温针灸联合康复训练治疗前列腺癌根治术后尿失禁的临床疗效观察

Clinical observation of warming acupuncture combined with rehabilitation training in the treatment of urinary incontinence after radical prostatectomy

目的 探讨温针灸联合康复训练治疗前列腺癌根治术后尿失禁的临床疗效。方法 86例前列腺癌根治术后出现尿失禁患者,随机分为观察组和对照组,各43例。对照组术后不给予干预措施,观察组术后给予温针灸联合康复训练。对比两组患者术后排尿效果及尿失禁持续时间。结果 对照组有31例显效,6例有效,6例无效,总有效率是86.05%。观察组有40例显效,2例有效,1例无效,总有效率是97.67%。观察组总有效率高于对照组(χ^(2)=3.888,P=0.049<0.05)。观察组尿失禁持续时间是(1.46±0.11)个月,对照组尿失禁持续时间是(3.08±0.62)个月。对照组尿失禁持续时间明显比观察组长(t=16.870,P=0.000<0.05)。结论 前列腺癌术后出现尿失禁患者早期进行温针灸联合膀胱功能训练、运动功能和盆底肌功能训练,可以缩短尿失禁持续时间,提高前列腺癌的治疗效果,加快前列腺癌患者手术后的康复速度,具有显著的临床效果,值得大力推广。

Objective To discuss the clinical efficacy of warming acupuncture combined with rehabilitation training in the treatment of urinary incontinence after radical prostatectomy.Methods 86 patients with urinary incontinence after radical prostatectomy were randomly divided into an observation group and a control group,with 43 cases in each group.The control group was given no intervention after operation,and the observation group was given warm acupuncture combined rehabilitation training after operation.The postoperative urination effect and duration of urinary incontinence were compared between the two groups.Results In the control group,31 cases were significantly effective,6 cases were effective,6 cases were ineffective,and the total effective rate was 86.05%.In the observation group,40 cases were significantly effective,2 cases were effective and 1 case was ineffective,and the total effective rate was 97.67%.The total effective rate of the observation group was higher than that of control group(χ^(2)=3.888,P=0.049 < 0.05).The duration of urinary incontinence was(1.46±0.11) months in the observation group and(3.08±0.62) months in the control group.The duration of urinary incontinence in the control group was significantly longer than that in the observation group(t=16.870,P=0.000<0.05).Conclusion For patients with urinary incontinence after radical prostatectomy,early warm acupuncture combined with bladder function training,motor function and pelvic floor muscle function training can shorten the duration of urinary incontinence,improve the treatment effect of prostate cancer,and accelerate the recovery of prostatic cancer patients after surgery,which has significant clinical effects and is worthy of vigorous promotion.