生物反馈训练联合脐针治疗对宫颈癌根治术后尿潴留的应用效果分析

Effect of biofeedback training combined with umbilical acupuncture on urinary retention after radical hysterectomy for cervical cancer

目的 探讨生物反馈训练联合脐针治疗对宫颈癌根治术后尿潴留的应用效果。方法 选取2020年7月至2021年12月玉林市红十字会医院收治的96例宫颈癌根治术后尿潴留患者为研究对象,采用随机数字表法将患者分为生物反馈组(生物反馈训练)、脐针组(脐针治疗)、联合组(生物反馈训练+脐针治疗),每组各32例。比较三组患者治疗前后膀胱残余尿量与尿流动力学参数、恢复自主排尿时间及临床疗效。结果 三组患者治疗后膀胱残余尿量、膀胱最大容量均显著小于本组治疗前(均P<0.05),平均尿流率、膀胱顺应性均显著大于本组治疗前(均P<0.05)。联合组患者治疗后膀胱残余尿量、膀胱最大容量显著小于同期生物反馈组与脐针组(均P<0.05),平均尿流率、膀胱顺应性均显著大于同期生物反馈组与脐针组(均P<0.05),而生物反馈组与脐针组治疗后的各参数比较差异均无统计学意义(均P>0.05)。联合组患者恢复自主排尿时间显著早于生物反馈组与脐针组(均P<0.05),治疗总有效率显著高于生物反馈组与脐针组(均P<0.05)。结论 生物反馈训练联合脐针治疗可显著减少宫颈癌根治术后尿潴留患者的膀胱残余尿量,改善尿流动力学,临床疗效优于单用生物反馈训练与单用脐针治疗。

Objective To investigate the effect of biofeedback training combined with umbilical acupuncture on urinary retention after radical hysterectomy for cervical cancer.Method Ninety-six patients with urinary retention after radical hysterectomy for cervical cancer treated in Red Cross Hospital of Yulin City from July 2020 to December 2021 were enrolled for the research and randomly divided into biofeedback group (biofeedback training),umbilical acupuncture group (umbilical acupuncture) and combined group (biofeedback training + umbilical acupuncture),with 32 cases in each group.The residual bladder volume and urodynamic parameters before and after treatment and recovery time of spontaneous micturition and clinical effect were compared among the three groups.Result The residual bladder volume and the maximum bladder capacity of patients in the three groups after treatment were significantly lower than those before treatment in this group (all P>0.05),the average urine flow rate and bladder compliance were significantly higher than those before treatment in this group (all P<0.05).The residual bladder volume and maximum bladder capacity of patients in combined group after treatment were significantly lower than those in biofeedback group and umbilical acupuncture group (all P<0.05),and the average urine flow rate and bladder compliance were significantly higher than those in biofeedback group and umbilical acupuncture group (all P<0.05).There were no significant differences in each parameter between biofeedback group and umbilical acupuncture group after treatment (all P>0.05).The time for patients to recover spontaneous urination in combined group was significantly earlier than that in biofeedback group and umbilical acupuncture group (all P<0.05),and the total effective rate was significantly higher than that in biofeedback group and umbilical acupuncture group (all P<0.05).Conclusion Biofeedback training combined with umbilical acupuncture can significantly reduce the residual bladder volume and improve urodynamics in patients with urinary retention after radical hysterectomy for cervical cancer.Its clinical effect is better than that of biofeedback training alone and umbilical acupuncture alone.