热敏灸加耳穴压豆治疗术后自控镇痛尿潴留的观察

Treating postoperative urinary retention in TCM

目的:分析热敏灸加耳穴压豆治疗术后自控镇痛尿潴留的效果。方法:选取2013年6月-2015年6月100例术后自控镇痛尿潴留患者作为研究对象,根据随机原则分组。参照组患者以常规方法进行处理,研究组患者在常规处理的同时辅以热敏灸加耳穴压豆治疗。对比治疗前和治疗结束后30min患者排尿、尿急、腹痛和腹胀症状积分,并对比疗效。结果:两组患者治疗前症状积分接近,组间差异无统计学意义(P>0.05)。治疗后,两组患者排尿、尿急、腹痛和腹胀症状积分均显著改善,组内差异有统计学意义(P<0.05),但研究组改善幅度更大,组间差异有统计学意义(P<0.01)。研究组和参照组治疗有效率分别为88.00%和66.00%,研究组的疗效明显优于参照组(P<0.01)。结论:热敏灸加耳穴压豆治疗术后自控镇痛尿潴留效果确切,可有效改善尿潴留症状,值得推广。

Objective： To analyze efficacy of thermal moxa plus ear point beans pressure on urinary retention. Methods： 100 cases of postoperative urinary retention were selected as research subjects. The control group took the conventional methods; the study group took beans plus ear pressure treatment. Results： In two groups symptom scores were similar（P〈0.05）. After treatment, urination, urgency, abdominal pain and bloating symptom scores in two groups were significantly improved（P〈0.05）. But the margin in the study group was improved（P〈0.01）.In the study group and the control group, the efficiency were 88.00% and 66.00%（P〈0.01） respectively. Conclusion： Thermal moxa plus ear point beans pressure on postoperative showed an exact effect, could effectively improve the symptoms of urinary retention, and was worthy of promotion.