摘要
Objective： To observe the effect of acupuncture plus medium-frequency electric stimulation on bladder function after radical hysterectomy for cervical cancer. Methods： A total of 170 patients confirmed by biopsy and surgical pathology and treated with radical hysterectomy for cervical cancer were randomly divided into an acupuncture group, an observation group and a control group by random digital table. Fifty-six cases in the acupuncture group were treated with acupuncture after surgery, one session each day, till the extubation day; 58 cases in the observation group were treated with acupuncture plus medium-frequency electric stimulation after surgery, one session each day, till the extubation day; and 56 cases in the control group didn＇t receive any intervention, and the catheter was retained till the extubation day. On the postoperative day 14, all groups were dealt with catheterization to determine the residual urine volume, in order to observe the occurrence rate of urinary retention and the recovery of bladder function and to compare the differences of the therapeutic effects among the groups. Results： The occurrence rates of urinary retention were respectively 16.1%, 20.7% and 46.4% in the acupuncture group, observation group and control group, with significant differences （P〈0.05）. When comparing the acupuncture group and the observation group with the control group, there were significant differences （both P〈0.05）. In comparison between the acupuncture group and the observation group, there was no significant difference （P〉0.05）. The recovery rates of bladder function in the three group were respectively 42.9%, 60.3% and 41.1% without significant differences （P〉0.05）. Moreover, there were no significant between-group differences （P〉0.05）, but acupuncture plus medium-frequency electric stimulation showed a better tendency. Conclusion： The single application of acupuncture therapy is effective and able to prevent urinary retention after radical hysterectomy for cerv
目的:观察针刺与中频电疗法对宫颈癌根治术后膀胱功能的影响。方法:将170例经活检或手术病理确诊为宫颈癌并行宫颈癌根治术的患者按随机数字表法随机分为针刺组、观察组和对照组。针刺组56例,术后接受针刺治疗,每日1次,至拔管日;观察组58例,术后接受针刺加中频电刺激治疗,每日1次,至拔管日;对照组56例,不接受任何干预措施,留置导尿管至拔管日。各组均于术后第14 d给予导尿法测定膀胱残余尿量,观察尿潴留的发生率及膀胱功能的恢复情况,比较各组间的疗效差异。结果:针刺组、观察组和对照组尿潴留的发生率分别为16.1%、20.7%及46.4%,有显著性差异(P<0.05),且针刺组、观察组与空白对照组比较,均有显著性差异(均P<0.05),针刺组与观察组比较,无显著性差异(P>0.05);三组病例膀胱功能恢复率分别为42.9%、60.3%及41.1%,无显著性差异(P>0.05),且每两组间比较亦无显著性差异(P>0.05),但观察组有优于针刺组及空白对照组的趋势。结论:单独使用针刺疗法即可有效预防宫颈癌根治术后尿潴留,而针刺与中频电并用可有效提高膀胱功能恢复率,最大程度降低膀胱残余尿量。
基金
supported by Scientific Research Fund Project of Qilu Hospital of Shandong University, No. 2015QLQN17
Basic Research and Business Special Fund of Shandong University, No.260101756166072~~
