穴位艾灸联合快速康复干预在腹腔镜下前列腺癌根治术的应用研究  

Application of Acupoint Moxibustion Combined with Rapid Rehabilitation Intervention in Laparoscopic Radical Prostatectomy of Prostate Cancer

作　　者：张燕美[1] 苏晓萍[1] 林忆兰 吴芸珊 ZHANG Yanmei;SU Xiaoping;LIN Yilan;WU Yunshan(Fujian Medical University 2nd Affiliated Hospital,Quanzhou 362000,China;不详)

机构地区：[1]福建医科大学附属第二医院,福建泉州362000

出　　处：《中国医学创新》2023年第16期132-136,共5页Medical Innovation of China

摘　　要：目的:探讨穴位艾灸联合快速康复干预在腹腔镜下前列腺癌根治术的应用价值。方法:回顾性分析2020年1月-2022年1月在福建医科大学附属第二医院进行前列腺癌根治术治疗的80例前列腺癌患者的临床病例资料,按护理方法不同分为对照组和观察组,每组40例。对照组在围手术期给予快速康复护理干预,观察组在对照组的基础上再给予穴位艾灸干预。比较两组术后康复情况,包括术后肠鸣音恢复时间、首次排气时间、首次排便时间、术后引流管拔除时间、首次下床活动时间及住院时间;记录围手术期并发症发生情况;术前、术后第7天采用Labory尿动力仪测定尿动力学指标[最大尿流率(Qmax)、最大膀胱容量(MCC)],采用全自动生化分析仪测定免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、免疫球蛋白M(IgM),采用酶联免疫吸附法测定炎症因子[降钙素(PCT)、C反应蛋白]。结果:观察组术后肠鸣音恢复时间、首次排气时间、首次排便时间、术后引流管拔除时间及住院时间均明显短于对照组(P<0.05)。观察组尿失禁、腹胀发生率均明显低于对照组(P<0.05),两组恶心呕吐、泌尿系统感染发生率比较,差异均无统计学意义(P>0.05)。术后第7天,观察组Qmax、MCC均明显高于术前及对照组(P<0.05);术后第7天,观察组的IgA、IgG、IgM均明显低于术前,但均明显高于对照组(P<0.05);术后第7天,观察组PCT、C反应蛋白均明显高于术前,但均明显低于对照组(P<0.05)。结论:穴位艾灸联合快速康复干预在腹腔镜下前列腺癌根治术的应用能够有效改善免疫功能,缓解术后炎症反应,减少并发症发生率,且有助于改善患者术后排尿功能,促进患者术后康复。Objective:To investigate the application value of acupoint moxibustion combined with rapid rehabilitation intervention in laparoscopic radical resection of prostate cancer.Method:The clinical data of 80 patients with prostate cancer who underwent radical prostatectomy in Fujian Medical University 2nd Affiliated Hospital from January 2020 to January 2022 were retrospectively analyzed and divided into the control group and the observation group according to different nursing methods,with 40 cases in each group.Patients in control group were given fast recovery nursing intervention during perioperative period,the observation group was given acupuncture point moxibustion intervention on the basis of the control group.The postoperative rehabilitation of the two groups was compared,including the postoperative bowel sound recovery time,the first exhaust time,the first defecation time,the postoperative drainage tube removal time,the first ambulation time and the length of hospital stay.The occurrence of perioperative complications was recorded.The urodynamic parameters[maximum flow rate(Qmax),maximum bladder capacity(MCC)]were measured by Labory urodynamic instrument before and on the 7 th day after surgery.Immunoglobulin A(IgA),immunoglobulin G(IgG)and immunoglobulin M(IgM)were measured by automatic biochemical analyzer.Inflammatory factors[procalcitonin(PCT),C reactive protein]were measured by enzyme-linked immunosorbent assay.Result:The postoperative bowel sound recovery time,first exhaust time,first defecation time,postoperative drainage tube removal time and the length of hospital stay in the observation group were significantly shorter than those in the control group(P<0.05).The incidences of urinary incontinence and abdominal distension in the observation group were significantly lower than those in the control group(P<0.05),there were no significant differences in the incidences of nausea and vomiting and urinary system infection between the two groups(P>0.05).On the 7th day after surgery,the Qmax and MCC in the

关 键 词：前列腺癌根治术 腹腔镜 快速康复护理 穴位艾灸 

分 类 号：R248.9[医药卫生—中医临床基础]