国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
17期
2678-2682
,共5页
子宫颈癌%电针%膀胱功能障碍
子宮頸癌%電針%膀胱功能障礙
자궁경암%전침%방광공능장애
Cervical cancer%Electric acupuncture%Bladder dysfunction
目的 探讨电针治疗子宫颈癌术后膀胱功能障碍的临床效果和可能机制.方法 回顾性分析两家医院2009年1月至2012年12月子宫颈癌术后患者120例,其中电针治疗组56例、常规治疗组64例,观察术后2周自主排尿成功率、术后2周尿动力学检测指标和术后膀胱功能障碍类别.结果 电针治疗组和常规治疗组术后2周自主排尿成功率分别为83.93％(47/56)和70.97％(44/62),两者比较无统计学差异(P=0.057).电针治疗组术后2周膀胱顺应性高于常规治疗组,有统计学差异(P=0.046),两组术后2周膀胱初感容积、最大膀胱容量、最大尿流率、最大尿流率时逼尿肌压力均无统计学差异(P＞0.05).电针治疗组术后2周低顺应性膀胱和逼尿肌收缩力受损发生率均低于常规治疗组,有统计学差异(P=0.049,0.038),两组术后2周逼尿肌过度活动、膀胱流出道梗阻和逼尿肌外括约肌协同失调发生率均无统计学差异(P＞0.05).结论 电针可以降低子宫颈癌术后2周膀胱功能障碍的发生风险,机制可能为提高膀胱顺应性和减轻逼尿肌收缩力受损.
目的 探討電針治療子宮頸癌術後膀胱功能障礙的臨床效果和可能機製.方法 迴顧性分析兩傢醫院2009年1月至2012年12月子宮頸癌術後患者120例,其中電針治療組56例、常規治療組64例,觀察術後2週自主排尿成功率、術後2週尿動力學檢測指標和術後膀胱功能障礙類彆.結果 電針治療組和常規治療組術後2週自主排尿成功率分彆為83.93％(47/56)和70.97％(44/62),兩者比較無統計學差異(P=0.057).電針治療組術後2週膀胱順應性高于常規治療組,有統計學差異(P=0.046),兩組術後2週膀胱初感容積、最大膀胱容量、最大尿流率、最大尿流率時逼尿肌壓力均無統計學差異(P＞0.05).電針治療組術後2週低順應性膀胱和逼尿肌收縮力受損髮生率均低于常規治療組,有統計學差異(P=0.049,0.038),兩組術後2週逼尿肌過度活動、膀胱流齣道梗阻和逼尿肌外括約肌協同失調髮生率均無統計學差異(P＞0.05).結論 電針可以降低子宮頸癌術後2週膀胱功能障礙的髮生風險,機製可能為提高膀胱順應性和減輕逼尿肌收縮力受損.
목적 탐토전침치료자궁경암술후방광공능장애적림상효과화가능궤제.방법 회고성분석량가의원2009년1월지2012년12월자궁경암술후환자120례,기중전침치료조56례、상규치료조64례,관찰술후2주자주배뇨성공솔、술후2주뇨동역학검측지표화술후방광공능장애유별.결과 전침치료조화상규치료조술후2주자주배뇨성공솔분별위83.93％(47/56)화70.97％(44/62),량자비교무통계학차이(P=0.057).전침치료조술후2주방광순응성고우상규치료조,유통계학차이(P=0.046),량조술후2주방광초감용적、최대방광용량、최대뇨류솔、최대뇨류솔시핍뇨기압력균무통계학차이(P＞0.05).전침치료조술후2주저순응성방광화핍뇨기수축력수손발생솔균저우상규치료조,유통계학차이(P=0.049,0.038),량조술후2주핍뇨기과도활동、방광류출도경조화핍뇨기외괄약기협동실조발생솔균무통계학차이(P＞0.05).결론 전침가이강저자궁경암술후2주방광공능장애적발생풍험,궤제가능위제고방광순응성화감경핍뇨기수축력수손.
Objective To investigate effect and mechanism of electric acupuncture in the treatment of bladder dysfunction after radical hysterectomy.Methods These was a multi-center,retrospective study.120 cases of bladder dysfunction after radical hysterectomy were enrolled from January 2009 to December 2012 [56 cases in electric acupuncture group (EA group),64 cases in control group].The success rate of automatic micturition and urinary dynamic detection indexes at 2 weeks after operation,classification of bladder dysfunction were investigated.Results The success rate of automatic micturition at 2 weeks after operation in EA group and control group were 83.93％ (47/56) and 70.97％ (44/62) respectively,without statistically significant difference between two groups (P =0.057).There were statistically significant differences in bladder compliance,the incidences of bladder low compliance and bladder detrusor dysfunction at 2 weeks after operation between two groups (P =0.046,0.049,0.038).Conclusion Electric acupuncture can reduce risk of bladder dysfunction.Mechanism may be improving bladder compliance and bladder detrusor dysfunction.
