穴位按压缓解宫颈癌术后尿潴留的临床研究

发布时间：2018-05-30 23:18

本文选题：穴位按压 + 宫颈癌术后　；参考：《中国中西医结合杂志》2015年04期

【摘要】：目的研究穴位按压对宫颈癌术后并发尿潴留是否有缓解作用。方法 107例Ⅲ级根治性全子宫切除术术后尿潴留的患者,采用随机数字表法分为阳性穴位组(40例)、阴性穴位组(32例)和无穴位组(35例)。各组患者均进行保护性1/5 000高锰酸钾坐浴,每天3次,15~20 min/次。阳性穴位组进行阳性穴位按压(利尿穴、气海穴)同时辅以辨证选穴(关元、中极、肾俞、足三里、三阴交及太溪穴),阴性穴位组进行阴性穴位按压(调节胃肠功能的穴位);无穴位组仅仅按照常规坐浴。各组均为每天3次,7天为1个疗程,共21天。检测患者的残余尿量,记录膀胱功能恢复时间及各组第7、14、21天的平均残余尿量。结果与阴性穴位组及无穴位组比较,阳性穴位组轻、重度患者留置尿管时间均缩短(P0.01),轻、重度患者术后第7、14、21天残余尿量均减少(P0.01)。结论宫颈癌术后尿潴留患者通过自行穴位按压可以起到缓解作用。
[Abstract]:Objective to study the effect of acupoint compression on urinary retention after cervical cancer surgery. Methods 107 patients with urinary retention after radical hysterectomy were randomly divided into positive acupoint group (n = 40) and negative acupoint group (n = 32) and no acupoint group (n = 35). The patients in each group were given 1 / 5 000 potassium permanganate sitting bath three times a day for 15 to 20 min/. In the positive acupoint group, the positive acupoint pressing (diuretic point, Qi-Hai point) was accompanied by syndrome differentiation (Guan Yuan, middle pole, Shenshu, Zusanli). In Sanyinjiao and Taixi acupoints, the negative acupoints were pressed with negative acupoints (acupoints regulating gastrointestinal function), while the non-acupoints group was only in accordance with the routine sitting bath. All groups were treated for 21 days, 3 times a day for 7 days. The residual urine volume was measured, the time of bladder function recovery and the average residual urine volume of each group on day 14 ~ 21 were recorded. Results compared with the negative acupoint group and the non-acupoint group, the positive acupoint group was light, the time of indwelling urethral catheter was shortened in the severe patients, and the residual urine volume of the severe patients was reduced by P0.01on the 7th day 1421 days after operation. Conclusion urinary retention after cervical cancer surgery can be alleviated by acupoint compression.
【作者单位】：中国医科大学附属盛京医院妇产科;厦门大学附属第一医院妇产科;
【基金】：国家自然科学基金资助项目(No.81270675) 盛京自由研究者计划(No.201204) 沈阳市科技项目(No.F14-231-1-55)
【分类号】：R737.33

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