中华外科杂志
中華外科雜誌
중화외과잡지
CHINESE JOURNAL OF SURGERY
2010年
17期
1325-1327
,共3页
杨柏帅%叶定伟%姚旭东%彭江燕%张世林%戴波%张海梁%沈益君%朱耀%朱一平%施国海
楊柏帥%葉定偉%姚旭東%彭江燕%張世林%戴波%張海樑%瀋益君%硃耀%硃一平%施國海
양백수%협정위%요욱동%팽강연%장세림%대파%장해량%침익군%주요%주일평%시국해
前列腺肿瘤%前列腺切除术%尿失禁%电针
前列腺腫瘤%前列腺切除術%尿失禁%電針
전렬선종류%전렬선절제술%뇨실금%전침
Prostatic neoplasms%Prostatectomy%Urinary incontinence%Electroacupuncture
目的 探讨电针辅助提肛锻炼对前列腺癌根治术后患者尿失禁治疗的效果和意义.方法 2008年9月至2009年9月接受前列腺癌根治术并完整随访的患者109例,年龄48～79岁.按照术前患者意愿分为两组:治疗组40例,拔除导尿管1周后,在提肛锻炼的同时加用电针辅助治疗;对照组69例,术后只应用提肛锻炼帮助尿控恢复.随访术后尿控情况,记录相关临床特征,进行ICI-Q-SF量表评分,并进行相关统计学分析.结果 治疗组和对照组尿控曲线差异具有统计学意义(P=0.029).两组尿控率差异从术后4周起逐渐明显,至术后6周差异最大(P=0.023),其后差异逐渐缩小,至术后16周基本无差异.ICI-Q-SF评分量表显示的两组患者主观尿失禁感受也与尿控率情况相符合.结论 前列腺癌根治术后电针辅助提肛锻炼可以明显缩短患者尿控恢复时间.
目的 探討電針輔助提肛鍛煉對前列腺癌根治術後患者尿失禁治療的效果和意義.方法 2008年9月至2009年9月接受前列腺癌根治術併完整隨訪的患者109例,年齡48～79歲.按照術前患者意願分為兩組:治療組40例,拔除導尿管1週後,在提肛鍛煉的同時加用電針輔助治療;對照組69例,術後隻應用提肛鍛煉幫助尿控恢複.隨訪術後尿控情況,記錄相關臨床特徵,進行ICI-Q-SF量錶評分,併進行相關統計學分析.結果 治療組和對照組尿控麯線差異具有統計學意義(P=0.029).兩組尿控率差異從術後4週起逐漸明顯,至術後6週差異最大(P=0.023),其後差異逐漸縮小,至術後16週基本無差異.ICI-Q-SF評分量錶顯示的兩組患者主觀尿失禁感受也與尿控率情況相符閤.結論 前列腺癌根治術後電針輔助提肛鍛煉可以明顯縮短患者尿控恢複時間.
목적 탐토전침보조제항단련대전렬선암근치술후환자뇨실금치료적효과화의의.방법 2008년9월지2009년9월접수전렬선암근치술병완정수방적환자109례,년령48～79세.안조술전환자의원분위량조:치료조40례,발제도뇨관1주후,재제항단련적동시가용전침보조치료;대조조69례,술후지응용제항단련방조뇨공회복.수방술후뇨공정황,기록상관림상특정,진행ICI-Q-SF량표평분,병진행상관통계학분석.결과 치료조화대조조뇨공곡선차이구유통계학의의(P=0.029).량조뇨공솔차이종술후4주기축점명현,지술후6주차이최대(P=0.023),기후차이축점축소,지술후16주기본무차이.ICI-Q-SF평분량표현시적량조환자주관뇨실금감수야여뇨공솔정황상부합.결론 전렬선암근치술후전침보조제항단련가이명현축단환자뇨공회복시간.
Objective To explore the effectiveness and significance of whether electrical acupuncture stimulation combining with pelvic floor muscle therapy (PFMT) can improve the recovery of urinary continence. Methods A total of 109 patients took part in the study of novel combination treatment for urinary continence from September 2008 to September 2009. Patients were divided into study group ( n=40) and control group (n =69). The patients in study group received electrical acupuncture stimulation therapy combined with PFMT one week after removal the catheter. The patients in control group performed PFMT as the only treatment for post prostatectomy incontinence. The patients were followed up closely, with their clinical characteristics recorded, questionnaires of ICI-Q-SF filled up, and all the data for statistical analysis collected. Results There was a significant difference between the study group and the control group in the urinary control curve( P =0. 029). The difference of continence probability between these two groups became greater from 4 weeks after surgery, and the difference reached the peak at 6 weeks ( P = 0. 023 ).Then the difference became smaller, and there was no difference at 16 weeks after surgery. ICI-Q-SFquestionnaires showed the same results. Conclusion Electrical acupuncture stimulation therapy combining with PFMT can improve the recovery of patients' urinary continence after radical prostatectomy.
