当代护士（下旬刊）
噹代護士（下旬刊）
당대호사（하순간）
Today Nurse
2015年
2期
68-70
,共3页
宫颈癌%广泛子宫切除%尿潴留%康复训练%针灸
宮頸癌%廣汎子宮切除%尿潴留%康複訓練%針灸
궁경암%엄범자궁절제%뇨저류%강복훈련%침구
Cervical cancer%Radical hysterectomy%Urinary retention%Rehabilitation training%Acupuncture
目的：观察膀胱功能康复训练联合针灸治疗在预防宫颈癌术后尿潴留中的应用效果。方法选取60例宫颈癌行广泛子宫切除术患者，采用随机数字表法分为两组各30例。对照组进行膀胱功能康复训练，观察组在对照组基础上，术后第5天开始针灸治疗。比较两组患者术后尿潴留及尿路感染发生率、残余尿量、留置尿管时间。结果观察组尿潴留及尿路感染发生率分别为3．33％和0，明显低于对照组23．33％和13．33％，差异均有统计学意义（均P＜0．05）；观察组残余尿量为（62．33±32．23）ml，明显少于对照组（93．33±29．28）ml，差异有统计学意义（P＜0．05）；观察组留置尿管时间为（11．36±2．42）d，明显短于对照组（15．23±3．45）d，差异有统计学意义（ P＜0．05）。结论膀胱功能康复训练联合针灸治疗能有效促进膀胱功能的恢复，促进患者恢复自主排尿，减少尿潴留的发生，缩短术后留置尿管时间，有利于患者的康复和提高术后生活质量。
目的：觀察膀胱功能康複訓練聯閤針灸治療在預防宮頸癌術後尿潴留中的應用效果。方法選取60例宮頸癌行廣汎子宮切除術患者，採用隨機數字錶法分為兩組各30例。對照組進行膀胱功能康複訓練，觀察組在對照組基礎上，術後第5天開始針灸治療。比較兩組患者術後尿潴留及尿路感染髮生率、殘餘尿量、留置尿管時間。結果觀察組尿潴留及尿路感染髮生率分彆為3．33％和0，明顯低于對照組23．33％和13．33％，差異均有統計學意義（均P＜0．05）；觀察組殘餘尿量為（62．33±32．23）ml，明顯少于對照組（93．33±29．28）ml，差異有統計學意義（P＜0．05）；觀察組留置尿管時間為（11．36±2．42）d，明顯短于對照組（15．23±3．45）d，差異有統計學意義（ P＜0．05）。結論膀胱功能康複訓練聯閤針灸治療能有效促進膀胱功能的恢複，促進患者恢複自主排尿，減少尿潴留的髮生，縮短術後留置尿管時間，有利于患者的康複和提高術後生活質量。
목적：관찰방광공능강복훈련연합침구치료재예방궁경암술후뇨저류중적응용효과。방법선취60례궁경암행엄범자궁절제술환자，채용수궤수자표법분위량조각30례。대조조진행방광공능강복훈련，관찰조재대조조기출상，술후제5천개시침구치료。비교량조환자술후뇨저류급뇨로감염발생솔、잔여뇨량、류치뇨관시간。결과관찰조뇨저류급뇨로감염발생솔분별위3．33％화0，명현저우대조조23．33％화13．33％，차이균유통계학의의（균P＜0．05）；관찰조잔여뇨량위（62．33±32．23）ml，명현소우대조조（93．33±29．28）ml，차이유통계학의의（P＜0．05）；관찰조류치뇨관시간위（11．36±2．42）d，명현단우대조조（15．23±3．45）d，차이유통계학의의（ P＜0．05）。결론방광공능강복훈련연합침구치료능유효촉진방광공능적회복，촉진환자회복자주배뇨，감소뇨저류적발생，축단술후류치뇨관시간，유리우환자적강복화제고술후생활질량。
Objective To investigate the effect of rehabilitation training combined with acupuncture on the prevention of postoperative urinary retention in cervical cancer patients.Methods We enrolled 60 cervical cancer patients who underwent radical hysterectomy.They were alloca?ted into two groups randomly by means of random number table,30 cases in each.Patients in control group received bladder rehabilitation,pa?tients in experimental group were given bladder rehabilitation combined with acupuncture since the fifth day after the operation.The incidence of postoperative urinary retention,urinary tract infection,residual urine volume,and duration of indwelling catheter were observed.Results In experimental group,the incidence of urinary retention and urinary tract infection were 3.33% and 0 respectively,which were significantly lower than these in control group(23.33% and 13.33% respectively).Residual urine volume in experimental group(62.33 ± 32.23 ml)was signifi?cantly less than that in control group(93.33 ± 29.28 ml).The duration of indwelling catheter in experimental group(11.36 ± 2.42 d)was sig?nificantly shorter than that in control group(15.23 ± 3.45 d).Conclusion Rehabilitation training combined with acupuncture can effectively promote the recovery of bladder function and autonomic micturition, reduce the incidence of urinary retention, shorten the duration of indwelling catheter after operation,facilitate their postoperative recovery and improve quality of life.
