摘要
目的观察中药内服联合针刺及微波透药治疗宫颈癌术后顽固性尿潴留的疗效。方法选择宫颈癌术后顽固性尿潴留患者共9例,所有患者均接受中药内服(补肾益气通利方加减)、针刺(取三阴交、足三里、关元、气海、中极等穴位)联合微波透药的综合方法,治疗前和1个疗程(7d)后分别观察膀胱残余尿量、中医症状积分,并观察自主排尿功能恢复时间及复发情况。结果与治疗前比较,1个疗程后膀胱残余尿量明显减少(P<0.05),临床症状(排尿无力、小腹胀痛、腰膝酸软、倦怠乏力)积分均显著降低(P<0.05)。患者自主排尿功能平均恢复时间为(16.22±6.12)d。随访结果显示没有患者复发。结论中药内服联合针刺及微波透药的综合疗法对宫颈癌术后顽固性尿潴留具有较好的疗效。
Objective To observe the efficacy of oral traditional Chinese medicine combined with acupunc- ture and microwave diathermy in the treatment of refractory urinary retention among postoperative patients with cervical cancer. Methods A total of 9 cervical cancer patients with refractory urinary retention after operation were collected. All the patients were given oral traditional Chinese medicine （modified kidney- tonifying, qi-benefiting, and obstruction-removing prescription） combinedwith acupuncture （at Sanyinjiao, Zu- sanli, Guanyuan, Qihai, and Zhongji） and microwave diathermy. Urinary retention in the bladder, traditional Chi- nese medicine syndrome scores, time to recovery of automatic urination, and relapse of the disease were observed before the treatment and after one treatment course （7 d）. Results After one course of treatment, the residual urine volume in the bladder significantly decreased （P〈0.05） and the clinical syndrome scores of acrature- sis, lower abdominal pain and distension, soreness and weakness of the waist and knees, and feebleness were significantly reduced （P〈0.05）. The time to recovery of automatic urination was 16.22±6.12 d. No patients relapsed according to the follow-up results. Conclusion Oral traditional Chinese medicine com- bined with acupuncture and microwave diathermy is effective in the treatment of refractory urinary reten- tion among postoperative patients with cervical cancer.
出处
《安徽中医药大学学报》
CAS
2015年第4期46-49,共4页
Journal of Anhui University of Chinese Medicine
关键词
宫颈癌术后
顽固性尿潴留
微波透药
postoperative patient with cervical cancer
refractory urinary retention ~ microwave diathermy
