Chen Suhui, Sun Hua, Xu Hong, Zhang Yamin, Wang Huanyuan
Department of Traditional Chinese Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China.
Evid Based Complement Alternat Med. 2020 Jan 19;2020:2520483. doi: 10.1155/2020/2520483. eCollection 2020.
The aim of this study was to investigate the effects of acupuncture on urinary retention and provide treatment suggestions.
A total of 113 hospitalized patients with urinary retention were included in this study. The GV20, CV6, CV4, CV3, ST28, SP6, and SP9 points were selected as the main acupoints. Acupuncture therapy was conducted for 30 minutes per session. The total number of treatment sessions was determined by the symptoms and the length of hospital stay. Bladder postvoid residual urine volume (PVR) was measured pretreatment and posttreatment by ultrasonic. Efficacy defined as spontaneous urination and a residual urine volume <50 mL was measured.
The median number of acupuncture treatment sessions was 3 (range, 1-12 times). Acupuncture treatment significantly reduced the PVR (545.1 ± 23.9 mL vs 67.4 ± 10.7 mL; < 0.001). Among the 113 patients, 99 (87.6%) patients were cured and 8 (7.1%) patients were improved of their urinary retention. The remaining 6 (5.3%) patients' urinary retention did not improve. The effective rate was 94.7%. There was significant difference in the efficacy rate between patients with one urinary catheterization and with two or more. Acupuncture treatment was not associated with side effects.
Acupuncture is an effective and safe treatment option for urinary retention. Early application of acupuncture treatment should be considered in clinic, and repeated urinary catheter insertion and removal should be avoided. Our study suggests that a randomized controlled study with a large sample size to verify the efficacy of acupuncture for the treatment of urinary retention is warranted.
本研究旨在探讨针刺对尿潴留的影响并提供治疗建议。
本研究共纳入113例住院尿潴留患者。选取百会（GV20）、气海（CV6）、关元（CV4）、中极（CV3）、水道（ST28）、三阴交（SP6）和阴陵泉（SP9）穴位作为主穴。每次针刺治疗30分钟。治疗总次数根据症状和住院时间确定。治疗前后通过超声测量膀胱排尿后残余尿量（PVR）。测量以自主排尿且残余尿量<50 mL定义的疗效。
针刺治疗的中位数次数为3次（范围1 - 12次）。针刺治疗显著降低了PVR（545.1±23.9 mL对67.4±10.7 mL；P<0.001）。在113例患者中，99例（87.6%）患者的尿潴留治愈，8例（7.1%）患者病情改善。其余6例（5.3%）患者的尿潴留未改善。有效率为94.7%。单次导尿患者与两次或更多次导尿患者的有效率存在显著差异。针刺治疗未出现副作用。
针刺是治疗尿潴留的一种有效且安全的治疗选择。临床应考虑早期应用针刺治疗，避免反复导尿。我们的研究表明，有必要进行大样本随机对照研究以验证针刺治疗尿潴留的疗效。
