电针干预对广泛性子宫切除术后膀胱功能的影响

目的:观察电针疗法对广泛性子宫切除术后膀胱功能恢复的疗效。方法:将110例广泛性子宫切除术后患者随机分为电针组和常规组,各55例。常规组采用常规方法留置尿管和膀胱冲洗,第8天起每天用TDP照射腹部30 min,连续5天。电针组在常规组基础上,于术后第8天-第12天采用电针治疗,穴取三阴交、足三里、外关、水道、归来等。比较2组患者术后膀胱功能恢复的时间、尿动力学检查结果和住院天数。结果:电针组术后第14天膀胱功能恢复、尿潴留、尿失禁人数分别为51例(51/55)、4例(4/55)、0例,第28天分别为53例(53/55)、2例(2/55)、0例;常规组第14天分别为27例(27/55)、25例(25/55)、3例(3/55),第28天分别为43例(43/55)、11例(11/55)、1例(1/55),2组比较差异有统计学意义(P<0.01)。术后第14天膀胱功能恢复者残余尿量、膀胱容量、平均尿流率比较,电针组均优于常规组(P<0.01或P<0.05);电针组术后住院天数为(21.1±3.3)天,常规组为(25.5±3.5)天,电针组明显短于常规组(P<0.01)。结论:电针疗法可以促进广泛性子宫切除术后膀胱功能的及早恢复,缩短导尿管留置时间,有益于降低泌尿系统感染发生率和缩短住院天数。

Effects of electroacupuncture on urinary bladder function after radical hysterectomy

OBJECTIVE: To observe the effect of electroacupuncture on recovery of urinary bladder function after radical hysterectomy. METHODS: One hundred and ten cases were randomly divided into an electroacupuncture (EA) group and a control group, 55 cases in each group. In the control group, the urinary tube was placed and kept with routine method and the urinary bladder was rinsed, and from the eighth day the abdomen was radiated with TDP, 30 min each day, for 5 days. In the EA group, on the basis of treatment in the control group EA was given at Sanyinjiao (SP 6), Zusanli (ST 36), Waiguan (TE 5), Shuidao (ST 28), Guilai (ST 29), etc. from the eighth day to twelfth day after operation. The recovery time of urinary bladder function after radical hysterectomy, urine dynamic indexes and hospitalization days were compared between the two groups. RESULTS: The cases of the bladder function recovery, retention of urine, urinary incontinence were 51(51/55), 4(4/55), 0 on the 14 th day after operation and 53(53/55), 2(2/55), 0 on the 28 th day in the EA group, and 27(27/55), 25(25/55), 3(3/55) on the 14 th day and 43(43/55), 11(11/55), 1(1/55) on the 28th day in the control group, respectively, with a very significant difference between the two groups (P < 0.01); the EA group in residual urine volume, bladder volume, mean urinary flowing rate was better than the control group on the 14 th day after operation (P < 0.01 or P < 0.05); the hospitalization days after operation was (21.1 +/- 3.3) days in the EA group and (25.5 +/- 3.5) days in the control group, the former being shorter than the later (P < 0.01). CONCLUSION: EA can promote recovery of bladder function, shorten the keeping time of urinary tube after radical hysterectomy, which is benefit to decreasing incidence rate of urinary system infection and shortening hospitalization days.