| 引用本文: |
刘培培,李红卫.穴位综合疗法结合康复护理技术对宫颈癌术后患者膀胱功能及生活质量的影响[J].湖南中医药大学学报,2018,38(10):1208-1211[点击复制] |
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| 穴位综合疗法结合康复护理技术对宫颈癌术后患者膀胱功能及生活质量的影响 |
| 刘培培,李红卫 |
| (哈里逊国际和平医院, 河北 衡水 053000;饶阳县中医医院, 河北 衡水 053900) |
| 摘要: |
| 目的 观察应用穴位综合疗法联合康复护理技术治疗对宫颈癌患者术后膀胱功能和生活质量的影响。方法 选取2017年5月至2018年7月行宫颈癌根治术并发生尿潴留的患者96例，按随机数字表法分为观察组（穴位综合疗法联合康复护理治疗组）和对照组（常规护理治疗组），每组各48例。对照组采用常规护理治疗方法，观察组在对照组的基础上采用穴位综合疗法（电针治疗+穴位注射）配合康复护理技术治疗。观察治疗后两组患者的膀胱功能恢复情况和临床疗效，术后半年后采用采用癌症患者核心量表中文版（EORTC QLQ-C30）对两组患者进行电话随访调查生活质量状况。结果 治疗后，观察组患者的残余尿量、尿潴留率和再置管率均低于对照组，自解小便率高于对照组，差异均有统计学意义（P<0.05）；观察组治疗后恢复率为85.42%，优于对照组的72.92%，差异有统计学意义（P<0.05）；治疗半年后随访显示，观察组患者功能领域和总体健康领域得分高于对照组，症状领域得分低于对照组，差异均有统计学意义（P<0.05）。结论 穴位综合疗法联合康复护理技术治疗可显著改善宫颈癌患者术后膀胱功能和生活质量，优于单纯常规护理治疗，值得临床推广应用。 |
| 关键词: 宫颈癌 术后 穴位疗法 康复护理 膀胱功能 生活质量 |
| DOI：10.3969/j.issn.1674-070X.2018.10.026 |
| 投稿时间：2018-07-11 |
| 基金项目:河北省中医药管理局科研项目（2018561）。 |
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| Effect of Integrated Acupoint Therapy Combined with Rehabilitation Nursing on Postoperative Bladder Function and Quality of Life in Patients with Cervical Cancer |
| LIU Peipei,LI Hongwei |
| (Harrison International Peace Hospital, Hengshui, Hebei 053000, China;Raoyang County Hospital of Traditional Chinese Medicine, Hengshui, Hebei 053900, China) |
| Abstract: |
| Objective To observe the effect of integrated acupoint therapy combined with rehabilitation nursing on the postoperative bladder function and quality of life in patients with cervical cancer. Methods Ninety-six patients with urinary retention after radical hysterectomy performed from May 2017 to July 2018 were randomly divided into observation group (provided with integrated acupoint therapy combined with rehabilitation nursing) and control group (provided with routine nursing), with 48 cases in each group. The control group was given routine nursing, while the observation group was given integrated acupoint therapy (electroacupuncture plus acupoint injection) combined with rehabilitation nursing in addition to the routine nursing as provided for the control group. The recovery of bladder function and clinical outcomes of the two groups were observed after treatment. The quality of life of the two groups was followed up by telephone using the Chinese version of the EORTC core quality of life questionnaire six months following the treatment. Results After treatment, the residual urine volume, urinary retention rate, and recatheterization rate of the observation group were significantly lower than those of the control group (P<0.05), and the rate of self-care urination was significantly higher than that of the control group (P<0.05). The recovery rate of the observation group was significantly higher than that of the control group (85.42% vs 72.92%, P<0.05). The follow-up performed half a year after the treatment showed that the observation group had significantly higher scores of function and general health but a significantly lower score of symptoms compared with the control group (P<0.05). Conclusion Integrated acupoint therapy combined with rehabilitation nursing can significantly improve postoperative bladder function and quality of life in patients with cervical cancer. It is better than simple routine nursing, thus making it a recommended regimen in clinical practice. |
| Key words: cervical cancer postoperative acupoint therapy rehabilitation nursing bladder function quality of life |
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