中医多途径综合疗法对肛肠术后尿潴留改善疗效及生活质量的效果分析

Efficacy of multi-channel integrated therapy in TCM on retention of urine after anorectal operation and quality of life

目的:观察采用中医多途径综合治疗方法对肛肠术后尿潴留患者的改善疗效及生活质量的作用。方法:选择我院2014年1月-2016年6月的肛肠疾病术后出现尿潴留的患者,随机分为对照组62例,采用甲硫酸新斯的明注射液、膀胱穴位按摩、水流声诱导治疗,干预组在此基础上采用针灸、耳穴压豆、中药汤剂、中药熨烫治疗。对比两组患者的临床疗效,自行排尿时间、排尿通畅时间、进食时间和住院时间,治疗前后的VAS评分。结果:经秩和检验结果表明干预组的临床疗效高于对照组(P<0.05);干预组治疗后的自行排尿时间、排尿通畅时间、进食时间和住院时间均较对照组短(P<0.05);在治疗前,两组患者的VAS评分对比无差异(P>0.05),在治疗后,两组患者的VAS评分较治疗前均出现下降,且干预组的下降较对照组更为明显(P<0.05)。结论:针对肛肠术后尿潴留患者在西医常规治疗的基础上加用中医多途径综合疗法能有效的改善患者的疗效及临床症状,缩短住院时间,改善患者的生活质量。

Objective:To observe the effect of multi-pathological method of TCM on retention of urine after anorectal operation and quality of life.Methods:124 cases were divided into two group.The control group took neostigmine,massage at bladder acupoint and water flow acoustic therapy.The intervention group received acupuncture and moxibustion,auricular beans,decoctions and ironing more.Results:The results of rank sum test showed that the clinical efficacy in the intervention group was higher than the control group(P<0.05).The urination time,voiding patency,feeding time and hospital stay in the intervention group were shorter than those in the control group(P<0.05).After treatment,the VAS scores in both groups were more decreased than that before treatment,and the decrease in intervention group was more obvious than the control group(P<0.05).Conclusion:Multi-pathological method of TCM plus conventional treatment was more effective,by improving clinical symptoms,shortening the hospital stay and improving the quality of life.