中药穴位贴敷联合艾灸对前列腺癌根治术后尿失禁康复的影响

晶 郭(江苏省中医院，中国)

摘要

目的：探讨中药穴位贴敷联合艾灸对前列腺癌根治术后尿失禁尿失禁康复的影响。方法：纳入诊断为前列腺癌并行前列腺切除术的患者60例，随机分为对照组和观察组各 30 例。对照组接受常规康复干预，观察组在对照组的康复干预基础上，加以中药穴位贴敷联合穴位艾灸。观察术前及术后4周、8周的ICIQ-SF得分，术后首次自主排气时间、首次排便时间、腹胀缓解时间以及术后恢复控尿时间，术后一周平均每日的日漏尿次数及日排尿次数。结果：术后8周观察组的ICIQ-SF评分及8周及4周的评分差值均优于对照组（P<0.05）。观察组排便时间、腹胀缓解时间均早于对照组（P<0.05）。术后一周内，观察组的尿不湿每日更换次数、排尿次数及恢复控尿时间明显优于对照组（P<0.05）。结论：穴位贴敷联合艾灸为主的综合康复护理，能改善前列腺癌根治术的的尿失禁的情况、加速术后胃肠功能的恢复、提高患者的生活质量。

关键词

前列腺癌根治术；尿失禁；综合康复护理

参考

Wang L., Li Y., Qi Z., Wang W. Barriers and facilitators of the implementation of the application of pelvic floor muscle training in patients with prostate cancer: a scoping review. Front Public Health. 2023. 11. 1191508

Tibaek S., Gard G., Dehlendorff C., Iversen H. K., Erdal J., Biering-Sorensen F., Dorey G., Jensen R. The effect of pelvic floor muscle training on sexual function in men with lower urinary tract symptoms after stroke. Top Stroke Rehabil. 2015. 22(3). 185-193

Woodley S. J., Boyle R., Cody J. D., Morkved S., Hay-Smith EJC. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2017. 12(12). D7471

Baumann F. T., Reimer N., Gockeln T., Reike A., Hallek M., Ricci C., Zopf E. M., Schmid D., Taaffe D., Newton R. U., Galvao D. A., Leitzmann M. Supervised pelvic floor muscle exercise is more effective than unsupervised pelvic floor muscle exercise at improving urinary incontinence in prostate cancer patients following radical prostatectomy - a systematic review and meta-analysis. Disabil Rehabil. 2022. 44(19). 5374-5385

Palisaar J. R., Roghmann F., Brock M., Loppenberg B., Noldus J., von Bodman C. Predictors of short-term recovery of urinary continence after radical prostatectomy. World J Urol. 2015. 33(6). 771-779

张金, 周培, 张雪琴, 桑家艳, 张晓阳. 雷火灸联合穴位贴敷在良性前列腺增生伴夜尿频多患者中的临床效果. 中国当代医药. 2023. 30(24). 190-193

陈可点, 崔鹤蓉, 成雪皓, 杨笑云, 焦静怡, 雷海民. 延胡索的药性考证. 西北药学杂志. 2023. 38(05). 1-9

张丽丽, 沈华娟, 屠耀芬, 林根芳, 王丽双, 王思颖, 陆泽怡, 张大宏. 火龙罐综合灸在脾肾阳虚型前列腺术后轻中度压力性尿失禁患者中的应用. 中华男科学杂志. 2024. 30(05). 469-472

李孝红, 张晓兰, 汪永坚, 徐敏. 艾灸治疗压力性尿失禁的临床应用规律分析. 护理研究. 2023. 37(16). 2971-2976

Karmakar D., Mostafa A., Abdel-Fattah M. A new validated score for detecting patient-reported success on postoperative ICIQ-SF: a novel two-stage analysis from two large RCT cohorts. Int Urogynecol J. 2017. 28(1). 95-100

DOI: http://dx.doi.org/10.12345/yzlcyxzz.v8i8.30657