针刺干预腰麻术后尿潴留的疗效评价

Efficacy of acupuncture intervention on urinary retention after spinal anesthesia

目的:观察针刺对腰麻术后尿潴留的干预作用。方法:将154例行腰麻术患者随机分为观察组(80例)和对照组(74例)。观察组在腰麻术后选取双侧府舍、水道行电针治疗,频率2 Hz/50Hz,留针30min,共治疗1次;对照组在手术结束后不予干预。观察术后尿潴留发生率、腰麻后30min至术后第一次自主排尿时间、第一次排尿量,术后排尿通畅、下腹坠胀、排尿不尽感等情况。结果:观察组尿潴留发生率较对照组低,腰麻后30min至第一次自主排尿时间较对照组早,且排尿通畅率较对照组高,尿不尽和下腹坠胀感发生率低于对照组,差异均具有统计学意义(均P<0.05)。结论:针刺可以明显缩短腰麻术后自主排尿时间,促进膀胱排尿反射的恢复,具有促进排尿、降低术后尿潴留发生的作用。

Objective To observe the acupuncture effect on urinary retention after spinal anesthesia. Methods One hundred and fifty-four patients with spinal anesthesia were randomized into an observation group （80 cases） and a control group （74, cases）. In the observation group, the electroacupuncture was applied to bilateral Fushe （SP 13） and Shuidao （ST 28）, 2 Hz/50 Hz, retaining for 30 rain. One treatment was required. In the control group, no any intervention was applied after operation. The incidence of the postoperative urinary retention, the time of the first automatic micturition since 30 rain after spinal anesthesia, the volume of the first micturition, the postoperative urine condition, the lower abdominal distention, incomplete urination and the others were observed. Results The incidence of urinary retention in the observation group was lower than that in the control group; the first automatic micturition in 30 min after spinal anesthesia was earlier than that in the control group; the comfor- tahle urination rate was higher than that in the control group; the incidence of incomplete urination and lower ab- dominal distention were lower than those in the control group. The differences were significant in comparison of the two groups （all P〈0, 05）. Conclusion Acupuncture apparently shortens the time of first automatic mieturi- tion after spinal anesthesia and promotes the recovery of bladder urinary reflection. This therapy acts on promoting urination and reducing postoperative urinary retention.