基于治未病理念的电针对肛肠病患者术后排尿功能的影响  

Effect of electroacupuncture based on the concept of preventive treatment of disease on postoperative urination function in patients with anorectal disease

作　　者：何玉海[1,2] 谢丹[1] 于海波[1] 戴莲青[1] 卢昌碒[1] 高鲜丽 黄杏贤 兰凯[2] 黄增平 HE Yuhai;XIE Dan;YU Haibo;DAI Lianqing;LU Changyin;GAO Xianli;HUANG Xingxian;LAN Kai;HUANG Zengping(Shenzhen Hospital of Traditional Chinese Medicine/The Fourth Clinical Medical College of Guangzhou University of Traditional Chinese Medicine,Shenzhen 518033,Guangdong,China;Guangzhou University of Traditional Chinese Medicine,Guangzhou 510006,Guangdong,China)

机构地区：[1]深圳市中医院/广州中医药大学第四临床医学院,广东深圳518033 [2]广州中医药大学,广东广州510006

出　　处：《现代中西医结合杂志》2022年第13期1765-1768,1774,共5页Modern Journal of Integrated Traditional Chinese and Western Medicine

基　　金：广东省中医药局科研项目(20201302)。

摘　　要：目的评价在治未病理念指导下早期电针干预对肛肠病患者术后排尿功能的影响。方法选择2020年7月1日—12月31日在深圳市中医院行择期腰麻下手术治疗的肛肠病患者80例,随机分为电针组和对照组,每组40例。2组均给予基础治疗,在基础治疗的同时电针组在麻醉前选取双侧次髎穴、秩边穴给予30 min的电针刺激,对照组则不接受电针处理。观察2组患者术后排尿通畅感受评分、首次排尿时间、术后导尿率、术后24 h内补救镇痛例数以及头晕、恶心呕吐等并发症发生情况。结果电针组患者术后排尿通畅感受评分高于对照组,首次排尿时间短于对照组,差异均有统计学意义(P均<0.05)。电针组患者术后24 h内补救镇痛率为40.0%(16/40),低于对照组的62.5%(25/40),差异有统计学意义(P<0.05);2组患者术后导尿率及头晕、恶心呕吐发生率比较差异均无统计学意义(P均>0.05)。结论电针早期干预有利于肛肠疾病患者术后排尿功能的早期恢复,缓解患者的术后疼痛,促进患者早期康复。Objective It is to evaluate the effect of early electroacupuncture intervention on postoperative urination function in patients with anorectal disease under the guidance of the concept of preventive treatment of disease.Methods A total of 80 patients with anorectal disease who underwent elective spinal anesthesia surgery in Shenzhen Hospital of Traditional Chinese Medicine from July 1 to December 31,2020 were selected and randomly divided into an electroacupuncture group and a control group,with 40 cases in each group.Both groups were given basic therapy.In addition to basic treatment,the electroacupuncture group was given 30 min of electroacupuncture stimulation at bilateral Ciliao and Zhibian acupoints before anesthesia,while the control group did not receive electroacupuncture.The postoperative easy urination score,first urination time,postoperative catheterization rate,the number of increasing analgesia cases within 24 hours after surgery,and the occurrence of complications such as dizziness,nausea and vomiting were observed in the two groups.Results The postoperative easy urination score in the electroacupuncture group was higher than that in the control group,and the first urination time was shorter than that in the control group,and the differences were statistically significant(all P<0.05).The increasing analgesia rate of patients within 24 hours after operation in the electroacupuncture group was 40.0%(16/40),which was lower than 62.5%(25/40)of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the rate of post-catheterization and the incidence of dizziness,nausea and vomiting between the two groups(all P>0.05).Conclusion Early intervention of electroacupuncture is beneficial to the early recovery of postoperative urination function,and to relieving postoperative pain,promoting early recovery in patients with anorectal disease.

关 键 词：治未病 肛肠疾病 电针 排尿功能 

分 类 号：R574.8[医药卫生—消化系统]