电针治疗经尿道前列腺电切术后膀胱过度活动症效果  

ELECTROACUPUNCTURE FOR OVERACTIVE BLADDER AFTER TRANSURETHRAL RESECTION OF PROSTATE

作　　者：申永璋[1] 申琳[2] 

机构地区：[1]日照市人民医院泌尿外科,山东日照276826 [2]山东大学医学院

出　　处：《齐鲁医学杂志》2012年第4期341-342,345,共3页Medical Journal of Qilu

摘　　要：目的探讨电针预防性治疗经尿道前列腺电切术(TURP)后膀胱过度活动症的效果。方法将60例前列腺增生症病人,随机分为电针组及对照组各30例。电针组手术当日(术前)始,预防性采用穴位针刺电刺激,取穴会阳、次髎、曲骨、会阴,治疗30min,每天1次。对照组在TURP术后膀胱过度活动发作严重时,给予哌替啶50mg肌肉注射,并山莨菪碱10mg肌肉注射对症治疗。比较两组TURP术后72h内膀胱区阵发性痉挛性疼痛伴或不伴急迫性尿失禁的次数及膀胱过度活动持续时间。结果电针组在术后不同时间段膀胱痉挛次数及平均持续时间均少于对照组,差异有显著性(t=2.41～7.51,P<0.05)。结论 TURP术后早期应用电针疗法对预防膀胱过度活动症疗效显著,是解决TURP后病人膀胱过度活动安全、有效的方法。Objective To evaluate the effect of prophylactive treatment of overactive bladder after transurethral resection of prostate （TURP） by using eleetroacupuncture （EA）. Methods Sixty patients with benign prostate hyperplasia （BPH） were evenly randomized to EA group and control group. The patients in EA group were offered prophylatic acupuncture point electric stimulation for 30 rain, once a day, starting from the day of surgery, the selected points were Hui Yang, Ci Liao, Qu Gu and Hui Yin, and those in control group were injected pethidine and anisodamine postoperatively when overactive bladder attacked. Postop- eratively, a comparison was made between the two groups within 72 hours in terms of frequency of paroxysmally spastic pain, with or without urge incontinence and the duration of overactive bladder. Results The frequency and duration of over activity of blad- der in patients of EA group were less than that of the control group, the difference between them was significant （t=2. 41-7. 51, P〈0.05）. Conclusion In the early stage after TURP, electroacupuneture can safely and effectively prevent over-activity of bladder.

关 键 词：电针 经尿道前列腺切除术 膀胱 过度活动性 

分 类 号：R697.32[医药卫生—泌尿科学]