电针神经刺激疗法联合盆底肌训练对早期宫颈癌广泛性全子宫切除术后 患者尿潴留、膀胱功能和免疫功能的影响.

Objective: To observe the value of electroacupuncture nerve stimulation therapy combined with pelvic floor muscle training in the rehabilitation of early cervical cancer after extensive total hysterectomy. Methods: 98 patients with early cervical cancer undergoing extensive total hysterectomy who were admitted to our hospital from March 2020 to October 2021 were prospectively collected. They were divided into study group and control group by random number table method. The control group was instructed to conduct pelvic floor muscle training, and the study group was given electroacupuncture nerve stimulation therapy on the basis of pelvic floor muscle training. The incidence of urinary retention and the recovery of bladder function, immune function and pelvic floor function were compared between the two groups. Results: The results of 13 weeks after operation showed that the normal rate of comprehensive muscle strength of pelvic floor muscle in the study group was higher than that in the control group (P<0.05). Initial urinary bladder volume (VS), maximum urinary flow rate (MFR) and maximum urinary bladder volume (MVS) in two groups at 13 weeks after operation were higher than those at 1 week after operation, while residual urine volume (PVR) was lower than that at 1 week after operation. FVS, MFR and MVS in the study group at 13 weeks after operation were higher than those in the control group, while PVR was lower than that in the control group (P<0.05). The levels of serum immunoglobulin A (Ig A), immunoglobulin G (Ig G),immunoglobulin M (Ig M), peripheral blood T lymphocyte CD3+, CD4+/CD8+in the two groups at 13 weeks after operation were higher than those at 1 week after operation, and the study group was higher than the control group (P<0.05). The incidence of urinary retention in the study group was 4.08% (2/49) lower than 22.45% (11/49) in the control group, and the difference was statistically significant (P<0.05). Conclusion: Electroacupuncture nerve stimulation therapy combined with pelvic floor muscle training can reduce the incidence of urinary retention in patients with early cervical cancer after extensive total hysterectomy, improve pelvic floor function and bladder function, and promote the recovery of immune function, and with good effect. [ABSTRACT FROM AUTHOR]