董氏奇穴法治疗混合痔术后尿潴留的临床疗效

发布时间：2019-01-01 08:35

【摘要】：目的探讨董氏奇穴法治疗混合痔术后尿潴留的临床疗效。方法采用回顾性方法,选取279例行混合痔手术治疗并在术后出现尿潴留的患者的临床资料,按照治疗方法的不同,将他们分为A、B、C三组,每组各93例,给予A组患者针刺董氏奇穴之"三皇穴"治疗,给予B组患者诱导法治疗,给予C患者口服盐酸坦索罗辛胶囊进行治疗,记录三组患者干预后的术后排尿情况、不良反应和转归及配合使用的镇痛药物的时间、剂量等情况。结果经过治疗,A组患者与B组、C组患者相比在首次排尿量、起效时间上有明显的优势(P0.05),具有统计学意义;279例患者中有150例(53.6%)患者出现尿潴留,时间在距离麻醉(7.5~10.5)h,三组患者在在治疗前的腹胀、尿急、体征分布情况无明显差异性,具有可比性。三种治疗方法治疗后患者的腹胀、尿急等临床症状比治疗前有明显的改善(P0.05),具有统计学意义。结论董氏奇穴组、口服盐酸坦索罗辛胶囊组在观察期间能有效缓解病人腹部胀满、疼痛等不适症状;但总体而言,董氏奇穴针刺治疗起效更快、能明显缓解患者腹部胀满、疼痛不适、安全性高、无毒副作用。
[Abstract]:Objective to investigate the clinical effect of Dong Shiqi point method on urinary retention after mixed hemorrhoids operation. Methods the clinical data of 279 patients who were treated with mixed hemorrhoids and developed urinary retention after operation were retrospectively analyzed. According to the different treatment methods, they were divided into three groups: group A (n = 93), group C (n = 93), and group C (n = 93). The patients in group A were treated with acupuncture at the "Sanhuang" point of Dong Shiqi, group B was treated with induction, and patients with C were treated with Tansoroxin Hydrochloride capsule. The postoperative urination of the patients in the three groups was recorded after intervention. Adverse reactions and the time and dosage of the analgesic drugs used in combination. Results after treatment, the patients in group A and group B and group C had obvious advantages in the first time of urination and the onset time (P0.05), which had statistical significance. Of the 279 patients, 150 (53.6%) had urinary retention and the time was (7.510. 5) h from anesthesia. There was no significant difference in the distribution of abdominal distension, urinal urgency and physical signs in the three groups before treatment. The clinical symptoms such as abdominal distension and urinal urgency were significantly improved after three treatments (P0.05). Conclusion the Dongshiqi acupoint group and the oral tansoroxine hydrochloride capsule group can effectively relieve the abdominal distention and pain during the observation period. But in general, the treatment of Dong Shiqi acupuncture is more effective and can relieve abdominal distention, pain and discomfort, high safety and no side effects.
【作者单位】：广州中医药大学第二附属医院;广东省第二中医医院;
【基金】：广东省中医药局建设中医药强省科研基金项目(No.20121171)
【分类号】：R246.2

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