前列腺癌根治术后尿失禁患者的凯格尔运动与八髎穴温灸结合应用

IF 0.2 4区 医学 Q4 SURGERY International surgery Pub Date : 2023-12-06 DOI:10.9738/intsurg-d-22-00013.1
Hui Chen, Chenchen Wang, Zhongqing Zhang, Lingling Hao, Xuefeng Qiu, Linfeng Xu, J. Zhuang, Hongqian Guo
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引用次数: 0

摘要

探讨凯格尔运动配合八髎温针治疗根治性前列腺切除术后尿失禁的疗效。对临床局限性前列腺癌患者进行单中心、回顾性队列研究。本研究纳入我院泌尿外科2017年7月至2020年11月收治的200例患者,其中对照组(单一凯格尔运动)100例,实验组(凯格尔运动结合针灸)100例。分别于术后1个月、3个月和6个月记录拔管至尿失禁完全恢复的时间。采用国际尿失禁咨询问卷(ICIQ)、“1小时尿不湿测试”和尿失禁生活质量问卷(I-QOL)分别评估尿失禁的发生频率和严重程度、尿失禁的疗效和患者的生活质量。组间比较采用独立样本t检验、秩和检验和卡方检验。实验组与对照组术后1个月尿失禁频次、严重程度、疗效及患者生活质量差异无统计学意义(P > 0.05),但术后3个月、6个月差异有统计学意义(P < 0.05)。凯格尔运动配合八穴温热针刺,可降低尿失禁发生率,提高控尿能力,改善根治性前列腺切除术后尿失禁患者的生活质量。
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Application of Kegel Motion Combined with Warming Acupuncture at the Eight Acupuncture Points in Patients with Urinary Incontinence after Radical Prostatectomy
To study the effect of Kegel exercise combined with Baliao warming acupuncture in the treatment of urinary incontinence after radical prostatectomy. A single-center, retrospective cohort study was conducted on clinically localized prostate cancer patients. This study involved 200 patients through a specific exclusion criterion admitted to the Department of Urology of our hospital, including 100 cases in the control group (single Kegel Motion) and 100 cases in the experimental group (Kegel Motion combined with acupuncture) from July 2017 to November 2020. Time from catheter removal to full recovery of urinary continence was recorded by 1 month, 3 months and 6 months after surgery. The International Consultation on Incontinence Questionnaire-short Form (ICIQ), the “one-hour diaper test” and the Quality-of-Life Incontinence Questionnaire (I-QOL) were used to evaluate the frequency and severity of urinary incontinence, the efficacy of urinary incontinence and the patients’ qualities of life, respectively. An independent sample t-test, rank sum test and Chi-square test were adopted for comparison between groups. None of the frequency, severity and efficacy of urinary incontinence nor the patients’ qualities of life showed difference between the experimental group and the control group at one month after surgery (P > 0.05) but showed significant differences at three months and six months postoperatively (P < 0.05). The Kegel Motion combined with warming acupuncture at the eight acupuncture points can reduce the incidence of urinary incontinence, improve urinary control ability and improve the quality of life of patients with urinary incontinence after radical prostatectomy.
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来源期刊
International surgery
International surgery 医学-外科
CiteScore
0.30
自引率
0.00%
发文量
10
审稿时长
6-12 weeks
期刊介绍: International Surgery is the Official Journal of the International College of Surgeons. International Surgery has been published since 1938 and has an important position in the global scientific and medical publishing field. The Journal publishes only open access manuscripts. Advantages and benefits of open access publishing in International Surgery include: -worldwide internet transmission -prompt peer reviews -timely publishing following peer review approved manuscripts -even more timely worldwide transmissions of unedited peer review approved manuscripts (“online first”) prior to having copy edited manuscripts formally published. Non-approved peer reviewed manuscript authors have the opportunity to update and improve manuscripts prior to again submitting for peer review.
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