前列腺癌根治术后电针联合提肛训练对改善尿控的研究  

The study of electrical acupuncture stimulation therapy combined with pelvic floor muscle therapy for postprostatectomy incontinence

作　　者：杨柏帅[1] 叶定伟[1] 姚旭东[1] 彭江燕[2] 张世林[1] 戴波[1] 张海梁[1] 沈益君[1] 朱耀[1] 朱一平[1] 施国海[1] 

机构地区：[1]复旦大学附属肿瘤医院泌尿外科复旦大学上海医学院肿瘤学系,200032 [2]上海立信会计学院

出　　处：《中华外科杂志》2010年第17期1325-1327,共3页Chinese Journal of Surgery

摘　　要：目的 探讨电针辅助提肛锻炼对前列腺癌根治术后患者尿失禁治疗的效果和意义.方法 2008年9月至2009年9月接受前列腺癌根治术并完整随访的患者109例,年龄48～79岁.按照术前患者意愿分为两组：治疗组40例,拔除导尿管1周后,在提肛锻炼的同时加用电针辅助治疗;对照组69例,术后只应用提肛锻炼帮助尿控恢复.随访术后尿控情况,记录相关临床特征,进行ICI-Q-SF量表评分,并进行相关统计学分析.结果 治疗组和对照组尿控曲线差异具有统计学意义（P=0.029）.两组尿控率差异从术后4周起逐渐明显,至术后6周差异最大（P=0.023）,其后差异逐渐缩小,至术后16周基本无差异.ICI-Q-SF评分量表显示的两组患者主观尿失禁感受也与尿控率情况相符合.结论 前列腺癌根治术后电针辅助提肛锻炼可以明显缩短患者尿控恢复时间.Objective To explore the effectiveness and significance of whether electrical acupuncture stimulation combining with pelvic floor muscle therapy （PFMT） can improve the recovery of urinary continence. Methods A total of 109 patients took part in the study of novel combination treatment for urinary continence from September 2008 to September 2009. Patients were divided into study group （ n=40） and control group （n =69）. The patients in study group received electrical acupuncture stimulation therapy combined with PFMT one week after removal the catheter. The patients in control group performed PFMT as the only treatment for post prostatectomy incontinence. The patients were followed up closely, with their clinical characteristics recorded, questionnaires of ICI-Q-SF filled up, and all the data for statistical analysis collected. Results There was a significant difference between the study group and the control group in the urinary control curve（ P =0. 029）. The difference of continence probability between these two groups became greater from 4 weeks after surgery, and the difference reached the peak at 6 weeks （ P = 0. 023 ）.Then the difference became smaller, and there was no difference at 16 weeks after surgery. ICI-Q-SFquestionnaires showed the same results. Conclusion Electrical acupuncture stimulation therapy combining with PFMT can improve the recovery of patients＇ urinary continence after radical prostatectomy.

关 键 词：前列腺肿瘤 前列腺切除术 尿失禁 电针 

分 类 号：R737.25[医药卫生—肿瘤]