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针灸治疗宫颈癌术后尿潴留的研究 |
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张红建 李秀荣 赵磊
摘要 为探讨针灸对子宫颈癌术后神经损伤性膀胱功能障碍恢复的作用，选用健康雌性家兔36只，随机分成造模组(子宫切除术后尿潴留模型)、针灸组(术后电针加艾灸治疗)和对照组，分别进行膀胱内压、排尿阈值、残余尿量、盆神经放电频率测定。结果：3组家兔随着膀胱内注入量的增加膀胱内压力随之增加，造模组明显低于对照组及针灸组(P＜0.01，＜0.05)；膀胱排尿阈值造模组明显高于对照组及针灸组(P＜0.01，＜0.05)；残余尿量造模组明显高于针灸组(P＜0.05)；放电频率造模组明显低于针灸组(P＜0.01)。将实验结果应用于临床，对92例宫颈癌根治术后留置尿管患者随机分为针灸组60例；对照组30例，分别进行留置尿管时间、残余尿量、膀胱内压及尿流率测定。结果：留置尿管时间针灸组较对照组明显缩短(P＜0.01)。残余尿量术后第14 d针灸组较对照组明显减少(P＜0.01)；膀胱内压两组差异无显著性(P＞0.05)；尿流率针灸组明显大于对照组(P＜0.01)。提示针灸对改善宫颈癌术后尿潴留有明显疗效。
关键词 针灸 宫颈癌手术 尿潴留
Study on the treatment of uroschesis following operation of cervical carcinoma by acupuncture and moxibustion
Zhang Hongjian Li Xiurong Zhao Lei
(The Tumor Hospital of Henan Province,Zhengzhou 450003)
Abstract In order to investigate the role of acupuncture and moxibustion (AC) in the recovery of nerve injured bladder function disorder following operation of cervical carcinoma,36 healthy male rabbits were randomly divided into model group (model of uroschesis following operation of cervical carcinoma),AC group (postoperative galvano-acupuncture plus moxibustion) and control group.The bladder pressure,micturition threshold,residual urine and pelvic discharge frequency were measured.The results showed that the bladder pressure of the rabbits in the three groups was increased with the increase of bladder infusion.The bladder pressure in the model group was lower than in the control group and AC group (P<0.01,<0.05),while bladder micturition threshold was much higher than in the control group and AC group (P<0.01,<0.05).The residual urine in the model group was greater than in AC group (P<0.05).The discharge frequency in model group was lower than in AC group (P<0.01).On the basis of the animal experiment,92 cases of indwelling catheter following cervical carcinoma radical operation were randomly divided into AC group (n=60) and control group (n=30).The indwelling catheter time,residual urine,bladder press[1] [2] 下一页
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