腕踝针联合三部位热奄包对肛肠疾病患者术后排尿的影响研究

Effect of wrist-ankle acupuncture combined with three-part hot pack on postoperative urination in patients with anorectal disease

目的 观察腕踝针联合三部位热奄包对肛肠疾病患者术后排尿困难的治疗效果及对首次排尿时间的影响。方法 本研究将2019年11月—2020年9月安徽中医药大学第一附属医院肛肠科的60例肛肠疾病手术患者纳入对照组,采用三部位热奄包热敷相关穴位进行治疗。同时,选取2020年10月—2021年8月的56例肛肠疾病手术患者为观察组,在对照组基础上采用腕踝针针刺下1区和下6区进行治疗。比较2组患者治疗有效率、首次排尿时间及健康相关生命质量。结果 观察组患者治疗有效率为78.57%,高于对照组的61.67%,差异有统计学意义(P<0.05);观察组首次排尿时间为(42.11±11.87) min,短于对照组的(91.62±22.87) min,差异有统计学意义(P<0.05)。对照组欧洲五维度视觉模拟评分法(EQ-VAS)评分为50.00(60.00, 68.75)分,观察组为61.25(75.00, 80.00)分,2组EQ-VAS评分比较,差异有统计学意义(P<0.05)。2组生活质量良好患者占比和“疼痛、不适”“焦虑、抑郁”2个维度出现健康问题的患者占比比较,差异无统计学意义(P>0.05)。结论 腕踝针联合三部位热奄包能有效改善肛肠疾病患者术后排尿困难问题,缩短首次排尿时间,减轻患者因排尿困难带来的痛苦,提升患者术后生活质量。

Objective To observe the application effect of wrist-ankle acupuncture combined with three-part hot pack on postoperative dysuria in patients with anorectal disease and its effect on the time of first urination.Methods A total of 60 patients with anorectal diseases from November 2019 to September 2020 in the Department of Anorectal Diseases of the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine were selected as control group, and were treated with three-part hot compress by hot packs on related acupoints.At the same time, 56 patients with anorectal disease who underwent surgeries from October 2020 to August 2021 were selected as observation group, and the lower 1 area and the lower 6 area were treated with wrist-ankle acupuncture on the basis of the control group.The treatment effective rate, time to first urination and health-related quality of life were compared between the two groups.Results The treatment effective rate of the observation group was 78.57%, which was significantly higher than 61.67% in the control group(P<0.05).The first urination time in the observation group was(42.11±11.87) min, which was shorter than(91.62±22.87) min in the control group(P<0.05).The EuroQol-Visual Analogue Scale(EQ-VAS) score was 50.00(60.00, 68.75) in the control group, and was 61.25(75.00, 80.00) in the observation group, which showed a significant difference between the two groups(P< 0.05).There were no significant differences in the proportions of patients with good quality of life and thosewith health problems in dimensions of " pain and discomfort" and " anxiety and depression" betweenthe two groups(P> 0.05).Conclusion Wrist-ankle acupuncture combined with three-part hotpack can effectively improve postoperative dysuria in patients with anorectal diseases, shorten thetime of first urination, relieve the pain caused by dysuria, and improve the quality of life of patientsafter surgery.