摘要
目的探讨针灸联合盆底肌群康复训练对前列腺增生电切患者术后尿失禁与勃起功能障碍(ED)发生率的影响。方法选取2015年2月至2017年2月西安交通大学第二附属医院诊治的138例拟行经尿道前列腺电切术(TUPP)的前列腺增生(BPH)患者作为研究对象。按入院顺序奇偶数法分为常规组和联合组,每组各69例。常规组术后给予常规护理和盆底肌群康复训练,联合组在常规组基础上给予针灸,比较两组术后不同时间尿失禁、ED发生率及勃起功能国际问卷(IIEF-5)、国际前列腺症状量表IPSS)、尿失禁生活质量问卷(I-QOL)评分等。结果两组拔管后尿失禁、ED发生率及IPSS评分比较差异均无统计学意义(均P>0.05),联合组术后2周、4周和6周尿失禁、ED发生率及IPSS评分均显著低于常规组,差异均具有统计学意义(均P<0.05);联合组术后6周IIEF-5、I-QOL评分均显著高于常规组,差异均具有统计学意义(均P<0.05)。结论针灸联合盆底肌群康复训练可有效改善BPH患者TUPP术后排尿功能和性功能,降低术后尿失禁、ED的发生率。
Objective To explore the effects of acupuncture and moxibustion combined with pelvic floor muscle rehabilitation training on the incidence rates of postoperative urinary incontinence and erectile dysfunction(ED) in patients with benign prostatic hyperplasia(BPH). Methods 138 patients with BPH scheduled to transurethral resection of the prostate(TUPP) in our hospital were divided into the combined group and the routine group with 69 cases in each group according to the parity method of admission sequence. The routine group was given the routine nursing and pelvic floor muscle rehabilitation training after operation, and the combined group was given acupuncture and moxibustion on the basis of the routine group. The incidence rates of urinary incontinence and ED, and the scores of International Index of Erectile Function(IIEF-5), International Prostate Symptom Scale(IPSS), and incontinence-quality of life(I-QOL) score were compared between the two groups at different time points after operation. Results There was no statistically significant difference in the incidence rates of urinary incontinence and ED and the IPSS score between the two groups after extubation(all P>0.05), and the above indexes in the combined group were significantly lower than those in the routine group at 2, 4 and 6 weeks after operation, with statistically significant differences(all P<0.05). The scores of IIEF-5 and I-QOL in the combined group at 6 weeks after operation were significantly higher than those in the routine group, with statistically significant difference(all P<0.05). Conclusions Acupuncture and moxibustion combined with pelvic floor muscle rehabilitation training can effectively improve the urinary function and sexual function after TUPP in BPH patients, and reduce the incidence rates of postoperative urinary incontinence and ED.
作者
黄月娥
赵格格
HUANG Yue’e;ZHAO Gege(Department of Urology,The Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,Shaanxi,China)
出处
《中国性科学》
2019年第4期113-116,共4页
Chinese Journal of Human Sexuality
基金
西安交通大学第二附属医院科研基金护技项目(YJ-HL-201514)
关键词
针灸
盆底肌群康复训练
前列腺增生
电切术
尿失禁
勃起功能障碍
Acupuncture and moxibustion
Pelvic floor muscle rehabilitation training
Benign prostatic hyperplasia(BPH)
Transurethral resection of the prostate(TUPP)
Urinary incontinence
Erectile dysfunction(ED)
