耳穴贴压治疗前列腺癌术后尿失禁 临床研究进展

Clinical Research Progress of Auricular Point Pressing in the Treatment of Post‑Prostatectomy Incontinence

摘要: 前列腺癌术后尿失禁是根治性前列腺切除术后最常见的泌尿系统并发症，发生率高达23%~64%，严重影响患者的生活质量和心理健康，给患者及其家庭带来沉重的身心和经济负担。耳穴贴压作为中医特色外治疗法，近年来以其操作简便、安全可靠、成本低廉、无毒副作用的优势在前列腺癌术后尿失禁的临床康复中逐渐得到推广和应用。本文从耳穴贴压治疗前列腺癌术后尿失禁的理论基础与选穴规律、单纯耳穴贴压、耳穴联合艾灸疗法、耳穴联合药物疗法以及耳穴联合中西医结合护理方面对现有研究进展进行综述，以期为耳穴贴压在前列腺癌术后尿失禁中的应用和研究提供参考，为临床治疗前列腺癌术后尿失禁提供新思路。

Abstract: Post‑prostatectomy incontinence is the most common urinary complication after radical prostatectomy, with an incidence rate as high as 23%~64%. It severely affects patients’ quality of life and mental health, imposing heavy physical, psychological and economic burdens on patients and their families. As a characteristic external therapy of traditional Chinese medicine, auricular point pressing has been gradually promoted and applied in the clinical rehabilitation of post‑prostatectomy incontinence in recent years owing to its advantages of simple operation, safety, reliability, low cost and no toxic or side effects. This paper reviews the current research progress from the aspects of theoretical basis and acupoint selection rules of auricular point pressing for post‑prostatectomy incontinence, simple auricular point pressing, auricular point pressing combined with moxibustion, auricular point pressing combined with medication, as well as auricular point pressing combined with integrated Chinese and Western nursing, so as to provide references for the application and research of auricular point pressing in post‑prostatectomy incontinence and new ideas for its clinical treatment.