生物反馈联合电刺激治疗宫颈癌根治术后尿潴留的疗效分析

Efficacy of biofeedback combined with electrical stimulation therapy for retention after radical hysterectomy

目的评估生物反馈联合电刺激治疗宫颈癌根治术后尿潴留的疗效。方法 2012年6月至2014年5月共收治38例宫颈癌根治术后尿潴留患者,随机分成2组,治疗组采用生物反馈治疗仪进行生物反馈联合电刺激治疗,治疗时间约为20-30min,1次/d,疗程1周;对照组采用传统膀胱功能训练进行治疗,对比两组间的疗效。结果 1周后疗效比较,治疗组有效率89.47%（17/19）,对照组52.63%（10/19）,治疗组疗效明显优于对照组（P〈0.05）;2周后疗效比较,治疗组有效率达到94.74%（18/19）,对照组89.47%（17/19）,两组间统计学无明显差异（P〉0.05）。结论采用生物反馈联合电刺激治疗宫颈癌根治术后尿潴留能明显缩短恢复患者排尿功能的时间,且创伤小,无明显不良反应,容易被患者接受,值得临床推广。

Objective To investigate the efficacy of biofeedback combined with electrical stimulation therapy for reten- tion after radical hysterectomy. Methods A total of 38 cases with retention after radical hysterectomy treated during June 2012 to May 2014 were randomly divided into two groups. The trial group was treated with pelvic floor biofeedback with elec- trical stimulation AMS00B for 20 to 30 minutes once daily for a week, while the control group was treated with traditional blad- der training. Results After one week of trement, the effective rate for the trial group was 89.47% （17/19）, which was higher than 52.63% （10/19）, the rate for the control group （P〈0. 05）. After two weeks of therapy, the effective rate for the trial group was up to 94.74 %18/19）, while the rate for the control group was up to 89.47% （17/19）, with no statistical difference （P〉0. 05）. Conclusions Pelvic floor biofeedback with electrical stimulation therapy can improve the urinary function effectively within a short period of time. It is worth clinical application.