雷火灸联合生物电刺激对宫颈癌术后尿潴留患者排尿情况及尿道闭合压的影响  

Effects of thunder fire moxibustion combined with bioelectric stimulation on urination and urethral closure pressure in patients with postoperative urinary retention after cervical cancer surgery

作　　者：刘芙东 王翠娟 孙立盼 LIU Fu-dong;WANG Cui-juan;SUN Li-pan(Department of Acupuncture and Moxibustion,Cangzhou Hospital of Integrated TCM-WM Hebei,Cangzhou 061000,China)

机构地区：[1]河北省沧州中西医结合医院针灸科,河北沧州061000

出　　处：《中国中西医结合外科杂志》2025年第2期259-262,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：河北省中医药管理局科研计划项目(2023442)。

摘　　要：目的:探究雷火灸联合生物电刺激对宫颈癌(CCA)术后尿潴留患者的排尿情况、膀胱动力参数及尿道闭合压的影响。方法:选取2020年3月-2021年12月在本院进行治疗的CCA术后尿潴留患者共102例,利用随机数字表法分为生物电刺激组(n=51)和联合治疗组(n=51)。生物电刺激组采用生物电刺激进行治疗,联合治疗组采用雷火灸联合生物电刺激进行治疗,两组均治疗14 d。比较两组患者的治疗效果、治疗后排尿情况、膀胱动力参数及尿道闭合压的影响。结果:治疗后,联合治疗组的治疗总有效率(96.08%)高于生物电刺激组(72.55%),差异有统计学意义(P<0.05);联合治疗组出现排尿困难、尿频、尿不尽的患者占比少于生物电刺激组(P<0.05);联合治疗组患者的膀胱动力参数(膀胱逼尿肌收缩力、膀胱顺应性)、尿道闭合压显著高于治疗前,且联合治疗组显著高于生物电刺激组(P<0.05);两组患者的不良反应发生率比较无显著差异(P>0.05)。结论:CCA术后尿潴留患者经过雷火灸联合生物电刺激治疗后的效果更佳,可有效改善盆底肌功能,提高尿道闭合压,促进患者恢复,在临床上具有一定的应用价值。Objective To investigate the effects of thunder fire moxibustion combined with bioelectrical stimulation on urination and urethral closure pressure in patients with postoperative urinary retention after cervical cancer(CCA).Methods A total of 102 patients with postoperative urinary retention of cervical cancer who were treated in our hospital from March 2020 to December 2021 were randomly separated into bioelectric stimulation group(n=51)and combined treatment group(n=51).The bioelectric stimulation group was treated with bioelectric stimulation,while the combined treatment group was treated with thunder fire moxibustion combined with bioelectric stimulation.The treatment for both teams lasted 14 d.To compare the effect of treatment,post-treatment voiding,bladder dynamics parameters and urodynamic parameters between both patient groups.Results After treatment,the combined treatment group had a higher overall effective rate of treatment(96.08%)than the bioelectric stimulation one(72.55%)(P<0.05),the percentage of patients in the combined treatment group who experienced dysuria,dyspareunia,and dysuria was less than that in the bioelectric stimulation group(P<0.05),bladder dynamics parameters(bladder detrusor contractility,bladder compliance)and urethral closure pressure were significantly higher in patients in the combined treatment group than before treatment,and were significantly higher in the combined treatment group than in the bioelectrical stimulation group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Patients with postoperative urinary retention after cervical cancer were better treated with thunder fire moxibustion combined with bioelectrical stimulation,which can effectively improve the function of pelvic floor muscles,increase the pressure of urinary tract occlusion,and promote patients'recovery.It has certain clinical application value.

关 键 词：宫颈癌 生物电刺激 雷火灸 尿潴留 尿道闭合压 

分 类 号：R694.55[医药卫生—泌尿科学] R245.81[医药卫生—外科学]