董氏奇穴法治疗非洲黑人混合痔术后尿潴留的临床研究

Clinical Study on Treatment of Uroschesis after Operation for Mixed Hemorrhoid in Black Africans by DONGs Extraordinary Acupoints

目的:对比观察董氏奇穴法治疗中国人与非洲黑人混合痔术后尿潴留的临床疗效,为非洲地区针灸治疗的推广提供临床依据。方法:分别选取广州中医药大学第二附属医院及西非加纳共和国克里布教学医院行混合痔手术治疗并在术后出现尿潴留的患者各60例,给予针刺董氏奇穴之"三皇穴"治疗,观察两组临床疗效、首次排尿量、首次尿意起效时间及1 h后残余尿量。结果:治疗后两组患者的临床疗效及首次尿意起效时间比较,差异无统计学意义(P>0.05),但非洲黑人组首次排尿量多于中国人组,1 h后残余尿量少于50 m L的患者数量多于中国人组,差异有统计学意义(P<0.05)。结论:董氏奇穴对中国人及非洲黑人混合痔术后尿潴留均有较好疗效,但对非洲黑人的临床疗效更为显著,值得在非洲医疗工作中进行推广应用。

objective：To contrast the clinical curative effect of DONGs extraordinary acupoints on treating uroschesis after operation for mixed hemorrhoid in Chinese with that in black Africans and provide clinical evidence for promoteing acupuncture treatment in Africa. Methods：A total of 120 patients with uroschesis after operation for mixed hemorrhoid were selected from the second affiliated hospital of Guangzhou university of traditional Chinese medicine and Krole Bu teaching hospital,60 from one,the others from another. All the patients were given treatment of ＂San Huang points＂ of DONGs extraordinary acupoints. The clinical effect,first urine output,first urinate onset time and residual urine volume after 1 hour of the two groups were observed. Results：After treatment,The differences of clinical effect and first urinate onset time of the two groups were not statistically significant（P〉0.05）,but the first urine output of the black Africans was more than that of the Chinese and the number of Chinese patients whose residual urine volume after 1 hour was more than 50 m L was larger than that of the black Africans,with statistical significance（P〈0.05）. Conclusion：DONGs extraordinary acupoints have significant effects on both Chinese people and black Africans,but the effect is more obvious on black Africans,so it is worthy of promotion and application in medical work in Africa.