摘要
Objective: To observe the clinical efficacy of acupuncture plus navel acupuncture for patients with urinary retention after radical hysterectomy for cervical cancer. Methods: A total of 64 patients with urinary retention after radical hysterectomy for cervical cancer was divided into a navel acupuncture group (22 cases), an acupuncture group (18 cases) and an acupuncture plus navel acupuncture group (24 cases). All three groups received bladder function training and neuromuscular electrical stimulation. In addition, navel points were combined in the navel acupuncture group. Electroacupuncture was conducted to Qihai (CV 6), Zhongji (CV 3), Dahe (KI 12), Shuidao (ST 28), Ciliao (BL 32) and Huiyang (BL 35) in the acupuncture group. The acupuncture plus navel acupuncture group received both treatments. The catheter was removed after 3 d of treatment. Spontaneous urination, residual urine volume, urinary catheter dependence and recurrence after 3 d, 6 d and 9 d of treatment in each group were observed, respectively. Results: In the acupuncture plus navel acupuncture group, the markedly effective rates after 3 d, 6 d and 9 d of treatment were significantly higher than those in the navel acupuncture group and the acupuncture group;the urinary catheter dependence was lower than that of the other two groups, and the differences were statistically significant (P<0.05, P<0.01);the spontaneous urination time was shorter than that of the navel acupuncture group and the acupuncture group, and the differences were statistically significant (P<0.05, P<0.01);the residual urine volume was significantly less than that of the navel acupuncture group and the acupuncture group, and the differences were statistically significant (both P<0.01). After the catheter was removed, recurrence was observed from the next day after spontaneous urination was resumed. There were 2 cases of recurrence in the navel acupuncture group, 2 cases in the acupuncture group and 1 case in the acupuncture plus navel acupuncture group. The recurrence rate of the acupuncture plus navel acupuncture group was significantly lower than that of the navel acupuncture group and the acupuncture group (both P<0.01). Conclusion: Acupuncture plus navel acupuncture has satisfactory efficacy for urinary retention after radical hysterectomy for cervical cancer. It can significantly shorten the urinary retention time, reduce the patient's dependence on urinary catheter, and reduce the residual urine volume.
目的:观察针刺加脐针疗法治疗宫颈癌根治术后尿潴留的临床疗效.方法:将64例宫颈癌根治术后尿潴留患者分为三组,脐针组22例、针刺组18例和针刺加脐针组24例.三组患者均接受膀胱功能训练及神经肌肉电刺激治疗.此外,脐针组患者接受针刺脐穴治疗,针刺组接受电针气海、中极、大赫、水道、次髎和会阳治疗,针刺加脐针组同时接受电针和脐针治疗.治疗3 d后拔除导尿管.分别观察三组患者治疗3 d、6 d及9 d后的自主排尿情况、残余尿量、尿管依赖及复发情况.结果:针刺加脐针组患者治疗3 d、6 d、9 d后的显效率明显高于脐针组和针刺组,其尿管依赖情况低于脐针组和针刺组,组间差异均具有统计学意义(P<0.05,P<0.01),其自主排尿时间短于脐针组和针刺组,组间差异均具有统计学意义(P<0.05,P<0.01);其残余尿量明显少于脐针组及针刺组,组间差异均具有统计学意义(均P<0.01).拔管后,恢复自主排尿次日起观察复发情况,其中脐针组2例、针刺组2 例、针刺加脐针组1例,针刺加脐针组复发率明显低于脐针组和针刺组(P<0.01).结论:针刺加脐针治疗对宫颈癌根治术后尿潴留具有良好的疗效,能明显缩短患者尿潴留时间,降低患者对尿管的依赖,减少残余尿量.
