Yang Bo-shuai, Ye Ding-wei, Yao Xu-dong, Peng Jiang-yan, Zhang Shi-lin, Dai Bo, Zhang Hai-liang, Shen Yi-jun, Zhu Yao, Zhu Yi-ping, Shi Guo-hai
Department of Urology, Cancer Hospital, Fudan University, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Zhonghua Wai Ke Za Zhi. 2010 Sep 1;48(17):1325-7.
To explore the effectiveness and significance of whether electrical acupuncture stimulation combining with pelvic floor muscle therapy (PFMT) can improve the recovery of urinary continence.
A total of 109 patients took part in the study of novel combination treatment for urinary continence from September 2008 to September 2009. Patients were divided into study group (n = 40) and control group (n = 69). The patients in study group received electrical acupuncture stimulation therapy combined with PFMT one week after removal the catheter. The patients in control group performed PFMT as the only treatment for post prostatectomy incontinence. The patients were followed up closely, with their clinical characteristics recorded, questionnaires of ICI-Q-SF filled up, and all the data for statistical analysis collected.
There was a significant difference between the study group and the control group in the urinary control curve (P = 0.029). The difference of continence probability between these two groups became greater from 4 weeks after surgery, and the difference reached the peak at 6 weeks (P = 0.023). Then the difference became smaller, and there was no difference at 16 weeks after surgery. ICI-Q-SF questionnaires showed the same results.
Electrical acupuncture stimulation therapy combining with PFMT can improve the recovery of patients' urinary continence after radical prostatectomy.
探讨电针刺激联合盆底肌治疗(PFMT)能否提高尿失禁恢复效果及其意义。
2008年9月至2009年9月,共有109例患者参与新型尿失禁联合治疗研究。患者分为研究组(n = 40)和对照组(n = 69)。研究组患者在拔除导尿管1周后接受电针刺激治疗联合PFMT。对照组患者仅采用PFMT治疗前列腺切除术后尿失禁。对患者进行密切随访,记录其临床特征,填写ICI-Q-SF问卷,并收集所有数据进行统计分析。
研究组与对照组在控尿曲线方面存在显著差异(P = 0.029)。两组间尿失禁概率差异自术后4周起增大,在术后6周达到峰值(P = 0.023)。随后差异变小,术后16周时无差异。ICI-Q-SF问卷显示结果相同。
电针刺激治疗联合PFMT可提高前列腺癌根治术后患者尿失禁的恢复情况。