中医多途径综合疗法治疗宫颈癌术后尿潴留的临床效果评价  

Evaluation of the Effect of Multi-Channel Comprehensive Therapy of Traditional Chinese Medicine on the Cervical Cancer Patients with Postoperative Urinary Retention

作　　者：杨格娟[1] 王冬梅[1] 庞瑞[1] 孙永强[1] 谢丹[1] 

机构地区：[1]新疆医科大学附属肿瘤医院中西医科,新疆乌鲁木齐830001

出　　处：《现代生物医学进展》2017年第30期5900-5903,6000,共5页Progress in Modern Biomedicine

摘　　要：目的:评价中医多途径综合疗法治疗宫颈癌术后尿潴留的临床效果和安全性。方法:选择2013年12月至2016年9月我院收治的60例宫颈癌术后出现尿潴留症状的患者,按其意愿将其分为对照组(30例)与研究组(30例),对照组接受水流声诱导、盆底肌锻炼等常规治疗方法,研究组在对照组基础上加以中医多途径综合疗法,比较两组治疗前后中医症状症状积分、自主排尿功能恢复时间、膀胱残余尿量、尿路感染率等情况。结果:治疗前,两组排尿无力、小腹坠胀、倦怠乏力、腰膝酸软积分比较差异均无统计学意义(P>0.05);治疗后,两组以上指标均较治疗前明显降低,且研究组小腹胀痛、倦怠乏力积分均明显低于对照组,差异具有统计学意义(P<0.05);研究组自主排尿功能恢复时间、膀胱残余尿量均明显低于对照组,差异具有统计学意义(P<0.05);研究组尿路感染率为6.78%,明显低于对照组(23.33%),差异具有统计学意义(P<0.05)。结论:中医多途径综合疗法治疗宫颈癌术后尿潴留的疗效肯定,可明显缩短病程,并降低尿路感染发生率。Objective： To evaluate the effect and safety of multi-channel comprehensive therapy on the cervical cancer patients with postoperative urinary retention. Methods： From December 2013 to September 2016, 60 cases of cervical cancer patients with postoperative urinary retention were divided into the control group （30 cases） and the study group （30 cases） according to their intention. The control group was given water Acoustic therapy, pelvic floor muscle exercise and other conventional treatment, while the study group was given multi-channel comprehensive therapy on the basis of the control group, the changes of traditional Chinese medicine symptoms before and after treatment, independent urination function recovery time, bladder residual urine output, urinary tract infection rate were compared between the two groups. Results： There was no significant difference in the acraturesis, abdominal bulge, languid, soreness and weakness of waist and knees scores between the two groups before treatment （P〉0.05）. After treatment, the acraturesis, abdominal bulge, languid, soreness and weakness of waist and knees scores of both groups were significantly decreased, and the abdominal pain and burnout scores were significantly lower in the study group （P 〈0.05）. The recovery time of urinary function and the residual urine volume of bladder were significantly lower than those of the control group （P〈0.05）. The infection rate was 6.78% in the study group, which was lower than that of the control group （23.33%）（P〈0.05）. Conclusion： Traditional Chinese medicine multi-channel comprehensive therapy could significantly shorten the course of disease and reduce the incidence of urinary tract infection in the treatment of cervical cancer patients with postoperative urinary retention.

关 键 词：中医 宫颈癌 尿潴留 多途径综合疗法 

分 类 号：R737.33[医药卫生—肿瘤]