Effect of Acupuncture at Different Combinations of Acupoints for Postoperative Urinary Retention After Radical Hysterectomy of Cervical Cancer: a Retrospective Cohort Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 73
- 试验地点
- 1
- 主要终点
- The change value in residual urine volume
研究概览
简要总结
This is a retrospective cohort study using a paired control design. We will review the patients of PUR after cervical cancer surgery who went to the acupuncture department and the urinary retention department in Zhejiang Cancer Hospital from October 2020 to August 2024, and 73 patients met the screening criteria. All patients provided written informed consent. The purpose of the study is to compare the effect of acupuncture at different combinations of acupoints for postoperative urinary retention (PUR) after radical hysterectomy of cervical cancer. All outcome-measures data were obtained from past medical records. It is an observational study rather than an intervention study. 73 patients met the screening criteria. They will be assigned into two groups according to the treatment scheme of acupoints combination for acupuncture: Group A (37 cases) and Group B (36 cases).
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •18-70 years old
- •Karnofsky Performance Scale (KPS) score > 70
- •met the diagnostic criteria of PUR
- •no history of serious urinary system diseases or urinary retention before the operation
- •had clear cognition and no severe mental diseases
- •had complete medical records and records of residual urine volume data.
排除标准
- •presence of other serious systemic diseases or advanced cachexia
- •obstructive urinary retention caused by urethral stricture, stones, or other diseases
- •receiving other treatments or self-change treatment
- •poor compliance or failure to complete the acupuncture treatments
- •incomplete clinical data.
研究组 & 干预措施
Group A
Patients received acupuncture treatment at the lumbosacral region, all acupoints belong to the bladder meridian, including Shenshu (BL23), Pangguangshu (BL28), Ciliao (BL32), Huiyang (BL35), and Zhibian (BL54) selected bilaterally.
干预措施: Acupuncture (Other)
Group B
Patients received acupuncture treatment using a comprehensive acupoint combination scheme. In addition to the acupoints used in Group A, the following acupoints were added: Qihai (RN6), Guanyuan (RN4), Zhongji (RN3), Shuidao (ST28), Yinglingquan (S9), and Sanyinjiao (SP6).
干预措施: Acupuncture (Other)
结局指标
主要结局
The change value in residual urine volume
时间窗: baseline and 2 weeks
Residual urine volume was assessed before the first treatment and after the final treatment by a trained outpatient nurse using a direct measurement method involving catheter insertion for urine drainage and measurement. Calculate the difference value in residual urine volume before and after treatment.
次要结局
- The patient's abdominal distension sensation by the visual analog scale (VAS) method(baseline and 2 weeks)
- The occurrence of urinary tract infections(baseline and 2 weeks)
- The total effective rate(2 weeks)
研究者
Lu Chao
Clinical Professor
Zhejiang Cancer Hospital