艾灸配合穴位贴敷对良性前列腺增生TURP术后疼痛和排尿功能的影响  

Effect of Combination Use of Moxibustion and Point Application on Pain and Urinary Function After TURP of Benign Prostatic Hyperplasia

作　　者：陈莉娜 裘佳怡 郭文璨 CHEN Li'na;QIU Jiayi;GUO Wencan(Department of Urinary Surgery,Hangzhou Ninth People's Hospital,Hangzhou Zhejiang 311222,China)

机构地区：[1]杭州市第九人民医院泌尿外科,浙江杭州311222

出　　处：《新中医》2024年第24期161-164,共4页New Chinese Medicine

摘　　要：目的:观察艾灸配合穴位贴敷对良性前列腺增生患者经尿道前列腺切除术(TURP)后疼痛和排尿功能的影响。方法:选取接受TURP术治疗的良性前列腺增生患者88例,采用随机数字表法分为常规组和联合组,每组各44例。常规组采用盆底肌功能训练等常规干预,联合组在常规组基础上采用艾灸配合穴位贴敷干预,2组均持续干预2周。比较2组干预前后视觉模拟评分法(VAS)评分及排尿功能[前列腺体积(PV)、最大尿流量]、血清性激素[血清睾酮(T)、卵泡刺激素(FSH)]水平变化。结果:干预2周后,2组VAS评分均较干预前及干预1周后降低(P<0.05),且联合组VAS评分在相同时间点均低于常规组(P<0.05)。干预2周后,2组PV水平均较干预前降低(P<0.05),最大尿流量均较干预前增大(P<0.05);且联合组PV水平低于常规组(P<0.05),最大尿流量大于常规组(P<0.05)。干预2周后,2组血清T水平较干预前升高(P<0.05),FSH水平较干预前降低(P<0.05);且联合组T水平高于常规组(P<0.05),FSH水平低于常规组(P<0.05)。干预期间,联合组并发症发生率为6.82%,常规组为9.09%,2组比较,差异无统计学意义(P>0.05)。结论:艾灸配合穴位贴敷能够有效缓解良性前列腺增生患者TURP术后疼痛,提高排尿功能,改善性激素水平。Objective:To observe the effect of combination use of moxibustion and point application on pain and urinary function of patients after transuretheral resection of prostate(TURP)of benign prostatic hyperplasia.Methods:A total of 88 patients with benign prostatic hyperplasia treated by TURP were selected and divided into the routine group and combination group according to the random number table method,with 44 cases in each group.The routine group was treated with routine intervention such as pelvic floor muscle functional training,and the combination group was treated with moxibustion combined with point application on the basis of the routine group.Both groups were treated for two weeks.The changes of visual analogue scale(VAS)score,and levels of urinary function indexes[prostatic volume(PV)and maximum urine flow]and serum sex hormones[serum testosterone(T)and follicle-stimulating hormone(FSH)]were compared before and after intervention between the two groups.Results:After two weeks of intervention,the VAS scores in the two groups were lower than those before intervention and after one week of intervention(P<0.05),and the VAS score in the combination group was lower than that in the routine group at the same time point(P<0.05).After two weeks intervention,the PV level in the two groups was reduced when compared with that before intervention(P<0.05),and the maximum urine flow was up-regulated when compared with that before intervention(P<0.05);the PV level in the combination group was lower than that in the routine group(P<0.05),and the maximum urine flow was higher than that in the routine group(P<0.05).After two weeks intervention,the serum T levels in the two groups were elevated when compared with those before intervention(P<0.05),and the FSH level was dwindled when compared with that before intervention(P<0.05);the T level in the combination group was higher than that in the routine group(P<0.05),and the FSH level was lower than that in the routine group(P<0.05).During the intervention period,the incidence o

关 键 词：良性前列腺增生 经尿道前列腺切除术 术后疼痛 艾灸 穴位贴敷 排尿功能 

分 类 号：R697.32[医药卫生—泌尿科学]