腕踝针治疗全麻术后导尿管相关性膀胱刺激征的疗效观察

doi:10.3969/j.issn.2095-378X.2025.01.009

Abstract

Abstract: Objective To investigate the therapeutic effect of wrist ankle acupuncture on catheter-related bladder discomfort （CRBD） during anesthesia recovery period. Methods A study was conducted on 88 patients with CRBD after surgery under general anesthesia who were admitted from January 2024 to March 2024. They were randomly divided into three groups： A, B, and C by random number table method. Respectively, 30 cases in Group A received wrist ankle acupuncture treatment, 30 cases in Group B received sufentanil treatment, and 28 cases in Group C received wrist ankle acupuncture combined with sufentanil treatment. The severity rating of CRBD and visual analogue scale （VAS） scores were compared among the three groups at different time points, and the incidence rates of adverse reactions were calculated. Results At the time of entering the anesthesia recovery room （T0）, there was no significant difference in CRBD rating among the three groups （P>0.05）. At 1 h （T1） and 6 h （T2） after treatment, the CRBD ratings of the three groups decreased compared to T0; among them, Group A and Group C showed a more significant decrease than Group B （P<0.05）. However, the CRBD ratings of Group A and Group C were similar, with no significant difference （P>0.05）. There was no significant difference in CRBD ratings among the three groups at T1 and T2 （P>0.05）. At T0 and T1, there was no significant difference in VAS scores among the three groups （P>0.05）. At T2, the VAS score of Group C was lower than those of Group A and Group B （P<0.05）, while the VAS score of Group B was lower than that of Group A （P<0.05）. The VAS scores were different of the three groups between T1 and T2 （P<0.05）. The incidence rates of adverse reactions in Group C and Group B were similar, with no significant difference （P>0.05）. The incidence rates of adverse reactions in Group C and Group B were higher than that in Group A （P<0.05）. Conclusion Wrist ankle acupuncture treatment can effectively alleviate the clinical symptoms of CRBD patients, with a long duration of action and few adverse reactions.

Key words: Catheter-related bladder discomfort, Wrist ankle acupuncture, Sufentanil, General anesthesia, Adverse reaction

CLC Number:

R459.7

ZHANG Guoxian, LIN Yaohong, XU Rongju, ZHANG Guopan. Therapeutic effect of wrist ankle acupuncture on catheter-related bladder discomfort after surgery under general anesthesia[J]. Surgical Research and New Technique, 2025, 14(1): 39-42.

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Therapeutic effect of wrist ankle acupuncture on catheter-related bladder discomfort after surgery under general anesthesia

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