基于宫颈癌根治术后的尿潴留针灸与西药疗效对照研究

Controlled Studies of Efficacy of Acupuncture and Western Medicine Treating with Urinary Retention after Cervical Cancer Radical Operation

目的:对宫颈癌根治术后尿潴留的中西医治疗两种方法进行疗效比较研究。方法:将60例宫颈癌手术患者随机分为西药对照组和针灸治疗组,每组30例;术后7天,B超测量各组患者并残余尿量计算总有效率,并间接反映了重置尿管率。结果:针灸治疗组总有效率93.3%;重置尿管率6.7%;不良事件发生率0%;西药对照组总有效率66.7%;重置尿管率33.3%;不良事件发生率13.3%;两组总有效率并重置尿管率之间有统计学差别(P<0.05)。西药对照组不良事件发生率大于针灸治疗组。结论:针灸治疗宫颈癌根治术后尿潴留较西药对照组疗效满意。

Objective：To make comparative study on treating the urinary retention after radical surgery for cervical cancer with TCM and Western medicine. Methods：60 cases of cervical cancer surgery were randomly divided into Con trolled western medicine group and acupuncture treatment group, n = 30; after 7d, the residual urine volume calculation with type B ultrasonic was measured and the total efficiency was calculated, which indirectly reflected the reset catheter rate. Results ： The total efficiency of the acupuncture treatment group was 93.3% ; catheter replacement rate was 6.7% i ad verse event rate was 0% ; the total efficiency of the western medicine control group was 66.7% ;catheter replacement rate was 33.3% ;incidence of adverse events was 13.3% ;the total effective rate and the rate of catheter reset had statisti cal difference between two groups （ P 〈 0.05 ）. The incidence of adverse events of the controlled group was greater than the acupuncture treatment group. Conchtsion ： Acupuncture treatment works better than the western medicine controlled group in treating the cervical cancer after radical resection with urinary retention.