循经通络按摩联合功能训练对子宫切除术后膀胱功能恢复及免疫功能的影响  

Influence of combination of circulation and collaterals massage and functional training on bladder function recovery and immune function after hysterectomy

作　　者：肖莹 熊春燕[2] 熊艳[3] XIAO Ying;XIONG Chunyan;XIONG Yan(Department of Gynecology,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang 330006,China;Department of Nursing,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang 330006,China;Department of Oncology,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西省妇幼保健院妇科,江西南昌330006 [2]江西省妇幼保健院护理部,江西南昌330006 [3]江西省妇幼保健院肿瘤科,江西南昌330006

出　　处：《中国当代医药》2024年第29期161-164,共4页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2021A065)。

摘　　要：目的探讨循经通络按摩联合功能训练对子宫切除术后患者膀胱功能恢复以及免疫功能指标的影响。方法选取2023年2月至2024年2月江西省妇幼保健院收治的120例宫颈癌患者为研究对象,采用随机数字表法将其分为对照组与观察组,每组各60例。对照组采用常规护理,观察组采用循经通络按摩联合功能训练。比较两组的膀胱功能恢复情况和免疫功能。结果观察组患者术后2周的残余尿量低于对照组,最大尿流率、初始尿意膀胱容量与最大尿意膀胱容量高于对照组,差异有统计学意义(P<0.05)。观察组患者术后2周的CD3^(+)、CD4^(+)/CD8^(+)、免疫球蛋白A、免疫球蛋白G与免疫球蛋白M水平高于对照组,差异有统计学意义(P<0.05)。结论在子宫切除术中开展循经通络按摩联合功能训练能够有效促进患者的膀胱功能恢复,也有助于改善患者的免疫功能,对术后恢复发挥可靠作用。Objective To investigate the effects of combination of circulation and collateralization massage and functional training on the recovery of bladder function and immune function indexes in patients after hysterectomy.Methods A total of 120 cervical cancer patients admitted to Jiangxi Maternal and Child Health Hospital from February 2023 to February 2024 were selected as the research subjects.They were divided into control group and observation group by random number table method,with 60 cases in each group.The control group received routine nursing care,while the observation group received circulation and collaterals massage combined with functional training.The recovery of bladder function and immune function between two groups were compared.Results The residual urine volume of the observation group was lower than that of the control group at 2 weeks after surgery,and the maximum urine flow rate,initial urinary bladder volume,and maximum urinary bladder volume were higher than those of the control group,with statistical significances(P<0.05).The levels of CD3^(+),CD4^(+)/CD8^(+),immunoglobulin A,immunoglobulin G,and immunoglobulin M in the observation group were higher than those in the control group 2 weeks after surgery,and the differences were statistically significant(P<0.05).Conclusion The combined functional training of circulation and collaterals massage during hysterectomy can effectively promote the recovery of bladder function and improve the immune function of patients,and play a reliable role in postoperative recovery.

关 键 词：宫颈癌 子宫切除术 功能训练 循经通络按摩 膀胱功能 免疫功能 

分 类 号：R473[医药卫生—护理学]