针刺治疗肛肠病术后尿潴留的临床研究  

Clinical Study on Acupuncture Treatment of Urinary Retention after Anorectal Operation

作　　者：冯德魁[1] 邓嘉秋[1] 吕生辉[1] 罗和平[2] 

机构地区：[1]海南省中医院肛肠科,海南海口570203 [2]海南省中医院针灸科,海南海口570203

出　　处：《辽宁中医杂志》2017年第11期2406-2408,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：2013年海南自然科学基金项目(814348)

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,P<0.01)。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,P<0.01)。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,P<0.05)。治疗组的安全性优于对照组,差异具有统计学意义(χ2=7.18,P<0.05)。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。Objective： To observe the clinical effect of acupuncture on urinary retention after anorectal operation and explore its therapeutic mechanism. Methods： Sixty cases of patients with urinary retention after anorectal surgery from January to December2015 in our hospital were selected as the research object,and were divided into treatment group and control group by random number table method. The treatment group was treated with acupuncture treatment of urinary retention,and the control group was treated with blank control without special treatment. The bladder area was given hot compress and massage treatment only when dysuria. After treatment,the efficacy and safety of the two groups were compared. Results： After treatment for 30 minutes,the first urination time of the treatment group was（ 10. 97 ± 6. 23） min,and that of the control group was（ 21. 24 ± 4. 90） min with significantly different（ t = 7. 08,P〈0. 01）. The first urination was（ 198. 41 ± 105. 43） m L in the treatment group,which was significantly higher than the control group＇s（ 79. 52 ± 68. 33） m L and the difference was significant（ t =-5. 18,P〈0. 01）. The total effective rate of the treatment group was 90. 0%,which was significantly higher than that of the control group（ 56. 7%）（ χ^2= 13. 83,P〈0. 05）. The safety of the treatment group was better than that of the control group and the difference was statistically significant（ χ^2= 7. 68,P〈0. 05）. Conclusion： Acupuncture treatment of anorectal disease patients with urinary retention after operation has significant curative effect with high safety,helpful to improve the clinical symptoms of patients and relieve urination disorders,and is worthy of clinical application.

关 键 词：针刺治疗 肛肠疾病术后 尿潴留 临床研究 

分 类 号：R694.55[医药卫生—泌尿科学]