氦-氖激光穴位照射对广泛性子宫切除术后膀胱功能恢复的影响  

The effects of He-Ne laser irradiate acupoints on recovery of urinary bladder function after radical hysterectomy

作　　者：蒋兴伟[1] 熊正爱[1] 钟玲[1] 江望[1] 

机构地区：[1]重庆医科大学附属第二医院,重庆400010

出　　处：《激光杂志》2010年第3期61-62,共2页Laser Journal

摘　　要：目的：研究氦-氖激光穴位照射对广泛性子宫切除术后膀胱功能恢复的影响。方法：192例因宫颈癌IB~ⅡA期而行广泛性子宫切除及盆腔淋巴结清扫术的患者随机分为三组,即对照组,药物组和激光组,每组64例。对照组常规留置尿管和膀胱冲洗;药物组在对照组基础上,于术后第8-13天口服溴吡斯的明,第11~13天加服坦素罗辛;激光组在对照组基础上,于术后第8~13天采用氦—氖激光穴位照射治疗。所有患者于术后第14天拔除导尿管,第15天行残余尿量测定。结果：对照组、药物组和激光组的残余尿量分别是（154.67±73.83）ml、（77.23±38.54）ml和（62.33±39.27）ml,尿潴留发生率分别是37.5%、17.19%和12.5%,平均留置尿管时间分别为（21.73±4.52）天、（17.21±3.47）天和（16.98±2.24）天。药物组和激光组的残余尿量、尿潴留发生率和平均留置尿管时间均明显少于对照组（P〈0.01）,且激光组残余尿量还明显少于药物组（P〈0.05）。结论：氦—氖激光穴位照射能有效促进广泛性子宫切除术后膀胱功能的恢复,减少尿潴留的发生,缩短留置尿管时间。Objective：To study the effects of acupoints were irradiated by He-Ne laser on recovery of urinary bladder function after radical hysterectomy.Methods：192 patients,who underwent radical hysterectomy and pelvic lymphadenectomy because of cervical cancer in clinical stage IB～IIA,were randomly divided into control group,drug group and laser group,64 cases in each group.The urinary tube was placed and kept with routine method and the urinary bladder was rinsed in the control group;Orally pyridostigmine bromide was given from the eighth day to the thirteenth day and tamsulosin was given from the eleventh day to the thirteenth day after operation in the drug group and acupoints were irradiated by He-Ne laser from the eighth day to the thirteenth day after operation in the laser group on the basis of treatment in the control group.The urethral catheter was removed on the fourteenth day after operation and the residual urine volume was measured on the fifteenth day after operation to overall patients.Results：The residual urine volume were（154.67±73.83）ml,（77.23±38.54） ml and（62.33±39.27）ml respectively,the incidence rate of urinary retention were 37.5%,17.19% and 12.5% respectively,the average time of retention catheter were （21.73±4.52） day,（17.21±3.47） day and（16.98±2.24）day respectively in the control group,the drug group and the laser group.The residual urine volume,the incidence rate of urinary retention and the average time of retention catheter were significantly less in the drug group and the laser group compared with the control group（P〈0.01）,and the residual urine volume was significantly less in the laser group compared with the drug group（P0.05）.Conclusion：The acupoints are irradiated by He-Ne laser can effectively promote recovery of urinary bladder function,reduce incidence rate of urinary retention and decurtate average time of retention catheter after radical hysterectomy.

关 键 词：激光 穴位 宫颈肿瘤 尿潴留 手术后并发症 

分 类 号：TH773[机械工程—仪器科学与技术] R245.9[机械工程—精密仪器及机械]