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中国人民解放军总医院针灸科,北京,100853
纸质出版日期:2007
移动端阅览
王新宇. 针刺对广泛性子宫切除术后膀胱功能影响的研究[J]. 针刺研究, 2007,(2):132-135.
WANG Xin-yu. Effect of Acupuncture on Bladder Function in Patients with Radical Hysterectomy[J]. Acupuncture research, 2007, (2): 132-135.
目的:探讨针灸对广泛性子宫切除术后膀胱功能障碍患者尿动力学的影响及其治疗作用。方法:64例广泛性子宫切除术后7d膀胱功能恢复不良患者
随机分成3组:留置尿管组19例、针刺三阴交组23例、针刺八髎穴组22例。重新置管
治疗5d后
拔除尿管
比较3组间尿动力学的改变及膀胱功能恢复情况。结果:术后12d
留置尿管组有16例膀胱功能未恢复
占84.21%;三阴交组有18例膀胱功能未恢复
占78.26%;八髎穴组有7例膀胱功能未恢复
占31.82%。八髎穴组膀胱功能恢复评价与留置尿管组、三阴交组相比
差异显著(P<0.05)。留置尿管组残余尿(218.0±17.6)mL
膀胱容量(476.1±11.3)mL
平均尿流率(6.5±2.1)mL/s;三阴交组三项分别为(184.1±10.6)mL
(434.9±12.7)mL
(8.6±1.1)mL/s;八髎穴组三项分别为(47.6±13.6)mL
(475.6±14.3)mL
(9.5±0.8)mL/s。三阴交组和八髎穴组残余尿均显著低于留置尿管组(P<0.05)
两针刺组间比较有显著性差异(P<0.05);三阴交组和八髎穴组平均尿流率均显著高于留置尿管组(P<0.05)
两针刺组间比较差异不显著(P>0.05);3组间膀胱容量比较差异不显著。术后12d尿路感染发生率(24例
37.5%)高于术后7d(5例
7.81%)
差异显著。结论:针灸对广泛性子宫切除术后膀胱功能障碍患者尿动力有良好的改善作用
八髎穴的疗效最佳。
Objective:To observe the effect of acupuncture on the urodynamics of bladder dysfunction in patients with radial hysterectomy.Methods:A total of 64 cases of bladder dysfunction patients with radial hysterectomy were divided into urinary canal indwelling group(control group
19 cases)
Sanyinjiao(SP 6)group(23 cases)and Baliao(bilateral BL 31
BL 32
BL 33 and BL 34)group(22 cases).EA(4 Hz
4-6 V)was applied to the abovementioned acupoints for 30 min
once daily.Catheters were replaced on the 7th day after surgical operation in all the patients and then removed after 5 days' treatment.Postvoid residual urine volume(PVR)
maximum cystometric capacity(MCC)
and average flow rate(Qave)of urine were detected after seven days' treatment.Results:On the 7th day after operation
no significant differences were found among 3 groups in PVR
MCC and Qave.On the 12 th day
PVR of 3 groups decreased significantly(P<0.05)and Qave of SP6 and Baliao groups increased considerably(P<0.05).In comparison with control group
PVR of SP6 and Baliao groups decreased considerably
while Qave of the two acupuncture groups increased significantly(P<0.05)
and the therapeutic effects of Baliao group were obviously superior to those of SP6 group(P<0.05).Of the 19
23 and 22 patients with urinary canal indwelling in control
SP6 and Baliao groups
16(84.21%)
18(78.26%)and 7(31.82%)had no marked improvement in the bladder function on the 12th day after operation.On the 7th and 12th day after operation
the urinary tract infection was found in 1 and 10 cases in control group
2 and 8 cases in SP6 group
and 2 and 6 cases in Baliao group respectively.Conclusion:Acupuncture has a good therapeutic effect in improving the urodynamics of the bladder in radial hysterectomy patients
and the action of Baliao is the best.
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