Volume 21 Issue 12
Dec.  2023
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CAI Qun, GUO Qin, HE Kelin, NIU Xuekang, GUO Fangfang, YUAN Kangni. linical study on the treatment of urinary incontinence after prostatectomy with thunder fire moxibustion[J]. Chinese Journal of General Practice, 2023, 21(12): 2133-2136. doi: 10.16766/j.cnki.issn.1674-4152.003307
Citation: CAI Qun, GUO Qin, HE Kelin, NIU Xuekang, GUO Fangfang, YUAN Kangni. linical study on the treatment of urinary incontinence after prostatectomy with thunder fire moxibustion[J]. Chinese Journal of General Practice, 2023, 21(12): 2133-2136. doi: 10.16766/j.cnki.issn.1674-4152.003307

linical study on the treatment of urinary incontinence after prostatectomy with thunder fire moxibustion

doi: 10.16766/j.cnki.issn.1674-4152.003307
Funds:

 2021ZA081

  • Received Date: 2023-05-04
  •   Objective  To compare the clinical effect of thunder fire moxibustion (TFM) combined with pelvic floor muscle training and pelvic floor muscle training alone in the treatment of urinary incontinence after prostate surgery and its influence on patients' quality of life.  Methods  A total of 66 patients with urinary incontinence after prostate surgery were recruited from the outpatient department of the Third Affiliated Hospital of Zhejiang Chinese Medicine University from 1 January 1, 2021 to November 30, 2022, and divided into observation and control groups by the random envelope method, with 33 cases in each group. The observation group used TFM combined with pelvic floor muscle training, while the control group only received pelvic floor muscle training. The healing effect of traditional Chinese medicine, the degree of incontinence questionnaire-urinary incontinence short form (ICI-Q-SF), the urinary incontinence quality of life (I-QOL) and the pelvic floor function of the two groups were compared before and after treatment and 8 weeks after treatment.  Results  The efficacy rate of traditional Chinese medicine (TCM) in observation group was 96.97%(32/33), higher than that in the control group [81.82% (27/33)], and the difference was statistically significant (P<0.05).After treatment and 8 weeks after treatment, the degree of urinary incontinence in the observation group was significantly reduced compared with the control group, and the difference was statistically significant (all P<0.05). After treatment and 8 weeks after treatment, the ICI-Q-SF scores of the observation group were (5.67±3.33) points and (4.15±1.12) points respectively, which were lower than those of the control group [(7.70±3.57) points and (6.52±2.50) points], and the differences were statistically significant (all P<0.05).  Conclusion  TFM combined with pelvic floor muscle training and simple pelvic floor muscle training can improve the degree of urinary incontinence and the quality of life in patients after prostate surgery. Moreover, combined treatment is better than pelvic floor muscle training alone at improving the level of urinary incontinence and patients' quality of life.

     

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  • [1]
    王仕钦, 江春, 黄卫, 等. 3D腹腔镜下前列腺根治术治疗对前列腺癌患者围术期指标尿控恢复情况及术后并发症的影响[J]. 河北医学, 2019, 25(8): 1304-1308.

    WANG S Q, JIANG C, HUANG W, et al. Effects of 3D Laparoscopic Radical Prostatectomy on Perioperative Indexes, Continence Recovery and Postoperative Complications in Patients with Prostate Cancer[J]. Hebei Medicine, 2019, 25(8): 1304-1308.
    [2]
    冯伟, 朱笑丛, 胡雅芳. 经尿道前列腺等离子电切术后尿道狭窄发生率及危险因素分析[J]. 河北医学, 2020, 26(7): 1195-1200.

    FENG W, ZHU X C, HU Y F. Analysis of incidence and risk factors of urethral stricture after transurethral prostate plasmatomy[J]. Hebei Medicine, 2020, 26(7): 1195-1200.
    [3]
    中华医学会泌尿外科学分会尿控学组. 男性压力性尿失禁诊断与治疗中国专家共识[J]. 中华泌尿外科杂志, 2022, 43(9): 641-645.

    Urinary Control Group, Urology Branch, Chinese Medical Association. Chinese expert consensus on the diagnosis and treatment of male stress urinary incontinence[J]. Chinese Journal of Urology, 2022, 43(9): 641-645.
    [4]
    黄新凯, 赖海标, 熊亚琴. 经尿道铥激光前列腺剜除术后尿失禁的独立影响因素[J]. 现代医药卫生, 2022, 38(10): 1735-1739.

    HUANG X K, LAI H B, XIONG Y Q. Independent influencing factors of urinary incontinence after transurethral thulium laser prostatectomy[J]. Journal of Modern Medicine & Health, 2022, 38(10): 1735-1739.
    [5]
    SUN X Y, XU L, LU J Y, et al. Robotic versus conventional laparoscopic surgery for rectal cancer: systematic review and meta-analysis[J]. Minim Invasive Ther Allied Technol, 2019, 28(3): 135-142. doi: 10.1080/13645706.2018.1498358
    [6]
    黄燕芬, 武妍, 沈琦. 经尿道前列腺切除术后感染特点及相关危险因素分析[J]. 安徽医学, 2020, 41(4): 443-445.

