Liu Fang, Shi Ren-Jie, Cao Bo, Deng Wen-Ling, Dong Yu-Kun
Graduate School of Nanjing University of CM, Nanjing 210023, Jiangsu Province, China; First Affiliated Hospital of Guizhou University of TCM, Guiyang 550001.
Affiliated Hospital of Nanjing University of CM, Nanjing 210023, Jiangsu Province.
Zhongguo Zhen Jiu. 2019 Jul 12;39(7):709-12. doi: 10.13703/j.0255-2930.2019.07.008.
To observe the efficacy differences between acupuncture combined with grain-moxibustion and acupuncture on acute urinary retention after epidural anaesthesia for anorectal diseases.
A total of 60 patients were randomized into an acupuncture combined with grain-moxibustion group and an acupuncture group, 31 cases in each one. In the acupuncture group, acupuncture was applied at Zhongji (CV 3), Guanyuan (CV 4), Qihai (CV 6), Shuidao (ST 28), Pangguangshu (BL 28), Sanyinjiao (SP 6) and Yinlingquan (SP 9). In the acupuncture combined with grain-moxibustion group, grain-moxibustion was given at Zhongji (CV 3), Guanyuan (CV 4), Qihai (CV 6) and Shuidao (ST 28) on the basis of acupuncture. Those who failed to urinate 60 min after the first treatment received the second treatment. 30 min after the second treatment, the lower abdominal symptom scores before and after treatment as well as the bladder residual urine volume after the first urination after treatment were compared between the two groups. In addition, the clinical efficacy and security were evaluated.
Compared before treatment, the symptom scores after treatment were reduced in the two groups (<0.05), and the score in the acupuncture combined with grain-moxibustion group was lower than that in the acupuncture group after treatment (<0.05). The bladder residual urine volume in the acupuncture combined with grain-moxibustion group was (26.71±17.01) mL, which was lower than (35.32±20.76) mL in the acupuncture group (<0.05). The total effective rate was 93.5% (29/31) in the acupuncture combined with grain-moxibustion group, which was superior to 71.0% (22/31) in the acupuncture group (<0.05).
The efficacy of acupuncture combined with grain-moxibustion is superior to simple acupuncture on acute urinary retention after epidural anaesthesia for anorectal diseases, which is safe and reliable.
观察针刺联合麦粒灸与单纯针刺治疗肛肠疾病硬膜外麻醉后急性尿潴留的疗效差异。
将60例患者随机分为针刺联合麦粒灸组和针刺组，每组31例。针刺组针刺中极（CV3）、关元（CV4）、气海（CV6）、水道（ST28）、膀胱俞（BL28）、三阴交（SP6）和阴陵泉（SP9）。针刺联合麦粒灸组在针刺基础上，于中极（CV3）、关元（CV4）、气海（CV6）和水道（ST28）给予麦粒灸。首次治疗60分钟后仍未排尿者接受第二次治疗。第二次治疗30分钟后，比较两组治疗前后下腹部症状评分以及治疗后首次排尿后的膀胱残余尿量。此外，评估临床疗效和安全性。
与治疗前比较，两组治疗后症状评分均降低（<0.05），且针刺联合麦粒灸组治疗后评分低于针刺组（<0.05）。针刺联合麦粒灸组膀胱残余尿量为（26.71±17.01）mL，低于针刺组的（35.32±20.76）mL（<0.05）。针刺联合麦粒灸组总有效率为93.5%（29/31），优于针刺组的71.0%（22/31）（<0.05）。
针刺联合麦粒灸治疗肛肠疾病硬膜外麻醉后急性尿潴留的疗效优于单纯针刺，安全可靠。
