针灸预防麻醉后尿潴留临床观察

Clinical Observations on the Prevention of Post-anesthesia Urine Retention by Early Acupuncture and Moxibustion Interventions

目的观察针灸早期干预预防麻醉后尿潴留的临床效果。方法将60例患者随机分为空白组、对照组、治疗组。对各组患者予相应的干预,进行尿流力测定及临床疗效评定。结果治疗组痊愈率为80%,优于空白组与对照组,差异有统计学意义(P<0.05),治疗组最大尿流率与空白组及对照组比较,差异有统计学意义(P<0.05)。结论针灸早期干预可有效改善膀胱逼尿肌功能,缓解尿道外括约肌痉挛,从而达到自主排尿,减少术后尿潴留的发生率。

Objective To investigate the clinical efficacy of early acupuncture and moxibustion interventions in preventing post-anesthesia urine retention. Method Sixty patients were randomly allocated to blank, control and treatment groups. Corresponding interventions were given to various groups of patients. Uroflometry was performed and the clinical therapeutic effects were evaluated. Result The total efficacy rate in the treatment group was 80% and higher than that in the blank and control groups; there was a statistically significant difference （P〈0.05）. There was a statistically significant difference in maximum urinary flow rate between the treatment group and the blank or control group （P〈0.05）. Conclusion Early acupuncture and moxibustion interventions can effectively improve detrusor function and relieve external urethral sphincter spasm to restore voluntary urination and reduce the incidence of post-anesthesia urine retention.