| 叶敏,丁昀,管小丹,等.通督温阳针刺法联合核心肌群稳定性训练对宫颈癌根治术后尿潴留的随机对照研究[J].安徽医药,2026,30(8):1616-1622. |
| 通督温阳针刺法联合核心肌群稳定性训练对宫颈癌根治术后尿潴留的随机对照研究 |
| A randomized controlled trial of Tongdu Wenyang acupuncture combined with core muscle stability training on urinary retention after radical surgery for cervical cancer |
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| DOI：10.3969/j.issn.1009-6469.2026.08.026 |
| 中文关键词: 针刺疗法 通督温阳针刺法 核心肌群稳定性训练 宫颈癌根治术 尿潴留 盆底肌力 |
| 英文关键词: Acupuncture therapy Tongdu Wenyang acupuncture method Core muscle stability training Cervical cancer radical surgery Urinary retention Pelvic floor muscle strength |
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| 摘要点击次数: 130 |
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| 中文摘要: |
| 目的探究通督温阳针刺法联合核心肌群稳定性训练对宫颈癌根治术后尿潴留的影响。方法前瞻性选取 2022年 4月至 2024年 1月孝感市中心医院 118例宫颈癌根治术后出现尿潴留的病人为研究对象，采用随机数字表法分为对照组和观察组，各 59例。对照组接受核心肌群稳定性训练治疗，而观察组则在稳定性训练的基础上，额外采用了通督温阳针刺法，两组均连续治疗 2周。比较两组的疗效、中医证候积分、残余尿量、尿动力学、盆底肌力和生活质量。结果观察组总有效率为 93.22%(55/59)高于对照组的 79.66%(47/59)(P<0.05)。治疗后，两组各项中医证候积分均较治疗前降低( P<0.05)，且观察组低于对照组( P<0.05)。治疗后，对照组残余尿量为( 151.82±19.36)mL，观察组为( 67.95±10.28)mL；对照组最大尿流率为(10.63±2.05)mL/s、平均尿流率为( 8.61±1.89)mL/s、膀胱最大容量为( 391.32±26.31)mL，观察组分别为( 12.25±2.11)mL/s、(10.27±1.92)mL/s、(438.65±27.58)mL，观察组上述指标均优于对照组( P<0.05)。观察组盆底肌力正常率为 71.19%(42/59)高于对照组的 50.85%(30/59)(P<0.05)。治疗后，对照组总体健康、心理健康、生命活力、生理职能评分分别为( 61.49±7.55)分、(60.56±8.23)分、(64.27±7.46)分、(63.36±6.70)分，观察组分别为( 72.36±5.69)分、(71.45±7.06)分、(75.81±8.37)分、(74.05±6.57)分，观察组上述各维度评分均高于对照组( P<0.05)。结论通督温阳针刺法联合核心肌群稳定性训练能够增强疗效，改善中医证候，减少残余尿量，恢复膀胱功能，加强盆底肌力，改善生活质量，因此具有较好的临床应用价值。 |
| 英文摘要: |
| Objective To explore the effect of Tongdu Wenyang acupuncture combined with core muscle stability training on urinary retention after radical surgery for cervical cancer.Methods Prospective selection of totally 118 patients with postoperative urinary re-tention following radical hysterectomy for cervical cancer at Xiaogan Central Hospital from April 2022 to January 2024 were selected asthe study subjects. These patients were randomly assigned to a control group (n=59) or an observation group (n=59) using the randomnumber table method. The control group received core muscle stability training, while the observation group used the Tongdu Wenyang acupuncture in addition to stability training. Both groups were treated continuously for 2 weeks. Comparison was made between the twogroups regarding the therapeutic effects, traditional Chinese medicine (TCM) syndrome scores, residual urine volume, urodynamics, pel-vic floor muscle strength, and quality of life.Results The total effective rate in the observation group was 93.22% (55/59), which washigher than that in the control group 79.66%, (47/59), with a statistically significant difference (P< 0.05). After treatment, the TCM syn-drome scores of both groups were lower than those before treatment (P< 0.05), and the scores in the observation group were lower than those in the control group (P< 0.05). After treatment, the residual urine volume was (151.82±19.36) mL in the control group and (67.95±10.28) mL in the observation group; the maximum urine flow rate, average urine flow rate, and maximum bladder capacity in the controlgroup were (10.63±2.05) mL/s, (8.61±1.89) mL/s, and (391.32±26.31) mL, respectively, while those in the observation group were(12.25±2.11) mL/s, (10.27±1.92) mL/s, and (438.65±27.58) mL, respectively. All the above indicators in the observation group were su-perior to those in the control group (P< 0.05). The normal rate of pelvic floor muscle strength was higher in the observation group thanthat in the control group [71.19% (42/59) vs. 50.85% (30/59)] with statistically significant difference (P<0.05). After treatment, thescores of overall health, mental health, vitality, and physiological function in the control group were (61.49±7.55) points, (60.56±8.23)points, (64.27±7.46) points, and (63.36±6.70) points, respectively, while those in the observation group were (72.36±5.69) points, (71.45±7.06) points, (75.81±8.37) points, and (74.05±6.57) points, respectively. All the above dimension scores in the observationgroup were higher than those in the control group (P<0.05).Conclusions The combination of Tongdu Wenyang acupuncture and coremuscle stability training can enhance therapeutic effects, improve traditional Chinese medicine syndromes, reduce residual urine vol-ume, restore bladder function, strengthen pelvic floor muscle strength, and improve quality of life. Therefore, it has good clinical appli-cation value. |
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