摘要
【目的】观察头体联合针刺与治脊疗法预防性治疗宫颈癌术后尿潴留的临床有效性与安全性。【方法】将160例宫颈癌术后患者随机分为对照组和治疗组各80例。对照组给予西医常规处理,包括：患者手术前常规留置导尿管;术后5 d夹闭导尿管,并每2~3 h放尿1次;术后10~12 d尝试拔除导尿管。治疗组在对照组西医常规处理的基础上,在术后第5天开始,头皮针刺足运感区,配合针刺双侧肾俞、膀胱俞、次髎穴,同时结合治脊床调理脊椎。观察2组患者术后的尿潴留发生率、残余尿量、重置导尿管率,评价2组临床疗效及不良反应情况。【结果】（1）治疗组的临床疗效优于对照组,2组比较（秩和检验）,差异有统计学意义（P〈0.05）。（2）治疗后,治疗组拔管后尿潴留发生率及重置导尿管率低于对照组,残余尿量及平均住院日少于对照组,差异均有统计学意义（P〈0.05）。（3）治疗期间,所有患者均未发现有明显的不良反应及不良事件。【结论】选用头皮足运感区配合背俞穴针刺结合治脊疗法,能有效促进宫颈癌术后患者膀胱功能的尽快恢复,疗效确切,安全性好。
Objective To observe the clinical effects and safety of scalp-body acupuncture and spine-manipulation therapy on preventively treating cervical cancer patients with postoperative urinary retention. Methods A total of160 cases of cervical cancer patients with postoperative urinary retention were randomized into treatment group and control group, 80 cases in each group. Both groups were given conventional western medical treatment including preoperative indwelling of urethral catheter, clamping of urethral catheter 5 d after operation and release of the urine every 2-3 h, and trying to remove the urethral catheter 10-12 d after operation. Additionally, the treatment group received scalp acupuncture in the foot motor sensory area, body acupuncture of bilateral Shenshu（BL23）,Pangguangshu（BL28）, Ciliao（BL32） acupoints, and spine-manipulation therapy 5 d after operation. The clinical outcomes covered the incidence of urinary retention, residual urine volume, reset rate of catheter, and the clinical effect and safety in the two groups were evaluated. Results（ 1） The therapeutic effect of the treatment group was superior to that of the control group, and then the difference was significant（P〈0.05）.（ 2） After treatment,the incidence of urinary retention, residual urine volume, reset rate of catheter and average hospitalization days were less in the treatment group than those in the control group, the differences being significant（ P〈0.05）.（ 3）There was no adverse reaction during the treatment course. Conclusion Scalp acupuncture in the foot motor sensory area combined with body acupuncture and spine-manipulation therapy can promote the recovery of micturation function, and have satisfactory clinical effect and high safety in preventively treating cervical cancer with postoperative urinary retention.
出处
《广州中医药大学学报》
CAS
2015年第6期1031-1034,共4页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
广东省科技计划资助项目(编号:2012B031800180)
关键词
宫颈癌
术后尿潴留
头皮针
治脊疗法
Cervical cancer
Postoperative urinary retention
Scalp acupuncture
Spine-manipulation therapy
