电针加康复训练对宫颈癌根治术后膀胱功能障碍影响.docVIP

电针加康复训练对宫颈癌根治术后膀胱功能障碍影响摘 要:目的:比较电针加康复训练与单纯康复训练对宫颈癌根治术后膀胱功能障碍的影响。方法:将62例确诊为宫颈癌根治术后尿潴留患者随机分成实验组与对照组,实验组采用电针加康复训练治疗,对照组为单纯康复训练。结果:观察两组患者的拔管后尿潴留率、拔除尿管后患者的第一次平均残余尿量、平均住院日,实验组均明显低于对照组;从积分的改变来看,两组对比具统计学意义。结论: 电针加康复训练优于单纯康复训练。 关键词:宫颈癌根治术;尿潴留;电针;康复训练 中图分类号:R246 文献标识码:B 文章编号:1673-7717(2010)01-0092-02 Effects of Electro-Acupuncture Plus Rehabilitation Training on Bladder Dysfunction After Cervical Cancer Radical Resection QIU Xiao?ling?1, XIE Wen?xia?2, CHEN Yong?2, ZHEN Rui?xian?2, WANG Yue?fen?2 (1.Shengzhou Hospital of TCM, Shengzhou 312400, Zhejiang, China; 2.First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, Zhejiang, China) Abstract:Objective: To compare the effects of electro-acupuncture plus rehabilitation training and simple rehabilitation training on bladder dysfunction after cervical cancer radical resection. Methods: 62 cases diagnosed with cervical cancer after radical resection in patients with urinary retention were randomly divided into experimental and control groups, the experimental group used electro-acupuncture treatment plus rehabilitation training, the control group for the simple rehabilitation training. Results: The observation of two groups after extubation in patients with urinary retention rate of removal of catheter after treatment in patients with average residual urine volume of the first time, the average length of stay, the experimental group were significantly lower than the control group; and the two groups have a statistical significance. Conclusion: Electro-acupuncture plus rehabilitation training is better than simple rehabilitation. Key words:cervical cancer radical resection; retention; electro-acupuncture; rehabilitation training 宫颈癌在女性肿瘤中居第2位,是世界上最主要的癌症之一,占癌症患者总数的15%。每年约有37.12万个新发病例,约20万人死亡,其中我国宫颈癌的发生率和死亡率约占全世界的1/3。目前国内宫颈癌早、中期及部分晚期患者,多采用手术治疗。然而因手术会造成骨盆内脏神经及血管在术后受损,与麻醉后的副作用,常引起膀胱麻痹导致尿潴留,成为该手术常见的并发症之一。2004年以来,笔者采用电针治疗本病,并进行了一系列的观察,现将观察结果报道如下。 1 临床资料 1.1一般资料选择2004年1月-2008年12月首次在本院接受宫颈癌根治