Yi Wei-Min, Li Jian-Jun, Lu Xiao-Mei, Jin Li-Ling, Pan Ai-Zhen, Zou Yan-Qin
Acupuncture Department, The Second Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510120, China.
Zhongguo Zhen Jiu. 2008 Sep;28(9):653-5.
To observe the effect of electroacupuncture on recovery of urinary bladder function after radical hysterectomy.
One hundred and ten cases were randomly divided into an electroacupuncture (EA) group and a control group, 55 cases in each group. In the control group, the urinary tube was placed and kept with routine method and the urinary bladder was rinsed, and from the eighth day the abdomen was radiated with TDP, 30 min each day, for 5 days. In the EA group, on the basis of treatment in the control group EA was given at Sanyinjiao (SP 6), Zusanli (ST 36), Waiguan (TE 5), Shuidao (ST 28), Guilai (ST 29), etc. from the eighth day to twelfth day after operation. The recovery time of urinary bladder function after radical hysterectomy, urine dynamic indexes and hospitalization days were compared between the two groups.
The cases of the bladder function recovery, retention of urine, urinary incontinence were 51(51/55), 4(4/55), 0 on the 14 th day after operation and 53(53/55), 2(2/55), 0 on the 28 th day in the EA group, and 27(27/55), 25(25/55), 3(3/55) on the 14 th day and 43(43/55), 11(11/55), 1(1/55) on the 28th day in the control group, respectively, with a very significant difference between the two groups (P < 0.01); the EA group in residual urine volume, bladder volume, mean urinary flowing rate was better than the control group on the 14 th day after operation (P < 0.01 or P < 0.05); the hospitalization days after operation was (21.1 +/- 3.3) days in the EA group and (25.5 +/- 3.5) days in the control group, the former being shorter than the later (P < 0.01).
EA can promote recovery of bladder function, shorten the keeping time of urinary tube after radical hysterectomy, which is benefit to decreasing incidence rate of urinary system infection and shortening hospitalization days.
观察电针促进子宫根治性切除术后膀胱功能恢复的作用。
将110例患者随机分为电针组和对照组，每组55例。对照组采用常规方法留置尿管，冲洗膀胱，术后第8天开始用特定电磁波谱治疗仪（TDP）照射腹部，每天30分钟，共5天。电针组在对照组治疗基础上，于术后第8天至第12天取三阴交（SP 6）、足三里（ST 36）、外关（TE 5）、水道（ST 28）、归来（ST 29）等穴位行电针治疗。比较两组子宫根治性切除术后膀胱功能恢复时间、尿动力学指标及住院天数。
术后第14天，电针组膀胱功能恢复、尿潴留、尿失禁例数分别为51（51/55）、4（4/55）、0例，术后第28天分别为53（53/55）、2（2/55）、0例；对照组术后第14天分别为27（27/55）、25（25/55）、3（3/55）例,术后第28天分别为43（43/55）、11（11/55）、1（1/55）例，两组比较差异有统计学意义（P < 0.01）；术后第14天电针组残余尿量、膀胱容量、平均尿流率均优于对照组（P < 0.01或P < 0.05）；电针组术后住院天数为（21.1±3.3）天，对照组为（25.5±3.5）天，电针组短于对照组（P < 0.01）。
电针可促进子宫根治性切除术后膀胱功能恢复，缩短术后尿管留置时间，有利于降低泌尿系统感染发生率，缩短住院天数。
