[1]黄新凯,蒋学文,赖海标,等.针刺配合盆底肌训练治疗前列腺增生术后暂时性尿失禁临床疗效的回顾性分析[J].西部中医药,2022,35(11):136-139.[doi:10.12174/j.issn.2096-9600.2022.11.28]
　HUANG Xinkai,JIANG Xuewen,LAI Haibiao,et al.A Restrospective Study on Clinical Effects of Acupuncture and Pelvic Floor Muscle Training on Temporary Urinary Incontinence after Resection of Prostatic Hyperplasia[J].Western Journal of Traditional Chinese Medicine,2022,35(11):136-139.[doi:10.12174/j.issn.2096-9600.2022.11.28]
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针刺配合盆底肌训练治疗前列腺增生术后暂时性尿失禁临床疗效的回顾性分析
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
35
期数:
2022年11期
页码:
136-139
栏目:
出版日期:
2022-11-15

文章信息/Info

Title:
A Restrospective Study on Clinical Effects of Acupuncture and Pelvic Floor Muscle Training on Temporary Urinary Incontinence after Resection of Prostatic Hyperplasia
作者:
黄新凯, 蒋学文, 赖海标, 钟喨, 黄智峰, 曾晔, 吴松, 赖伟业
广州中医药大学附属中山中医院,广东 中山 528400
Author(s):
HUANG Xinkai, JIANG Xuewen, LAI Haibiao, ZHONG Liang, HUANG Zhifeng, ZENG Ye, WU Song, LAI Weiye
Zhongshan Hospital of Traditional Chinese Medicine, Guangzhou University of Traditional Chinese Medicine, Zhongshan 528400, China
关键词:
前列腺增生; 暂时性尿失禁; 经尿道前列腺等离子电切术; 盆底肌训练; 针刺
Keywords:
prostatic hyperplasia; temporary urinary incontinence; transurethral plasmakinetic prostatectomy; pelvic floor muscle training; acupuncture
分类号:
R694
DOI:
10.12174/j.issn.2096-9600.2022.11.28
文献标志码:
B
摘要:
目的回顾性分析针刺联合盆底肌训练治疗前列腺增生术后暂时性尿失禁的临床疗效。 方法回顾性分析2016年1月至2018年12月行尿道前列腺等离子电切术（TUPKP）并尿管拔除后出现暂时性尿失禁的200例良性前列腺增生患者的临床资料，根据是否联合针刺治疗将患者分为研究组（113例）和对照组（87例）。对照组患者行常规盆底肌训练，研究组患者在盆底肌训练的基础上增加针刺治疗。比较两组患者治疗前后的临床症状评分、临床疗效、尿动力学及不良反应。 结果治疗后两组患者临床症状评分均低于治疗前（P＜0.05），研究组低于对照组（P＜0.05）；研究组总有效率（90.3%）高于对照组（78.2%），差异有统计学意义（P＜0.05）；治疗后两组患者PdetQmax、逼尿肌漏尿点压水平低于治疗前（P＜0.05），研究组低于对照组（P＜0.05），膀胱顺应性水平高于治疗前（P＜0.05），研究组高于对照组（P＜0.05）。两组患者均未发生暂时性尿失禁加重等不良反应。 结论针刺联合盆底肌训练治疗前列腺增生术后暂时性尿失禁的疗效优于单用盆底肌训练。
Abstract:
ObjectiveTo observe clinical effects of acupuncture and pelvic floor muscle training in the treatment of temporary urinary incontinence after transurethral plasmakinetic prostatectomy (TUPKP). MethodsClinical data of 200 patients with benign prostatic hyperplasia, who suffered temporary urinary incontinence after catheter removal when they underwent TUPKP between January 2016 and December, 2018, were retrospectively analyzed, and they were allocated to the study group (113 cases) and the control group (87 cases) according to whether they accepted acupuncture or not. The control group accepted conventional pelvic floor muscle training, and the study group adoped acupuncture therapy based on pelvic floor muscle training. To compare clinical symptom scores, clinical effects, urodynamics and adverse reaction before and after treating between both groups. ResultsAfter the treatment, clinical symptoms scores of both groups were lower than these before the treatment (P<0.05), the study group was lower than the control group (P<0.05); total effective rate of the study group was 90.3%, higher than 78.2% of the control group, and the difference had statistical meaning (P<0.05); after the treatment, the levels of PdetQmax and DLPP of both groups were lower than these before the treatment (P<0.05), the study group was lower than the control group (P<0.05), the level of BC was higher than that before the treatment (P<0.05), the study group was higher than the control group (P<0.05). No adverse reaction such as temporary urinary incontinence aggravating happened in both groups. ConclusionAcupuncture and pelvic floor muscle training in the treatment of temporary urinary incontinence after TUPKP are superior to single pelvic floor muscle training.

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[1]邱运华,宋晓耘,杨剑锋,等.远红外贴联合补肾活血方治疗良性前列腺增生症疗效观察[J].西部中医药,2020,33(03):123.[doi:10.12174/j.issn.1004-6852.2020.03.35]
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备注/Memo

备注/Memo:
黄新凯（1982—），男，硕士学位，副主任医师。研究方向：泌尿外科前列腺、结石病微创治疗。中山市社会公益与基础研究项目（2020B1128，2020SYF03）。
更新日期/Last Update: 2022-11-15