超皮电针点刺激对接受关节整体整形手术的老年患者术后泌尿功能的影响
Yuming Tu1, Shanchong Qu2, Shunyan Lin3
1Xuzhou Medical University, Xuzhou 221000, Jiangsu Province, China.
Zhongguo zhen jiu = Chinese acupuncture & moxibustion
|April 15, 2024
概括
通过皮肤电针刺激 (TEAS) 改善了老年关节置换患者的术后泌尿功能. TEAS降低了尿留和增强排泄,可能是通过增加尿中的ATP水平.
科学领域:
- 麻醉学 麻醉学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年病的医生 老年病的医生
背景情况:
- 手术后尿 (POUR) 是关节整形术 (THA) 后的常见并发症,特别是在老年患者中.
- 膀功能受损可能导致不适,长时间住院,并增加感染风险.
研究的目的:
- 评估通过皮肤电针点刺激 (TEAS) 在治疗THA的老年患者中改善术后泌尿功能方面的疗效.
- 评估TEAS对POUR和相关尿路参数发生率的影响.
主要方法:
- 一个随机对照试验,涉及180名老年患者接受THA.
- 患者在手术前和后在特定的针点 (中吉,关元,惠阳,智亚) 接受TEAS或假 TEAS.
- 所有参与者都接受了超声波导向的腹膜和下大脑关节阻塞麻醉.
主要成果:
- 与假装组相比,TEAS组的POUR发病率明显较低 (P<0.05).
- TEAS导致第一次空气的时间更短,空气值更低,膀残留体积减少,夜尿发生率降低 (P<0.05).
- 在TEAS组中,尿中的腺三酸盐 (ATP) 水平较高 (P<0.05),而再导管率,尿路感染和PJI发生率没有显著差异.
结论:
- 在老年THA患者中,TEAS是一种有效的干预措施,可减少术后尿并改善尿功能.
- 该机制可能涉及尿液ATP水平的调节,这表明它可能在膀功能恢复中发挥作用.
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