针刺联合α1-受体阻滞剂治疗老年急性尿潴留的疗效分析

α1-receptor blockers combined with acupuncture treatment efficacy analysis of elderly patients with acute urinary retention

目的探讨针刺联合α1-受体阻滞剂治疗老年急性尿潴留的疗效。方法采用前瞻性监测和回顾性调查方法，选择2006年1月1日至2009年1月1日发生急性尿潴留的老年住院患者82例，按时间先后顺序分为治疗组39例，对照组43例；两组均经尿道导尿，停留导尿管。对照组口服仪α1-受体阻滞剂高特灵（盐酸特拉唑嗪）及应用抗生素，治疗组在上述基础上加针刺治疗。结果治疗组有效率94．87％，对照组有效率为76．74％，两组比较，P〈0．05，差异有显著性。结论针刺联合α1-受体阻滞剂治疗老年急性尿潴留比单纯α1-受体阻滞剂疗效好，有协同作用，缩短了留置尿管时间，避免反复导尿和减少泌尿系统医院感染，值得临床推广。

Objective To explore acupuncture and α1-receptor blocker treatment efficacy of elderly patients with acute urinary retention. Methods Use of forward-looking monitoring and retrospective survey methodology, Choose January 1,2006 to January 1,2009 of acute urinary retention in 82 cases of elderly inpatients, Chronological order according to treatment group ,39 cases were divided into control group ,43 cases; Transurethral catheterization in both groups, stay catheter. The control group was treated with α1-receptor blocker hytrin （terazosin） and the application of antibiotics; the treatment group based on the above plus acupuncture therapy. Results The treatment group was 94. 87% in the control group response rate was 76.74%, the two groups, P 〈 0. 05, the difference was significant. Conclusion α1-receptor blockers combined with acupuncture treatment of elderly patients with acute urinary retention α1-receptor blocker than simply good effects, synergistic effect, shortening the indwelling catheter time, avoid repeated urinary catheterization and reduce hospital infection, worthy to be popularized.