CAJ | 학술논문

目的：探讨盆底肌肉生物电刺激结合针刺治疗前列腺增生症（VPH）患者经尿道前列腺电切（TURP）术后逼尿肌无力的临床疗效。方法将100例并发 TURP 术后逼尿肌无力的 VPH 患者随机分为研究组和对照组，每组50例。对照组患者采用盆底肌肉生物电刺激治疗，研究组患者在此基础上结合针刺治疗。比较两组患者的临床治疗效果、逼尿肌肌力和尿动力学参数。结果研究组治疗有效率为88.0%，显著高于对照组的68.0%（ P <0.05）。研究组患者治疗后的逼尿肌肌力和尿动力学参数显著高于对照组（ P <0.05）。结论盆底肌肉生物电刺激结合针刺治疗VPH 患者 TURP 术后逼尿肌无力的治疗效果好，可以有效提高患者的逼尿肌肌力，明显改善尿动力学参数，具有临床应用价值。
목적：탐토분저기육생물전자격결합침자치료전렬선증생증（VPH）환자경뇨도전렬선전절（TURP）술후핍뇨기무력적림상료효。방법장100례병발 TURP 술후핍뇨기무력적 VPH 환자수궤분위연구조화대조조，매조50례。대조조환자채용분저기육생물전자격치료，연구조환자재차기출상결합침자치료。비교량조환자적림상치료효과、핍뇨기기력화뇨동역학삼수。결과연구조치료유효솔위88.0%，현저고우대조조적68.0%（ P <0.05）。연구조환자치료후적핍뇨기기력화뇨동역학삼수현저고우대조조（ P <0.05）。결론분저기육생물전자격결합침자치료VPH 환자 TURP 술후핍뇨기무력적치료효과호，가이유효제고환자적핍뇨기기력，명현개선뇨동역학삼수，구유림상응용개치。
Objective To study the clinical effects of electrical stimulation of pelvic floor muscles combined with acupuncture treatment on detrusor muscle adynamia after TURP. Methods A total of 100 VPH patients with detrusor muscle adynamia after TURP were randomly divided into study group and control group,50 patients in each group. Patients in control group were treated by electrical stimulation of pelvic floor muscles and patients in study group were treated by electrical stimulation of pelvic floor muscles combined with acupuncture treatment. The clinical effective rate,detrusor muscle myodynamia and urodynamics were compared between two groups. Results The effective rate in study group was 88. 0% , which was significantly higher than 68. 0% in study group( P < 0. 05). The detrusor muscle myodynamia in study group was significantly higher than that in control group after treatment( P < 0. 01). All urodynamics indexes in study group were significantly better than those in control group after treatment( P < 0. 05). Conclusion The treatment of electrical stimulation of pelvic floor muscles combined with acupuncture has a great clinical effect on detrusor muscle adynamia after TURP,which makes it worth for clinical application.