针刺联合间歇性导尿治疗中老年患者宫颈癌根治术后尿潴留的临床观察

Clinical observation of acupuncture combined with intermittent catheterization in treatment of urinary retention in middle-aged and elderly patients with cervical cancer after radical operation

中文关键词: 中老年患者  宫颈癌根治术  尿潴留  间歇性导尿  针刺

英文关键词: middle-aged and elderly patients  radical cervical cancer surgery  urine retention  intermittent catheteriza-tion  acupuncture

中文摘要:

      目的 探究针刺联合间歇性导尿对于中老年患者宫颈癌根治术后尿潴留的影响,为妇科肿瘤患者术后康复提供治疗方法.方法 纳入2020年5月—2023年5月在复旦大学附属妇产科医院行宫颈癌根治术且术后发生尿潴留的中老年患者105例,并以1:2的比例按照随机数字表进行分组:联合治疗组(n=70)和间歇导尿组(n=35).间歇导尿组接受单纯间歇导尿治疗,联合治疗组予针刺联合间歇性导尿治疗,2组疗程均为2周.观察并比较2组治疗总有效率,比较2组治疗前后膀胱残余尿量、尿路感染情况、尿流动力学指标、SF-36生活质量评分、中西医症状量表评分的变化情况.结果 联合治疗组总有效率高于间歇导尿组(95.71％vs 40.00％,P＜0.05).治疗后,联合治疗组膀胱残余尿量低于间歇导尿组(P＜0.05);2组治疗前后尿路感染率差异均无统计学意义(P＞0.05);联合治疗组膀胱初感容积指标值低于间歇导尿组,而最大尿流率及最大逼尿肌压力指标值均高于间歇导尿组(均P＜0.05);联合治疗组SF-36评分及中西医症状量表评分均低于间歇导尿组(均P＜0.05).结论 针刺联合间歇性导尿治疗中老年患者宫颈癌根治术后尿潴留,疗效较好,可有效改善患者生活质量.

英文摘要:

      Objective To explore the effects of acupuncture combined with intermittent urinary catheterization on urina-ry retention in middle-aged and elderly patients after radical cervical cancer surgery,and provide treatment methods for postop-erative rehabilitation of gynecological tumors patients.Methods A total of 105 middle-aged and elderly patients who had uri-nary retention after radical cervical cancer surgery in Obstetrics and Gynecology Hospital Affiliated to Fudan University from May 2020 to May 2023 were included.They were divided into two groups according to a random number table in a ratio of 1:2:combined treatment group(n=70)and intermittent catheterization group(n=35).The intermittent catheterization group received intermittent catheterization alone,and the combined treatment group received acupuncture combined with intermittent catheterization.The treatment course of both groups was 2 weeks.The total effective rate of the two groups was observed and compared.The changes in the residual urine volume,urinary tract infection,urinary flow dynamics indexes,SF-36 Quality of Life Scale score and Traditional Chinese and Western Symptom Scale score before and after treatment were compared between the two groups.Results The total effective rate of the combined treatment group was higher than that of the intermittent cathe-terization group(95.71％vs 40.00％,P＜0.05).After treatment,the residual urinary volume of the combined treatment group was lower than that of the intermittent catheterization group(P＜0.05);there was no statistically significant difference in urinary tract infection rates between the two groups before and after treatment(P＞0.05);the initial bladder volume of the combined treatment group was lower than that of the intermittent catheterization group,while the maximal urine flow rate and maximal detrusor muscle pressure were higher than those of the intermittent catheterization group(all P＜0.05);the SF-36 Quality of Life Scale score and Traditional Chinese and Western Symptom Scale score of the combined treatment group were lower than those of the intermittent catheterization group(all P＜0.05).Conclusion Acupuncture combined with intermittent catheterization is effective in the treatment of urinary retention in middle-aged and elderly patients after radical cervical cancer surgery,which can effectively improve the quality of life of patients.