    HUANG Y F, WU Y, SHEN Q. Analysis of infection characteristics and related risk factors after transurethral prostatectomy[J]. Anhui Medical Journal, 2020, 41(4): 443-445.
    [7]
    PARK J J, HONG Y, KWON A, et al. Efficacy of surgical treatment for post-prostatectomy urinary incontinence: a systematic review and network meta-analysis[J]. Int J Surg, 2023, 109(3): 401-411. doi: 10.1097/JS9.0000000000000170
    [8]
    SANDHU J S, BREYER B, COMITER C, et al. Incontinence after prostate treatment: AUA/SUFU guideline[J]. J Urol, 2019, 202(2): 69-378.
    [9]
    杨舒, 邓娟, 刘杏, 等. 冲洗液比色卡在经尿道前列腺切除术后膀胱冲洗中的运用[J]. 现代医药卫生, 2022, 38(19): 3386-3388.

    YANG S, DENG J, LIU X, et al. The application of flushing solution colorimetric card in bladder flushing after transurethral prostatectomy[J]. Journal of Modern Medicine & Health, 2022, 38(19): 3386-3388.
    [10]
    HALL L M, NEUMANN P, HODGES P W. Do features of randomized controlled trials of pelvic floor muscle training for postprostatectomy urinary incontinence differentiate successful from unsuccessful patient outcomes? A systematic review with a series of meta-analyses[J]. Neurourol Urodyn, 2020, 39 (2): 533-546. doi: 10.1002/nau.24291
    [11]
    吴少霞, 于文琦, 刘娟, 等. 雷火灸治疗中老年良性前列腺增生夜尿症状的效果观察及护理[J]. 现代临床护理, 2019, 18(1): 42-44.

    WU S X, YU W Q, LIU J, et al. Effect of Thunder-Fire moxibustion on night-urine symptoms of benign prostatic hyperplasia[J]. Modern Clinical Nursing, 2019, 18(1): 42-44.
    [12]
    张彦, 洪灿, 张鹏, 等. 雷火灸定点回旋透热技术治疗膝骨关节炎急性期的疗效观察[J]. 中国中医急症, 2022, 31(3): 440-443.

    ZHANG Y, HONG C, ZHANG P, et al. Clinical observation of Thunder Fire Moxibustion fixed-point rotary diathermy in the treatment of acute knee osteoarthritis[J]. Journal of Emergency in Traditional Chinese Medicine, 2022, 31(3): 440-443.
    [13]
    王华, 陈林伟, 袁成业, 等. 雷火灸的研究现状及展望[J]. 中华中医药杂志, 2019, 34(9): 4204-4206.

    WANG H, CHEN L W, YUAN C Y, et al. Research status and prospect of thunder-fire moxibustion[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2019, 34(9): 4204-4206.
    [14]
    邬光福, 王伟明. 八髎穴主治规律临床文献研究[J]. 中国针灸, 2019, 39(1): 96-102.

    WU G F, WANG W M. Indication rules of Baliao points based on the clinical literature research[J]. Chinese Acupuncture & Moxibustion, 2019, 39(1): 96-102.
    [15]
    刘昱, 梁繁荣, 李君毅, 等. 前列腺术后尿失禁的中西医治疗进展[J]. 中国临床医生杂志, 2020, 48(5): 532-535.

    LIU Y, LIANG F R, LI J Y, et al. Progress in the treatment of post-prostatectomy incontinence[J]. Chinese Journal For Clinicians, 2020, 48(5): 532-535.
    [16]
    郑芝, 邬真, 颜林志, 等. 间歇导尿法联合盆底肌康复训练在宫颈癌患者术后康复中的应用[J]. 中华全科医学, 2023, 21(4): 713-716. doi: 10.16766/j.cnki.issn.1674-4152.002966

    ZHENG Z, WU Z, YAN L Z, et al. Effect of intermittent catheterization combined with pelvic floor muscle rehabilitation training on postoperative rehabilitation in patients with cervical cancer[J]. Chinese Journal of General Practice, 2023, 21(4): 713-716. doi: 10.16766/j.cnki.issn.1674-4152.002966
    [17]
    付炳欣. 盆底肌康复训练防治产后尿失禁的应用进展[J]. 继续医学教育, 2019, 33(11): 166-168.

    FU B X. Progress in application of pelvic floor muscle rehabilitation training in prevention and treatment of postpartum urinary incontinence[J]. Continuing Medical Education, 2019, 33(11): 166-168.
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