研究疾病:
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术后尿潴留、术后性功能障碍
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研究疾病代码:
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Target disease:
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Postoperative urinary retention, postoperative sexual dysfunction
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Target disease code:
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研究类型:
Study type:
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干预性研究
Interventional study
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研究设计:
Study design:
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随机平行对照
randomized controlled trial(parallel group design)
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研究所处阶段:
Study phase:
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探索性研究/预试验
Pilot clinical trial
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研究目的:
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本实验旨在以中医针灸刺激为基本治疗方案,对低位直肠癌术后的患者以针灸的方法刺激肾俞穴(双侧)、命门穴、中极、次髎穴、中髎穴、三阴交、足三里,观察其是否加快术后膀胱功能的恢复,减少尿潴留的发生,并探究是否对术后患者性功能的恢复有所改善,给低位直肠癌术后患者膀胱和性功能的恢复提供更加有效的方案。
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Objectives of Study:
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The purpose of this experiment was to stimulate the Shen Yu (bilateral), Mingmen , Zhongji, Ciliao, Zhongliao acupoint, Sanyinjiao and Zusanli in patients with postoperative low-level rectal cancer by acupuncture and moxibustion, to observe whether it can accelerate the recovery of bladder function after surgery, reduce the occurrence of urinary retention, and explore whether it can improve the recovery of sexual function in postoperative patients, so as to provide a more effective plan for the recovery of bladder and sexual function in patients with postoperative low-level rectal cancer.
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药物成份或治疗方案详述:
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试验组患者术后第一天开始接受以针灸的方法刺激肾俞穴(双侧)、命门穴、中极、次髎穴、中髎穴、三阴交、足三里,每次30分钟,每天1次,持续4天。对照组采用假针方法(不产生“得气”的感觉),其余处理同试验组。
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Description for medicine or protocol of treatment in detail:
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On the first day after surgery, patients in the experimental group received acupuncture to stimulate the Shen Yu (bilateral), Mingmen , Zhongji, Ciliao, Zhongliao acupoint, Sanyinjiao and Zusanli for 30 minutes each time, once a day, for 4 days. In the control group, the sham-needling method was used (without the sensation of de qi), and the rest of the treatment was the same as that of the test group.
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纳入标准:
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(1)经肠镜病理确诊为原发性直肠癌患者,且肿瘤下缘距离肛缘≤10 cm; (2)术前一般情况良好,术前检查无明显手术禁忌证;(3)同意纳入本研究并签署知情同意书。
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Inclusion criteria
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(1)Patients diagnosed with primary rectal cancer by colonoscopy, and the lower edge of the tumor is ≤ 10 cm away from the anal margin; (2) The preoperative general condition was good, and there were no obvious contraindications to surgery in the preoperative examination; (3) Agree to be included in this study and sign the informed consent form.
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排除标准:
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(1)既往曾有泌尿生殖系统的病史或手术史(如前列腺、膀胱、睾丸、子宫、附件等器官手术);(2) 合并严重系统性疾病;(3)术前有性功能障碍、性生活不正常;(4)身体质量指数BMI>40;(5) 一个月内服用过影响泌尿功能与性功能的药物;(6)对本研究治疗方案不耐受者;(7)过去一个月内接受针灸治疗的患者;(8)失访。
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Exclusion criteria:
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(1)Previous history of genitourinary system or surgery (such as prostate, bladder, testicle, uterus, adnexa and other organ surgeries); (2) Severe systemic diseases; (3) Sexual dysfunction and abnormal sexual life before surgery; (4) Body mass index BMI > 40; (5) Have taken drugs that affect urinary function and sexual function within one month; (6) Those who are intolerant to the treatment regimen of this study; (7) Patients who have received acupuncture treatment within the past month; (8) Loss to follow-up.
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研究实施时间:
Study execute time:
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从From
2024-06-12
至To
2025-09-30
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征募观察对象时间:
Recruiting time:
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从From
2024-08-01
至To
2025-08-01
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