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【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 efficacy and safety of prophylactic combined with acupuncture and spinal therapy in the treatment of postoperative urinary retention after cervical cancer. 【Methods】 160 cases of cervical cancer patients were randomly divided into control group and treatment group of 80 cases. The control group received routine treatment of Western medicine, including: conventional indwelling catheter in patients with preoperative; catheter occlusion 5 d after surgery and urine every 2 ~ 3 h; 10 to 12 d after the operation to remove the catheter. The treatment group in the control group on the basis of conventional Western medicine, starting at 5 days after the operation, scalp acupuncture foot transport sense area, with acupuncture bilateral Shenshu, bladder Yu, secondary acupoints, combined with the treatment of spinal cord spine conditioning the spine . The incidence of urinary retention, residual urine volume and catheterization were observed in 2 groups. The clinical efficacy and adverse reactions in 2 groups were evaluated. 【Results】 (1) The clinical efficacy of the treatment group was better than that of the control group. There were significant differences between the two groups (rank sum test) (P <0.05). (2) After treatment, the incidence of urinary retention and catheterization in the treatment group after extubation were lower than those in the control group, and the residual urine volume and average length of hospital stay were less than those in the control group (P <0.05) . (3) During the treatment, no obvious adverse reactions and adverse events were found in all patients. 【Conclusion】 The scalp foot-sense zone combined with Back-shu acupuncture combined with treatment of ridge therapy can effectively promote the recovery of bladder function in patients with cervical cancer as soon as possible. The curative effect is good and the safety is good.