艾灸联合提肛肌训练应用于经尿道前列腺电切术后逼尿肌不稳定BPH患者的效果  

Effect of Moxibustion Combined with Levator Ani Muscle Training in Patients with Detrusor Instability BPH after Transurethral Resection of Prostate

作　　者：陈爱萍 范凤英 CHEN Aiping;FAN Fengying(不详;Affiliated Hospital of Putian University,Putian 351100,China)

机构地区：[1]莆田学院附属医院,福建莆田351100

出　　处：《中外医学研究》2022年第23期93-97,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨艾灸联合提肛肌训练应用于经尿道前列腺电切术后逼尿肌不稳定前列腺增生(BPH)患者的效果。方法:将莆田学院附属医院2019年7月-2021年5月收治的111例经尿道前列腺电切术后逼尿肌不稳定BPH患者作为研究对象,按照随机数字表法分为对照组(n=55)与观察组(n=56),对照组给予提肛肌训练,观察组在对照组基础上给予艾灸治疗,两组均干预90 d。观察两组排尿改善情况、阴茎勃起障碍程度、膀胱功能及生活质量。结果:干预90 d后,两组排尿情况较干预前均改善,且观察组每日总尿量高于对照组,每日总排尿次数、每日总漏尿次数少于对照组(P<0.05)。观察组干预90 d后阴茎勃起障碍程度轻于对照组(P<0.05)。干预90 d后,两组Qmax、PVR均优于干预前,且观察组Qmax高于对照组,PVR低于对照组(P<0.05)。干预90 d后,两组BPHQLS各维度得分均高于干预前,且观察组均高于对照组(P<0.05)。结论:艾灸联合提肛肌训练可通过改善逼尿肌不稳定BPH患者膀胱功能,有效控制排尿,减轻阴茎勃起障碍程度,提升生活质量。Objective:To investigate the effect of moxibustion combined with levator ani muscle training in patients with detrusor instability benign prostatic hyperplasia(BPH)after transurethral resection of the prostate.Method:A total of 111 patients with detrusor instability BPH after transurethral resection of prostate were treated in Affiliated Hospital of Putian University from July 2019 to May 2021 were divided into 55 cases in the control group and 56 cases in the observation group by random number table method.The control group was given levator ani muscle training,on the basis of the control group,the observation group was treated with moxibustion.Two groups were intervened for 90 d.The improvement of urination,degree of penile erectile dysfunction,bladder function and quality of life were observed.Result:After 90 d of intervention,the urination conditions of two groups were improved compared with those before intervention,and the daily total urine volume of the observation group was higher than that of the control group,and the total daily urination frequency and daily total urine leakage frequency were lower than those of the control group(P<0.05).The degree of erectile dysfunction in the observation group after 90 d of intervention was lighter than that in the control group(P<0.05).After 90 d of intervention,the Qmax and PVR of two groups were better than those before intervention,and the Qmax of the observation group was higher than that of the control group,and the PVR was lower than that of the control group(P<0.05).After 90 d of intervention,the BPHQLS scores of two groups were higher than those before intervention,and those of the observation group were higher than the control group(P<0.05).Conclusion:Moxibustion combined with levator ani muscle training can improve the bladder function of patients with detrusor instability BPH,effectively control micturition,reduce the degree of penile erectile dysfunction and improve the quality of life.

关 键 词：艾灸 提肛肌训练 经尿道前列腺电切术 前列腺增生 逼尿肌不稳定 

分 类 号：R473.6[医药卫生—护理学]