【摘要】 目的：回顾性分析针刺联合盆底肌训练治疗前列腺增生术后暂时性尿失禁的临床疗效。方法：回顾性分析2016年1月至2018年12月行尿道前列腺等离子电切术（TUPKP）并尿管拔除后出现暂时性尿失禁的200例良性前列腺增生患者的临床资料，根据是否联合针刺治疗将患者分为研究组（113例）和对照组（87例）。对照组患者行常规盆底肌训练，研究组患者在盆底肌训练的基础上增加针刺治疗。比较两组患者治疗前后的临床症状评分、临床疗效、尿动力学及不良反应。结果：治疗后两组患者临床症状评分均低于治疗前（P<0.05），研究组低于对照组（P<0.05）；研究组总有效率（90.3%）高于对照组（78.2%），差异有统计学意义（P<0.05）；治疗后两组患者PdetQmax、逼尿肌漏尿点压水平低于治疗前（P<0.05），研究组低于对照组（P<0.05），膀胱顺应性水平高于治疗前（P<0.05），研究组高于对照组（P<0.05）。两组患者均未发生暂时性尿失禁加重等不良反应。结论：针刺联合盆底肌训练治疗前列腺增生术后暂时性尿失禁的疗效优于单用盆底肌训练。更多还原

【Abstract】 Objective: To observe clinical effects of acupuncture and pelvic floor muscle training in the treatment of temporary urinary incontinence after transurethral plasmakinetic prostatectomy(TUPKP). Methods:Clinical data of 200 patients with benign prostatic hyperplasia, who suffered temporary urinary incontinence after catheter removal when they underwent TUPKP between January 2016 and December, 2018, were retrospectively analyzed, and they were allocated to the study group(113 cases) and the control group(87 cases) according to whether they accepted acupuncture or not. The control group accepted conventional pelvic floor muscle training,and the study group adoped acupuncture therapy based on pelvic floor muscle training. To compare clinical symptom scores, clinical effects, urodynamics and adverse reaction before and after treating between both groups.Results: After the treatment, clinical symptoms scores of both groups were lower than these before the treatment(P<0.05), the study group was lower than the control group(P<0.05); total effective rate of the study group was90.3%, higher than 78.2% of the control group, and the difference had statistical meaning(P<0.05); after the treatment, the levels of PdetQmaxand DLPP of both groups were lower than these before the treatment(P<0.05),the study group was lower than the control group(P<0.05), the level of BC was higher than that before the treatment(P<0.05), the study group was higher than the control group(P<0.05). No adverse reaction such as temporary urinary incontinence aggravating happened in both groups. Conclusion: Acupuncture and pelvic floor muscle training in the treatment of temporary urinary incontinence after TUPKP are superior to single pelvic floor muscle training.更多还原