电针联合膀胱功能锻炼治疗子宫颈癌根治术后膀胱功能障碍临床研究  

Therapeutic Effect of Electric Acupuncture Combined with Bladder Function Training for Bladder Dysfunction After Radical Hysterectomy of Cervical Carcinoma

作　　者：曾朝阳[1] 周国平[2] 谭琛[3] 

机构地区：[1]南方医科大学中西医结合医院妇科,广东广州510315 [2]南方医科大学中西医结合医院针灸推拿科,广东广州510315 [3]郴州市第一人民医院妇科,湖南郴州423000

出　　处：《新中医》2014年第8期143-146,共4页New Chinese Medicine

摘　　要：目的;观察电针联合膀胱功能锻炼治疗子宫颈癌术后膀胱功能障碍的临床效果和可能机制。方法：前瞻性分析两家医院2010年1月～2013年12月子宫颈癌术后患者180例，随机分为电针治疗纽58例、膀胱功能锻炼纽62例、联合治疗组60例。3组均于术后5天开始治疗。电针治疗组采用电针治疗。膀胱功：功能锻炼组采用膀胱功能锻炼。联合治疗组采用电针联合膀胱功能锻炼治疗。观察术后2周自主排尿成功率、膀胱症状、尿动力学检测指标。结果：联合治疗组术后2周自主排尿成功率高于电针治疗组及膀胱功能锻炼组，差异均有显著性意义（P〈0．05）。联合治疗组术后2周膀胱症状均优于电针治疗组及膀胱功能锻炼组，差异均有显著性意义（P〈0．05）。联合治疗组术后2周膀胱初感容积均小于电针治疗组及膀胱功能锻炼组，术后2周最大膀胱容量及最大尿流率均高于电针治疗组及膀胱功能锻炼组，差异均有显著性意义（P〈0．05）。结论：电针联合膀胱功能锻炼治疗可以提高术后自主排尿成功率、减轻术后膀胱症状，机制可能为减轻逼尿肌收缩力受损。Objective： To investigate the effect and possible mechanism of electric acupuncture combined with bladder function training in treating bladder dysfunction after radical hysterectomy of cervical carcinoma. Methods： A prospective study was carried out in 108 patients with bladder dysfunction after radical hysterectomy collected from January of 2010 to December of 2013 in Integrated Chinese and Western Medicine Hospital of Southern Medical University and the First People＇s Hospital of Chenzhou. The grouping of all of the patients was as follows： 58 cases in electric acupuncture group（EA group）, 62 in bladder function training group（BT group）, and 60 in electric acupuncture combined with bladder function training group （EA-BT group）. Successful automatic micturition rate, bladder symptoms and urodynamics indexes were investigated 2 weeks after treatment. Result： Successful automatic micturition rate in EA-BT group was significantly higher than that in both EA group and BT group, the difference being significant （P 〈0.05）. The relief of bladder symptoms in EA-BT group was significantly superior to that in both EA group and BT group, the difference being significant（P〈 0.05）. Primary bladder volume in EA-BT group was significantly less than that in both EA group and BT group, while maximum bladder volume and maximum urinary flow rate were higher than those in both EA group and BT group, the difference being significant（P〈0.05）. Conclusion- Electric acupuncture combined with bladder function training can increase successful automatic micturition rate and reduce bladder symptoms, and the possible mechanism is related with the enhancement of detrusor contraction force.

关 键 词：子宫颈癌 根治术后 膀胱功能障碍 电针 膀胱功能锻炼 膀胱症状 尿动力学 

分 类 号：R737.33[医药卫生—肿瘤]