低频电刺激在宫颈癌根治术后康复的应用

Application of low frequency electrical stimulation in rehabilitation after radical operation for cervical cancer

目的探讨低频电刺激在宫颈癌术后镇痛、胃肠功能恢复、预防尿潴留、预防血栓中的应用。方法选取2020年5月至2021年10月于盐城市第一人民医院行宫颈癌根治手术的患者52例,采用随机数字表法分为对照组25例(予常规术后护理)和试验组27例(在对照组基础上予以低频电刺激)。对比两组术后镇痛效果[视觉模拟评分法(visual analogue scale,VAS)]、胃肠功能恢复情况、排尿及凝血相关情况,并观察术后尿潴留、血栓发生情况。结果试验组术后24 h VAS评分[(3.52±1.01)分]、48 h VAS评分[(2.41±0.97)分]均低于对照组[(4.36±0.95)分、(3.2±1.08)分],差异有统计学意义(P<0.05)。术后肠蠕动恢复时间[(34.23±10.38)h]、首次排气时间[(43.69±8.06)h]、首次排便时间[(43.69±8.06)h]均短于对照组[(40.45±11.49)h、(52.32±11.68)h、(69.16±9.6)h],差异有统计学意义(P<0.05),试验组术后纤维蛋白原降解产物[(8.33±3.91)ug/mL]低于对照组[(14.84±4.59)ug/mL],血浆D-二聚体[(4.36±1.81)mg/L]亦低于对照组[(6.62±2.57)mg/L],差异有统计学意义(P<0.05),术后血栓发生率比较(3.7%vs 20.0%),差异无统计学意义(P>0.05),试验组术后首次排尿时间[(2.83±0.62)h]早于对照组[(3.53±0.74)h],膀胱残余尿量[(56.67±23.04)mL]少于对照组[(84.00±28.58)mL],差异有统计学意义(P<0.05)。结论低频电刺激用于宫颈癌根治术后康复可以缓解疼痛,促进胃肠功能恢复,预防尿潴留,改善血液高凝状态,但能否预防血栓形成需进一步研究。

Objective To investigate the application of low frequency electrical stimulation in postoperative analgesia,gastrointestinal function recovery,prevention of urinary retention and prevention of thrombosis after radical resection of cervical cancer.Methods 52 patients underwent radical cervical cancer surgery in Yancheng No.1 People’s Hospital from May 2020 to October 2021,which were divided into the control group(25 cases were given routine postoperative care) and the test group (27 cases were given low-frequency electrical stimulation on the basis of the control group) by random number table.The postoperative analgesia effect,gastrointestinal function recovery,urination and coagulation related conditions were compared between the two groups,and the postoperative urinary retention and thrombosis were observed.Results The VAS scoreat 24 hours[(3.52±1.01)points]and at 48 hours[(2.41±0.97)points] in the test group were lower than those in the control group[(4.36±0.95)points and(3.2±1.08)points],the differences were statistically significant(P<0.05).The postoperative recovery time of intestinal peristalsis[(34.23±10.38)h],the first exhaust time[(43.69±8.06)h],and the first defecation time[(43.69±8.06)h]were shorter than those in the control group[(40.45±11.49)h,(52.32±11.68)h,(69.16±9.6)h],the differences were statistically significant(P<0.05).The fibrinogen degradation product[(8.33±3.91)ug/mL]in the text group was lower than that in the control group[(14.84±4.59)ug/mL],and the plasma D-dimer[(4.36±1.81)mg/L]was also lower than the control group[(6.62±2.57)mg/L],the differences were statistically significant(P<0.05).Comparison of incidence of thrombosis after operation(3.7%vs 20.0%),there was no significant difference(P>0.05).The first micturition time in the test group[(2.83±0.62)h]was earlier than that in the control group[(3.53±0.74)h],and the residual urine volume of the bladder[(56.67±23.04)mL]was less than that in the control group[(84.00±28.58)mL],the differences were statistically significant(P<0.05).Conclusion Low frequency electrical stimulation can relieve pain,promote gastrointestinal function recovery,prevent urinary retention and improve blood hypercoagulability after radical operation of cervical cancer,but whether it can prevent thrombosis needs further study.