Description The treatment group applied acupuncture with modalities of common needling on Zusanli (ST36) bilaterally, electroacupuncture on Sanyinjiao (SP6), Shuidao (ST28), and Scalp Reproduction Area bilaterally, moxibustion on Shenque (CV8).
Experimental Description
Eighty cases of urinary retention after radical hysterectomy were randomly assigned to the treatment group and control group according to the random number table method, 40 cases in each group. From the 15th day post operation, the patients in the two groups started to be treated and 7 days as a course with 5 days treatment and 2 days interval. The treatment group applied acupuncture with modalities of common needling on Zusanli (ST36) bilaterally, electroacupuncture on Sanyinjiao (SP6), Shuidao (ST28), and Scalp Reproduction Area bilaterally, moxibustion on Shenque (CV8). The control group applied acupoint injection with vitamin B12, and Sanyinjiao and Zusanli were selected. Take turns on both sides.
Sample Count
80
Age
20-70
Control
Sham
control group(n=40)
Experiment
treatment group(n=40)
Indicator
Recovery of bladder functionResidual urine volume
Stimulation Method
EA
Induction Method
Electroacupuncture Instrument Model
Manufacturer
Frequency
Waveform
Strength
Induction Time
G6805-I
-
4 Hz
continuous wave
as high as the patient could feel the vibration of electricity with no uncomfortable feeling
30 min
Acupuncture_Needle
Needle_Manufacturer
Needle_Depth
-
-
-
Description needles were inserted into the above 3 pairs of acupoints with Deqi (得气). Then, the G6805-I electroacupuncture apparatus was applied to 3 pairs of acupoints with continuous wave and 4 Hz in frequency. Intensity should be as high as the patient could feel the vibration of electricity with no uncomfortable feeling. On the Zusanli point, the needles should be inserted vertically with Deqi, and it should be manipulated every 5 min. All the needles were retained for 30 min, while Shenque was applied with warming moxibustion.
Anesthesia Method
GA
Clinical Trial Type
randomly
Effector
Within 1 course and 2 courses of treatment, the patients with bladder function recovery in the treatment group were 21 (21/40) and 36 (36/40), and those in the control group were 12 (12/40) and 29 (29/40), both with a significant difference (P<0.05). After the first course and second course, residual urine volume for those who had voluntary micturition more than 200 mL in the treatment group was 91.7±17.5 mL and 93.5±15.5 mL, in the control group 102.4±13.7 mL and 102.5±15.7 mL, both with a significant difference (P<0.05). Combination of acupuncture modalities was better than acupoint injection for the recovery of bladder function in urinary retention after radical hysterectomy. It would shorten the course of treatment and get a better recovery, decrease urinary retention cases of refractoriness, and extending the treatment could raise the healing rate of urinary retention.
Clinical observation on the acupuncture treatment in patients with urinary retention after radical hysterectomy.
Abstract
OBJECTIVE: To observe the acupuncture therapy effect on the urinary retention after radical: hysterectomy. METHODS METHODS: Eighty cases of urinary retention after radical hysterectomy were randomly assigned to: the treatment group and control group according to the random number table method, 40 cases in each group. From the 15th day post operation, the patients in the two groups started to be treated and 7 days as a course with 5 days treatment and 2 days interval. The treatment group applied acupuncture with modalities of common needling on Zusanli (ST36) bilaterally, electroacupuncture on Sanyinjiao (SP6), Shuidao (ST28), and Scalp Reproduction Area bilaterally, moxibustion on Shenque (CV8). The control group applied acupoint injection with vitamin B B12 12, and Sanyinjiao and Zusanli were selected. Take turns on both sides. The courses for the recovery, of bladder function and residual urine volume for those who had voluntary micturition more than 200 mL after the first and second course of treatment were compared between the two groups. RESULTS: Within 1 course and 2: courses of treatment, the patients with bladder function recovery in the treatment group were 21 (21/40) and 36 (36/40), and those in the control group were 12 (12/40) and 29 (29/40), both with a significant difference (P<0.05). After the first course and second course, residual urine volume for those who had voluntary micturition more than 200 mL in the treatment group was 91.7 +/- 17.5 mL and 93.5 +/- 15.5 mL, in the control group 102.4 +/- 13.7 mL and 102.5 +/- 15.7 mL, both with a significant difference (P<0.05). CONCLUSIONS: Combination of acupuncture: modalities was better than acupoint injection for the recovery of bladder function in urinary retention after radical hysterectomy. It would shorten the course of treatment and get a better recovery, decrease urinary retention cases of refractoriness, and extending the treatment could raise the healing rate of urinary retention."
