中医揿针防治混合痔术后尿潴留的临床观察

doi:10.3969/j.issn.2095-378X.2025.02.013

Abstract

Abstract: 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.

Key words: Press needle, Mixed hemorrhoids, Ligation, Urinary retention, Prevention and treatment

CLC Number:

R266

WAN Yingfang, KONG Xiangdong, JIANG Miao, SHEN Jianliang, WANG Qianqian, XU Jinhengyi, YANG Qiliang. Clinical observation of press needle acupuncture for prevention and treatment of urinary retention after operation of mixed hemorrhoids[J]. Surgical Research and New Technique, 2025, 14(2): 157-161.

References

[1] 李响,高显华,周茹珍. 直肠癌术后尿潴留的危险因素和防治进展[J]. 当代护士,2024,31(6):5-8.
[2] 中国中西医结合学会大肠肛门病专业委员会. 肛门良性疾病围手术期排粪管理中国专家共识[J]. 中华胃肠外科杂志,2020,23(12):1131-1134.
[3] 李军,黄悠,王儒蓉,等. 肛门部良性疾病术后尿潴留的危险因素[J]. 西部医学,2022,34(2):220-224.
[4] 张文芝,李菁,贾瑞英. 前馈控制在泌尿外科女性留置导尿管患者中的应用[J]. 齐鲁护理杂志,2020,26(8):79-82.
[5] 王艳,骆兴芳. 混合痔术后患者发生尿潴留的危险因素logistic分析[J]. 中国医院统计,2020,27(2):109—111.
[6] 世界中医药学会联合会肛肠病专业委员会. 痔的围手术期管理专家共识[J]. 中国微创外科杂志,2023,23(6):401-408.
[7] 中国中西医结合学会大肠肛门病专业委员会. 中国痔病诊疗指南(2020)[J]. 结直肠肛门外科,2020,26(5):519-533.
[8] 孙晋东. 揿针防治混合痔外剥内扎术术后尿潴留的效果观察[J].济南:山东中医药大学,2022,26(5):519-533.
[9] 中华人民共和国中医药行业标准. 中医病证诊断标准[S]. 北京:中国中医药出版社,2012:44-45.
[10] 龙庆,李俊,闻永. 耳穴揿针联合穴位贴敷对混合痔外剥内扎术后尿潴留的影响[J]. 现代中西医结合杂志,2021,30(19): 2123-2125.
[11] 郭颂铭,沈群,童红斌. 针刺加艾灸关元穴法治疗混合痔术后尿潴留的临床观察[J]. 外科研究与新技术,2018,7(3): 191-193.
[12] 李燕玲,刘佩蓉,庄菊花,等. 耳穴揿针埋针对乳腺癌手术患者围手术期焦虑的护理干预[J]. 外科研究与新技术,2018,7(2):143-145.
[13] 杨明,朱旭东,马波,等. 电针气海、中极、关元穴改善压力性尿失禁尿道括约肌线粒体损伤机制研究[J]. 陕西中医,2024,45(4):440-445.
[14] 黄梓铭,刘欣,唐雅妮,等. 近20年针灸治疗脊髓损伤后尿潴留的选穴用经规律探析嗍. 亚太传统医药,2021,17(4):1-19.
[15] 周宏图,周艳丽,郑明常,等. 基于《针灸大成》探讨三阴交穴的主治、配伍规律[J]. 中国医药导报,2023,20(2):152-155.

Clinical observation of press needle acupuncture for prevention and treatment of urinary retention after operation of mixed hemorrhoids

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	CHEN Ying. Efficacy of external hemorrhoid dissection combined with copper ion electrochemical therapy and partial resection of posterior median anal sphincter for treatment of mixed hemorrhoids [J]. Surgical Research and New Technique, 2024, 13(3): 240-242.
[2]	ZHANG Zhi, XU Liling, DENG Dahong. Therapeutic effect of endoscopic rubber band ligation combined with compound carraghenates suppository on stage Ⅱ-Ⅲ internal hemorrhoids [J]. Surgical Research and New Technique, 2023, 12(1): 50-52.
[3]	LI Shi, GUO Songming. Observation of clinical effect of elastic thread ligation on stage Ⅲ mixed hemorrhoids [J]. Surgical Research and New Technique, 2022, 11(3): 163-166.
[4]	LUO Yanping, LI Yunfu. Therapeutic effect of three-point balanced therapy on mixed hemorrhoids [J]. Surgical Research and New Technique, 2021, 10(2): 117-120.
[5]	WANG Lixia, HUANG Qiuhong, WU Limei. Effects of epidural analgesia on postpartum urinary retention and neonatal outcome [J]. Surgical Research and New Technique, 2021, 10(2): 134-137.
[6]	HE Li, XU Wenye. Hemostatic effect of medical collagen sponge combined with batroxobin on wound after mixed hemorrhoids operation [J]. Surgical Research and New Technique, 2021, 10(1): 30-32.
[7]	ZHAO Jinxiang, DONG Jun, YANG Qiliang. Clinical observation of mini incision and suspension fixation to treat severe circular mixed hemorrhoids [J]. Surgical Research and New Technique, 2020, 9(4): 241-243.
[8]	PAN Huiqi, WEI Fuhai, LIU Qiji, MO Lini. Patients' satisfaction with continuous loop wiring in treatment of traumatic dislocated teeth [J]. Surgical Research and New Technique, 2020, 9(4): 271-274.
[9]	HOU Mingqiang, CAI Qibo, JIAN Jiumao, ZHOU Lingxin, CAI Huanhuan. Clinical application of single pigtail catheter in urinary retention induced by benign prostatic hyperplasia [J]. Surgical Research and New Technique, 2020, 9(3): 170-172.
[10]	PENG Liuhua, JIA Xiong, LI Chongbiao. Comparative analysis of clinical efficacy of two surgical methods for complicated anal fistula [J]. Surgical Research and New Technique, 2019, 8(3): 154-156.
[11]	TANG Shiju, LIU Zhenyan, LIANG Jiang, DONG Hongping, GUO Pai. Clinical study on high ligation of great saphenous vein and microwave ablation combined with foam sclerotherapy for varicose veins of lower extremities [J]. Surgical Research and New Technique, 2019, 8(3): 170-173.
[12]	XU Wenye. Clinical observation on segmental dissection and preservation of skin flaps in treatment of severe mixed hemorrhoids [J]. Surgical Research and New Technique, 2019, 8(2): 102-105.
[13]	HUANG Wei, ZHOU Acheng, KONG Ping. Efficacy of hemorrhoid artery ligation combined with rubber band ligation on severe mixed hemorrhoids in senior patients [J]. Surgical Research and New Technique, 2019, 8(2): 106-108.
[14]	GUO Songming, SHEN Qun, TONG Hongbin. Clinical observation of urinary retention after mixed hemorrhoids surgery by acupuncture plus moxibustion at Guanyuan acupoint [J]. Surgical Research and New Technique, 2018, 7(3): 191-193.
[15]	HUANG Chenrong, SHI Jianming. Clinical efficacy of aescuven forte in combination with hemorrhoids lotion on petients with edema and pain after mixed hemorrhoid surgery [J]. Surgical Research and New Technique, 2017, 6(2): 99-101.