针刺对360例子宫全切术后患者膀胱功能影响分析

• 作者: 张友忠 杜广中 杨振杰 步华磊 肖学伟
• 来源期刊: 世界针灸杂志（英文版）
• 年，卷（期）: 2020,（3）
• 所属期刊栏目: Clinical Research
• 页码范围: 188-192
• 页数: 5页
• 语种: 英文

摘要

Objective: To analysis the clinical curative effect on bladder function recovery after radical hysterectomy with acupuncture and acu-physiotherapy.Methods: A total of 564 cervical cancer patients in the gynecology department who received radical hysterectomy from January 2011 to December 2017 in Qilu Hospital of Shandong University were collected.According to the inclusion and exclusion criteria,we studied 360 case records at last,with 120 cases respectively.Patients got treatment of acupuncture[acupuncture at Zhōngwǎn (中脘 CV12),Tiānshū(天枢 ST25),Shuǐdào(水道 ST28),Tàichōng(太冲 LI3),Sānyīnjiāo (三阴交 SP6),Zúsānlǐ (足三里 ST36) and Yinlíngquán (阴陵泉 SP9)],or acu-physiotherapy with two large-size electrodes placed on the bladder area above the pubic symphysis besides acupuncture,from the 3rd day after operation once a day till the 14th day that removing the indwelling catheter.And the blank group got no other auxiliary treatment except scrubbed the meatus orifice with iodophor twice a day.We tested the residual urine volume 6 h later after removement of indwelling catheter.Residual urine volume more than 100 mL was defined as urinary retention,and the volume less than 50 mL was defined as adequate bladder emptying.Results: We analyzed patients' age,the International Federation of Gynecology and Obstetrics (FIGO)stage,operation duration,amount of hemorrhage,depth of myometrium infiltration,cancer embolus,parametrium invasion,lymphatic metastasis,treating methods and residual urine volume recorded in case records,and there was no significant difference between every two groups (P ＞0.05).The incidences of urinary retention of the acupuncture group,the acu-physiotherapy group and the blank group were 24.17％,21.67％,and 44.17％,indicating that both treating methods have significant effects (P ＜0.05),and acupuncture group was a little better than acu-physiotherapy group.The bladder function recovery rates of the 3 groups were 44.17％,56.67％,and 40.83％ correspondingly,which had significant difference between acu-physiotherapy group and blank group (P ＜0.05).Both acupuncture and acu-physiotherapy could reduce the incidence of urinary retention for the patients of Ⅰb1 and IⅡa1 stages (P ＜0.01),whilst for patients of Ⅰb2 and Ⅱa2 stages,neither of the two methods was effective (P ＞0.05).Conclusion: Both acupuncture and acu-physiotherapy could prevent urinary retention after radical hysterectomy for local early cervical cancer (Ⅰb1 and Ⅱa1 stages) effectively,and acupuncture was a little more effective than acu-physiotherapy group.Acupuncture together with modulated medium frequency eletro-therapy could improve the cure rate of bladder function and minimize the residual urine volume.