电针治疗老年宫颈癌术后尿潴留60例临床观察

Clinical observation on urine retention after radical operation of elderly uterine cervix cancer treated with electroacupuncture

目的观察电针治疗老年宫颈癌术后尿潴留60例的临床效果。方法60例老年宫颈癌术后尿潴留患者随机分为观察组和对照组，每组各30例。两组均采用常规治疗：溴吡斯的明60mg口服，每天3次；膀胱功能训练每天3次，10d一个疗程。观察组在进行常规治疗的同时配合电针疗法，电针每天1次，每次30min；两组分别治疗2个疗程后观察疗效以及残余尿（residual urine volume，RUV）、最大尿流率（maximum flow rate，Qmax）、排尿量（voiding volume，VV）、最大尿流率时逼尿肌压（maximum flow rate pressure of detrusor，PdetQmax）、最大逼尿肌收缩压（Pdetmax）、最大膀胱容量（maximum cystermetric compacity，MCC）等尿动力学指标。结果观察组有效率达到100％，对照组有效率为33．3％，两组比较差异有统计学意义（P〈0．05）。观察组与对照组相比，RUV明显下降[（14．49±5．31）mL vs （100．76±54．08）mL，P〈0．01）]；MCC显著增加[（383．56±40．77）mL vs （330．55±45．37）mL，P〈0．05）]；Qmax增加[（14．89±3．81）mL／sec vs （6．37±2．37）mL／sec，P〈0．01）]；VV显著增加[（188．84±23．05）mL vs（34．49±47．29）mL，P〈0．01）]；PdetQmax增加[（35．09±4．48）cmH2O vs（10．91±6．25）cmH2O，P〈0．01）]；Pdetmax明显增加[（42．26±5．38）cmH2O vs（9．98±6．11）cmH2O,P〈0．01）]。结论在常规治疗基础上配合电针治疗对于老年宫颈癌术后尿潴留有较好疗效。

Objective To observe the effects of electroacupuncture combining general treatment on urine retention after radical operation of the elderly patients of uterine cervix cancer. Methods 60 patients were randomized into treatment group and control group. Each group consisted of 30 patients. Both two groups were treated with general treatment （pyridostigmini 60mg po. tid, and functional training of bladder）. Patients in treatment group were treated with electroacupuncture on the base of general treatment. One course of treatment consisted of 10 days. Then the effects of two groups, residual urine volume （RUV）, maximum flow rate （Qmax）, voiding volume （VV）, maximum flow rate pressure of detrusor （PdetQmax）, maximum cystermetric compacity （MCC） were observe after 2 course. Results The effective power of treatment group was 100%, and that of control group was 33.3%. The urodynamics parameter of the treatment group changed more significantly than that of the control group： RUV of treatment group （ 14.49±5.31 ） mL vs contorl group （100.76±54.08） mL; Qmax of the treatment group （ 14.89±3.81 ） mL/sec vs control group （6.37±2.37） mL/sec; VV of the treatment group （188.84±23.05） mL vs control group （34.49±47.29） mL; PdetQmax of treatment group （ 35.09±4.48 ） cmH2O vs control group 10.91±6.25 cmH2O; maximum pressure ofdetrusor （PdetQmax） of the treatment group （ 42.26±5.38 ） cmH2O vs control group （ 9.98±6.11 ） cmH2O ; MCC of the treatment group （ 383.56±40.77 ） mL vs control group （ 330.55±45.37 ） mL. There were significant differences between two groups （P〈 0.01）. Conclusions Eectroacupuncture combining general treatment is a good method for treating urine retention after radical operation of the elderly patients of uterine cervix cancer.