摘要
目的观察穴位埋线预防宫颈癌术后尿潴留的临床疗效。方法将符合诊断标准的50例患者随机分为治疗组和对照组,每组25例。对照组给予妇科术后留置导尿常规处理;治疗组在对照组常规治疗的基础上术后第7天予以足三里、三阴交、阴陵泉、关元、肾俞穴穴位埋线治疗。术后14 d拔除尿管后比较两组患者的膀胱功能、排尿情况、残余尿量。结果治疗组治疗后膀胱功能优于对照组(P<0.05);治疗组自主排尿显效率为92.0%,对照组为72.0%,两组比较差异有统计学意义(P<0.05)。结论在宫颈癌术后进行早期的穴位埋线干预可以有效降低术后尿潴留的发生率,且操作简单,值得临床应用。
Objective To observe the clinical efficacy of acupoint thread embedding in preventing urinary retention after cervical cancer surgery. Method Fifty eligible patients were randomized into a treatment group and a control group, 25 cases each. The control group was given catheterization after gynecological surgery; the treatment group was intervened by thread embedding at Zusanli（ST36）, Sanyinjiao（SP6）, Yinlingquan（SP9）, Guanyuan（CV4）, and Shenshu（BL23） on the 7th day after the surgery in addition to the basic intervention given to the control group. The indwelling catheter was removed on the 14 th day after the surgery, and the bladder function, urination, and residual urine volume were compared between the two groups. Result After the treatment, the bladder function in the treatment group was significantly better than that in the control group（P〈0.05）; the markedly effective rate of spontaneous micturition was 92.0% in the treatment group versus 72.0% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Early intervention with acupoint thread embedding after cervical cancer surgery can effectively decrease the incidence of post-surgery urinary retention, and it＇s easy-to-operation and worth application in clinic.
出处
《上海针灸杂志》
2017年第10期1229-1232,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
浙江省中医药科技计划项目(2015ZA130)
关键词
穴位疗法
埋线
手术后并发症
宫颈癌术后
尿潴留
Acupoint therapy
Thread embedding
Post-surgery complications
Post cervical cancer surgery
Urinaryretention
