|
|
|
| Effect of sacral magnetic stimulation on prevention of urinary retention after cervical cancer surgery |
| ZHU Wenhui1 LIU Lin2 WU Jie3 WANG Haihong4 SHI Zhenduo2 MENG Qi4 HAN Conghui5▲ |
1.School of Nursing, Xuzhou Medical University, Jiangsu Province, Xuzhou 221004, China;
2.Department of Urinary Surgery, Xuzhou Central Hospital, Jiangsu Province, Xuzhou 221009, China;
3.Department of Rehabilitation, Xuzhou Central Hospital, Jiangsu Province, Xuzhou 221009, China;
4.Department of Gynecology, Xuzhou Central Hospital, Jiangsu Province, Xuzhou 221009, China;
5.School of Clinical Medicine, Xuzhou Medical University, Jiangsu Province, Xuzhou 221004, China |
|
|
|
|
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.
|
|
|
|
|
|
[1] 李道娟，师金，靳晶，等.宫颈癌的流行病学趋势[J].中华肿瘤杂志，2021，43（9）：912-916.
[2] 杨丽，马彩玲，赵骏达，等.腹腔镜与开腹手术治疗早期宫颈癌疗效与安全性的Meta分析[J].中国循证医学杂志，2016，16（2）：200-211.
[3] Ramaseshan AS，Felton J，Roque D，et al. Pelvic floor disorders in women with gynecologic malignancies：a systematic review [J]. Int Urogynecol J，2018，29（4）：459-476.
[4] Komatsu H，Oishi T，Osaku D，et al. Long-term evaluation of renal function and neurogenic bladder following radical hysterectomy in patients with uterine cervical cancer [J]. J Obstet Gynaecol Res，2020，46（10）：2108-2114.
[5] Jackson J，Davies P，Leggett N，et al. Systematic review of interventions for the prevention and treatment of postoperative urinary retention [J]. BJS Open，2018，3（1）：11-23.
[6] 占惠鸣，石祖妹，钱方芳，等.低频电刺激在预防宫颈癌术后尿潴留中的应用[J].临床和实验医学杂志，2020，19（3）：326-328.
[7] Niff LN，Hill AJ，Walters SJ，et al. The Effect of Commonly Performed Exercises on the Levator Hiatus Area and the Length and Strength of Pelvic Floor Muscles in Postpartum Women [J]. Female Pelvic Med Reconstr Surg，2020，26（1）：61-66.
[8] Sirisreetreerux P，Wattanayingcharoenchai R，Rattanasiri S，et al. Medical and non-medical interventions for post-operative urinary retention prevention：network meta-analysisand risk-benefit analysis [J]. Ther Adv Urol，2021，17（13）：1-18.
[9] Khavari R，Tran K，Helekar SA，et al. Noninvasive，Individualized Cortical Modulation Using Transcranial Rotating Permanent Magnet Stimulator for Voiding Dysfunction in Women with Multiple Sclerosis：A Pilot Trial [J]. J Urol，2022，207（3）：657-668.
[10] El-Habashy H，Nada MM，Maher EA，et al. The effect of cortical versus sacral repetitive magnetic stimulation on lower urinary tract dysfunction in patients with multiple sclerosis [J]. Acta Neurol Belg，2020，120（1）：141-147.
[11] 中国抗癌协会妇科肿瘤专业委员会.子宫颈癌诊断与治疗指南（2021年版）[J].中国癌症杂志，2021，31（6）：474- 489.
[12] 吕永利，李沙沙，李霞，等.宫颈癌患者根治术后尿潴留预防及管理的最佳证据总结[J].中华护理杂志，2019， 54（7）：1097-1102.
[13] Frederice CP，Amaral E，Ferreira Nde O. Urinary symptoms and the pelvic floor muscle function after delivery [J]. Rev Bras Ginecol Obstet，2011，33：188-195.
[14] 何立敏，熊斌.氯己定尿道口消毒预防重症患者导尿管相关性尿路感染Meta分析[J].中国药业，2021，30（19）：105-109.
