Abstract：Objective To investigate the clinical effect of sacral magnetic stimulation on prevention of urinary retention after cervical cancer surgery. Methods A total of 108 patients who underwent radical hysterectomy in Xuzhou Central Hospital, Jiangsu Province from March to December 2022 were selected and divided into control group, electrical stimulation group, and magnetic stimulation group by random number table method, with 36 cases in each group. The three groups were given routine care. On the 8th day after surgery, pelvic floor muscle training was performed in the control group, low-frequency electrical stimulation was applied on the basis of pelvic floor muscle training for ten days in the electrical stimulation group, and sacral magnetic stimulation was applied on the basis of pelvic floor muscle training for ten days in the magnetic stimulation group. The residual urine volume, incidence of urinary retention, and urinary tract infection rate of the three groups were recorded, and the pelvic floor muscle strength, maximum urine flow rate, average urine flow rate, urinary volume, and urinary time of the two groups were compared before and after intervention. The occurrence of complications during the intervention was recorded in the two groups. After three months’follow-up, the scores of pelvic floor dysfunction questionnaire and quality of life questionnaire were compared between the two groups, and the recurrence and metastasis of the two groups were observed. Results During the study, one case fell off in the control group, and a total of 35 patients completed the study. The residual urine volume and the incidence of urinary retention in the magnetic stimulation group were lower than those in the control group and the electrical stimulation group, and the differences were statistically significant (P＜0.05). After intervention, the pelvic floor muscle strength, maximum urine flow rate, average urine flow rate, and urinary volume of the three groups were higher than before intervention, and those of magnetic stimulation group were higher than those of control group and the electrical stimulation group, the differences were statistically significant (P＜0.05). After intervention, the urination time of the three groups were shorter than those before intervention, and those of magnetic stimulation group were shorter than those of control group and the electrical stimulation group, the differences were statistically significant (P＜0.05). The scores of the pelvic floor dysfunction questionnaire and the pelvic floor dysfunction questionnaire in the magnetic stimulation group were lower than those in the control group and the electrical stimulation group, the differences were statistically significant (P＜0.05). No complications occurred in the three groups during the intervention period, and there were no signs of recurrence and metastasis during follow-up. Conclusion Sacral magnetic stimulation has a significant effect on the prevention of urinary retention after cervical cancer surgery, which can reduce residual urine volume, improve urinary dysuria, improve pelvic floor muscle strength, and improve the quality of life of patients.
朱文慧1 刘林2 吴洁3 王海宏4 史振铎2 孟琦4 韩从辉5▲. 骶神经磁刺激预防宫颈癌术后尿潴留的效果[J]. 中国医药导报, 2023, 20(32): 102-107.
ZHU Wenhui1 LIU Lin2 WU Jie3 WANG Haihong4 SHI Zhenduo2 MENG Qi4 HAN Conghui5▲. Effect of sacral magnetic stimulation on prevention of urinary retention after cervical cancer surgery. 中国医药导报, 2023, 20(32): 102-107.
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