基于经筋理论探析前列腺术后尿失禁的银质针治疗思路OA
The Treatment Approach of Silver Needle Therapy for Post-prostatectomy Urinary Incontinence Based on Jingjin Theory
尿失禁是前列腺癌患者接受根治术后较易出现的并发症,现有的治疗手段疗效有限,尤其在中重度尿失禁方面仍有待探索.本文通过文献整理探讨经筋系统与泌尿系统的联系,分析前列腺手术对经筋系统的影响,确定泌尿系统与足太阳、足阳明、足太阴、足厥阴等经筋的循行关联.基于经筋理论探讨前列腺癌根治术后尿失禁的发生机制与银质针疗法的契合点,在此基础上提出前列腺癌根治术后尿失禁的银质针选点思路与操作要点,其中治疗点包括腰骶后部、大腿根部、耻骨联合等位置,治疗作用包括激发经气、改善盆底功能、调节神经传导等方面.旨在为前列腺术后尿失禁的临床治疗提供新的思路和方法,扩展银质针疗法在前列腺术后泌尿系统并发症的应用范围.
Urinary incontinence is a common complication in patients with prostate cancer after radical prostatectomy.Existing treatment methods have limited efficacy,especially for moderate to severe urinary incontinence.This paper discusses the relationship between the Jingjin theory(tendon-meridian theory)and the urinary system through literature review,analyzes the impact of prostate surgery on the Jingjin system,and clarifies the correlation between the urinary system and the Jingjin,such as the foot Taiyang,foot Yangming,foot Taiyin,and foot Jueyin meridians.Based on the Jingjin theory,this paper explores the mechanism of post-prostatectomy urinary incontinence and the key points for silver needle therapy intervention.On this basis,it puts forward the ideas and operational points for silver needle selection in the treatment of urinary incontinence after radical prostatectomy.The treatment points include the lumbosacral posterior region,thigh root,and pubic symphysis.The therapeutic effects include stimulating meridian qi,improving pelvic floor function,and regulating nerve conduction.This study aims to provide new ideas and methods for the clinical treatment of post-prostatectomy urinary incontinence and expand the application scope of silver needle therapy in urinary system complications after prostate surgery.
王薇;董宝强;张峰
余姚市第二人民医院,浙江 宁波 315400辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847
医药卫生
前列腺术后尿失禁银质针经筋理论结筋病灶点临床思路
post-prostatectomy urinary incontinencesilver needleJingjin theorythe lesion point of tendonclinical thinking
《中医康复》 2026 (5)
66-70,5
辽宁省科学技术基金项目(2022-NLTS-13-04)辽宁省教育厅高校基本科研项目(LJ212410162040)
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