[15] 王莎，王志启，王建六.子宫颈癌患者广泛子宫切除术后盆底功能及生活质量初步调查[J].中国妇产科临床杂志，2020，21（2）：154-157.
[16] Lauterbach R，Sokolovski CF，Rozenberg J，et al. Acupuncture for the treatment of post-partum urinary retention [J]. Eur J Obstet Gynecol Reprod Biol，2018，223（1）：35-38.
[17] Li H，Zhou CK，Song J，et al. Curative efficacy of low frequency electrical stimulation in preventing urinary retention after cervical cancer operation [J]. World J Surg Oncol，2019，17（1）：141.
[18] Weber-Rajek M，Str?諭czyńska A，Strojek K，et al. Assessment of the Effectiveness of Pelvic Floor Muscle Training（PFMT）and Extracorporeal Magnetic Innervation（ExMI）in Treatment of Stress Urinary Incontinence in Women: A Randomized Controlled Trial [J]. Biomed Res Int，2020， 2020：1019872.
[19] Bannaga A，Guo T，Ouyang X，et al. Magnitic stimulation accelerating rehabilitation of peripheral nerve injury [J]. Huazhong Univ Sci Technolog Med Sci，2002，22（2）：135- 139.
[20] Awad BI，Carmody MA，Zhang X，et al. Transcranial magnetic stimulation after spinal cord injury [J]. World Neurosurg，2015，83（2）：232-235.
[21] Lim R，Liong ML，Leong WS，et al. Magnetic stimulation for stress urinary incontinence：study protocol for a randonized controlled trial [J]. Trials，2015，16：279.
[22] 宋晨，李江，韩超，等.不同频率功能性磁刺激对脊髓损伤后尿潴留患者排尿功能的影响[J].中华物理医学与康复杂志，2022，44（1）：57-61.
[23] Weber-Rajek M，Radziminska A，Straczynska A，et al. A randonmized-controlled trial pilot study examining the effect of extracorporeal magnetic innervation in the treatment of stress urinary incontinence in women [J]. Clin Interv Aging，2018，13：2473-2480.
[24] Brusciano L，Gambardella C，Gualtieri G，et al. Effects of Extracorporeal Magnetic Stimulation in Fecal Incontinence [J]. Open Med（Wars），2020，15：57-64.
[25] 吕小娟，张琳，唐佳松.磁电联合治疗绝经后女性盆腔器官脱垂的临床疗效观察[J].中国老年学杂志，2020， 40（11）：2381-2385.
[26] 魏梦琰，刘冬霞，董延华，等.磁刺激联合电刺激生物反馈对盆底功能障碍的疗效及预后因素分析[J].中国医药科学，2023，13（1）：119-122.
[27] 陈雪欢，叶莹，姜迎萍，等.电刺激生物反馈联合磁刺激治疗绝经后女性盆腔器官脱垂的效果[J].中国当代医药，2022，29（18）：48-51.
[28] Kai N，Kawajiri M，Seki N，et al. Efficacy of High-frequency Magnetic Stimulation of the Sacral Root in Patients with Urinary Incontinence Following a Radical Prostatectomy [J]. Low Urin Tract Symptoms，2011，3（1）：10-14.
[29] 王引言，方晟宇，李连旺，等.重复经颅磁刺激治疗脑胶质瘤术后运动功能障碍的临床分析（附五例报告）[J].中华神经外科杂志，2020，36（5）：458-462.
[30] Khedr EM，Kotb HI，Mostafa MG，et al. Repetitive transcranial magnetic stimulation in neuropathic pain secondary to malignancy：a randomized clinical trial [J]. Eur J Pain， 2015，19（4）：519-527.
[31] Vadalà M，Morales-Medina JC，Vallelunga A，et al. Mechanisms and therapeutic effectiveness of pulsed electromagnetic field therapy in oncology [J]. Cancer Med，2016，5（11）：3128-3139.
[32] 陈淼，房丽忠，丁翠兰.磁场作用与肿瘤坏死关系的实验研究[J].医学理论与实践，2000，13（7）：390-391. |
|
|
|
