艾灸刺激对肛肠病术后尿潴留预防作用的临床观察

Clinical Observation of the Preventing Effect of Moxibustion on Urine Retention after Anorectal Surgery

目的观察辨证论治选穴艾灸预刺激对预防肛肠病患者术后尿潴留的临床疗效。方法将我院欲行鞍麻下肛肠病手术患者80例,随机分为治疗组和对照组各40例。分别予以辨证选穴艾灸预刺激和采取排尿训练护理干预手段,观察患者术后第一次排尿状况以及术后尿潴留的发生率。结果两组尿潴留发生率、临床疗效、第一次排尿时间和排尿总积分、术后8 h残余尿量小于10mL的例数、排尿总积分比较,差异均有统计学意义(P<0.05或P<0.01),治疗组均优于对照组。结论辨证论治艾灸预刺激可有效预防肛肠病术后尿潴留。

Objective To observe the clinical efficacy on the post - anorectal - surgical urine reten- tion treated by the pre - stimulation of moxibustion at the acupoints based on pattern/syndrome differentia- tion. Methods Eighty patients with anorectal surgery under saddle anesthesia were randomized into a treat- ment group and a controlled group, 40 cases in each one. The pre - stimulation of moxibustion at the acu- points based on pattern/syndrome differentiation and the intervention of urine training were adopted separate- ly. The first urination and the morbidity of the post - surgical urine retention were observed in the patients. Results The differences in the morbidity of urine retention, the clinical efficacy, the time of the first urina- tion,the case numbers of urine residue less than 10ml in 8h after surgery and the total urine volume were sig- nificant between the two groups （P 〈 O. 05 or P 〈 0. 01 ）. The results in the treatment group were superior to the controlled group. Conclusion The pre - stimulation of moxibustion at the acupoints based on pattern/ svndrome differentiation effectively prevents from urine retention after anorectal surgery.