Effect Observation on Modified Zishen Tongguan Decoction Combined with Acupuncture in Treatment of Urinary Retention after Cervical Cancer Surgery and Its Influence on the Incidence of Adverse Reactions

Abstract

Objective. To explore the effect observation on modified Zishen Tongguan decoction combined with acupuncture in the treatment of urinary retention after cervical cancer surgery and its influence on the incidence of adverse reactions. Methods. The clinical data of 84 patients suffered from urinary retention after radical resection of cervical cancer (December 2018–December 2019) in the oncology department of Jinan Municipal Hospital of Traditional Chinese Medicine were selected for retrospective analysis. According to the order of admission, they were divided into group A (n = 42), treated with conventional therapy, modified Zishen Tongguan decoction, and acupuncture, and group B (n = 42), treated with conventional therapy. The clinical efficacy of the two groups was observed, the urination function indexes after therapy were recorded, and the clinical efficacy and incidence of adverse reactions were analyzed. Results. After therapy, compared with group B, the average urinary flow rate, maximum urinary flow rate, bladder compliance (BC) level value, and the number of patients with good recovery of bladder function of group A were obviously higher P < 0.05 , and the urination time and detrusor pressure were obviously lower P < 0.001 . There was no significant difference in the average scoring of overactive bladder syndrome score (OABSS) between the two groups at 7 days of therapy p > 0.05 . The average OABSS of group A at 14 days of therapy was obviously lower than that of group B P < 0.001 . Compared with group B, the total clinical effective rate of group A was obviously higher P < 0.05 , while the total incidence of adverse reactions was obviously lower P < 0.05 . Conclusion. Modified Zishen Tongguan decoction combined with acupuncture is a reliable method to treat urinary retention after cervical cancer surgery, which greatly improves the urination function of patients, as well as the clinical efficacy. Further research will help create a better solution for patients with urinary retention after cervical cancer surgery.

Effect of Comprehensive Care Based on Appropriate Chinese Medicine Techniques on Urinary Retention and Bladder Function Recovery after Total Hysterectomy in Patients with Cervical Cancer

“…In clinical practice, postoperative urinary retention is often prevented and treated by intermittent clamping of urinary catheters, functional exercises for the pelvic floor, bladder irrigation, and potassium permanganate sitz baths [20][21][22]; Chinese medicine classifies urinary retention under the category of "retention of urine." The pathogenesis of the disease is mainly due to trauma, which causes damage to the ramifications of the stroke and veins, blockage of the tendons and veins, failure to consolidate the essence and blood, resulting in deficiency of qi and blood, unfavorable qi- transformation of the kidneys and bladder, and failure to open and close the bladder, resulting in blockage of urination [23][24][25]. The main lesion is in the bladder.…”