目的 探讨中医揿针联合一般措施防治混合痔术后尿潴留的临床疗效。方法 选取2022年1月—2024年12月行混合痔剥离套扎术住院治疗的女性患者74例,采用随机数字表法分为观察组和对照组,每组各37例。观察组采用揿针联合应用镇痛的治疗,对照组采用镇痛一般治疗。治疗后,比较两组术后首次排尿时间、腹部症状评分及排尿通畅评分、导尿率及有效率。结果 干预后组间比较,观察组术后首次排尿时间短于对照组（P=0.035）,首次排尿腹部症状评分（P=0.040）、首次排尿通畅评分（P=0.044）均低于对照组,差异均有统计学意义;观察组有效率大于对照组（P=0.045）,差异有统计学意义。结论 中医揿针联合一般镇痛用于防治混合痔术后尿潴留较常规处理措施效果更突出,可有效地提升痔围术期舒适化医疗体验,加速术后康复,值得临床推广应用。

Objective To investigate the clinical effect of press needle acupuncture combined with general measures on urinary retention after opeartion of mixed hemorrhoids. Methods A total of 74 female patients who underwent mixed hemorrhoid ligation and stripping surgery from January 2022 to December 2024 were selected and randomly divided into an observation group and a control group, with 37 cases in each group. The observation group was treated with press needles combined with analgesia, while the control group was treated with general analgesia alone. After treatment, the postoperative first urination time,abdominal symptom scores, smooth urination scores, catheterization rate, and effective rate were compared between the two groups. Results After the intervention, the observation group showed shorter time of first postoperative urination （P<0.05）, lower abdominal symptom score at first postoperative urination （P<0.05） and smooth urination score at first postoperative urination （P<0.05）, and higher effective rate （P<0.05） than the control group. Conclusion Press needle acupuncture combined with general analgesiais more effective than conventional treatment in the prevention and treatment of urinary retention after mixed hemorrhoids surgery, effectively improving perioperative medical experience and accelerating postoperative rehabilitation, which is worthy of clinical promotion and application.