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| Application of Acupoint Moxibustion Combined with Rapid Rehabilitation Intervention in Laparoscopic Radical Prostatectomy of Prostate Cancer |
| ZHANG Yanmei, SU Xiaoping, LIN Yilan, WU Yunshan |
| First-author's address: Fujian Medical University 2nd Affiliated Hospital, Quanzhou 362000, China |
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Abstract Objective: To investigate the application value of acupoint moxibustion combined with rapid rehabilitation intervention in laparoscopic radical resection of prostate cancer. Method: The clinical data of 80 patients with prostate cancer who underwent radical prostatectomy in Fujian Medical University 2nd Affiliated Hospital from January 2020 to January 2022 were retrospectively analyzed and divided into the control group and the observation group according to different nursing methods, with 40 cases in each group. Patients in control group were given fast recovery nursing intervention during perioperative period, the observation group was given acupuncture point moxibustion intervention on the basis of the control group. The postoperative rehabilitation of the two groups was compared, including the postoperative bowel sound recovery time, the first exhaust time, the first defecation time, the postoperative drainage tube removal time, the first ambulation time and the length of hospital stay. The occurrence of perioperative complications was recorded. The urodynamic parameters [maximum flow rate (Qmax), maximum bladder capacity (MCC)] were measured by Labory urodynamic instrument before and on the 7 th day after surgery. Immunoglobulin A (IgA), immunoglobulin G (IgG) and immunoglobulin M (IgM) were measured by automatic biochemical analyzer. Inflammatory factors [procalcitonin (PCT), C reactive protein] were measured by enzyme-linked immunosorbent assay. Result: The postoperative bowel sound recovery time, first exhaust time, first defecation time, postoperative drainage tube removal time and the length of hospital stay in the observation group were significantly shorter than those in the control group (P<0.05). The incidences of urinary incontinence and abdominal distension in the observation group were significantly lower than those in the control group (P<0.05), there were no significant differences in the incidences of nausea and vomiting and urinary system infection between the two groups (P>0.05). On the 7th day after surgery, the Qmax and MCC in the observation group were significantly higher than those before surgery and the control group (P<0.05). On the seventh day after surgery, the IgA, IgG and IgM of the observation group were significantly lower than those before surgery, but significantly higher than those of the control group (P<0.05). On the seventh day after surgery, PCT and C reactive protein in the observation group were significantly higher than those before surgery, but significantly lower than those in the control group (P<0.05). Conclusion: The application of acupoint moxibustion combined with rapid rehabilitation intervention in laparoscopic radical prostatectomy of prostate cancer can effectively improve the immune function, relieve postoperative inflammation, reduce the incidence of complications, and help to improve the postoperative urination function of patients, and promote postoperative rehabilitation of patients.
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Received: 08 November 2022
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