针刺治疗肛肠病术后尿潴留的临床研究

发布时间：2018-05-24 22:03

本文选题：针刺治疗 + 肛肠疾病术后　；参考：《辽宁中医杂志》2017年11期

【摘要】：目的:观察针刺治疗肛肠病术后尿潴留的临床疗效,并探讨其治疗机理。方法:选取本院2015年1月—12月收治的60例肛肠病术后尿潴留患者作为研究对象,利用随机数字表法分为治疗组和对照组,每组各30例。治疗组采用针刺穴位治疗尿潴留,对照组采取空白对照,不采用特殊处理,仅在排尿困难时给予膀胱区热敷、按摩处理。治疗结束后,比较两组患者的疗效性与安全性。结果:治疗30 min后,治疗组的首次排尿时间为(10.97±6.23)min,对照组的首次排尿时间(21.24±4.90)min,二者比较具有显著性差异(t=7.08,P0.01)。治疗组的首次排尿量为(198.41±105.43)m L,明显高于对照组的首次排尿量(79.52±68.33)m L(t=-5.18,P0.01)。治疗组的总有效率为90.0%,明显高于对照组的总有效率56.7%,(χ2=13.83,P0.05)。治疗组的安全性优于对照组,差异具有统计学意义(χ2=7.18,P0.05)。结论:针刺治疗肛肠病术后尿潴留患者疗效显著,安全性高,有利于改善患者的临床症状,缓解排尿障碍,值得临床推广应用。
[Abstract]:Objective: to observe the clinical effect of acupuncture on postoperative urinary retention of anorectal disease and explore its therapeutic mechanism. Methods: from January to December 2015, 60 patients with urinary retention after anorectal surgery were selected and divided into treatment group (n = 30) and control group (n = 30). In the treatment group, acupuncture points were used to treat urinary retention, while in the control group, the blank control group was used, no special treatment was used, only hot compress in bladder area and massage treatment were given when urination was difficult. After treatment, the efficacy and safety of the two groups were compared. Results: after 30 min treatment, the first time of urination was 10.97 卤6.23 min in the treatment group and 21.24 卤4.90 min in the control group. There was a significant difference between the two groups. The first voiding volume in the treatment group was 198.41 卤105.43mL, which was significantly higher than that in the control group (79.52 卤68.33m / L). The total effective rate of the treatment group was 90.0, which was significantly higher than that of the control group (56.7%). The safety of the treatment group was better than that of the control group, and the difference was statistically significant (蠂 2 7.18 P 0.05). Conclusion: acupuncture is effective and safe in the treatment of postoperative urinary retention of anorectal disease. It is beneficial to improve the clinical symptoms and relieve urination disorder. It is worth popularizing.
【作者单位】：海南省中医院肛肠科;海南省中医院针灸科;
【基金】：2013年海南自然科学基金项目(814348)
【分类号】：R246.2

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