸
Cervical cancer
Urinary retention
Bushen Lishui Decoction
Acupuncture
