| Objective:To evaluate clinical effect of Fu Zi(Aconium Carmichaeli)-cake-separated moxibustion of zhongji point and guanyuan point preventive treatment on the postoperation urination difficulties after lower limb fracture surgery.Methods:60patients who will accept lower limb fracture fixation and are20-60years old and no urinary tract disorders were randomly divided into two groups,30patients each, namely therapy group and control group. A20-minute treatment, twice a day, with the Fu Zi(Aconium Carmichaeli)-cake-separated moxibustion of zhongji point and guanyuan point for the postoperation urination difficulties given to the therapy group started at72hours before the operation, while the control group were not given any treatment. Urination symptom scores, waiting time, micturition time urination, urine output as postoperative micturition indicators for the first time, residual urine volume, incidence of urinary retention as postoperative24hours urine indexes, dysuria control as overall curative effect evaluation, evaluate the curative effect of postoperative dysuria preventive interventionResults:Postoperative micturition symptom scores for the first time and postoperative micturition waiting time for the first time, the monkshood cake moxibustion preconditioning group symptom scores less than8minutes and29cases, micturition wait time is less than60seconds to20cases; Control group symptom scores less than8minutes and20cases, micturition wait time is less than60seconds in8cases, two groups are statistically significant (P<0.05). Postoperative micturition time compared with urine output, for the first time across the monkshood cake moxibustion pretreatment group, postoperative micturition shortest time for the first time for60minutes, on average,224.17±66.88minutes, urine output at least100ml, an average of382.33±132.55ml, Control postoperative micturition shortest time for the first time for120minutes, after an average of227.83±74.26minutes, urine output at least150ml, an average of344.33±125.22ml, two groups was no significant difference (P>0.05) Postoperative residual urine volume is24hours, lie between monkshood cake moxibustion preconditioning group and residual urine volume up to120ml, less than10ml24cases; Control residual urine volume up to250ml, less than10ml15cases, two groups are statistically significant (P<0.05). Incidence of postoperative urinary retention for24hours, every monkshood cake moxibustion preconditioning group of1cases, urinary retention (3.33%); Cases of control group (16.67%), two groups was no significant difference (P>0.05). Overall curative effect comparison, urination difficulties lie between monkshood cake moxibustion pretreatment group symptom scores increased less than10%(or symptom scores less than4points) in25cases of dysuria control83.34%; Control dysuria symptoms score increased less than10%(or symptom scores less than4points) in9cases, dysuria control rates30.00%, the curative effect of statistical analysis, two groups have significant difference (P<0.001).Conclusion:The Fu Zi(Aconium Carmichaeli)-cake-separated moxibustion will effectively prevent and decrease the probability of the postoperation urination difficulties after lower limb fracture surgery. It Can significantly relieve postoperative dysuria degree, shorten waiting time postoperative dysuria for the first time. And it is not obvious effect on the first urine time and output of postoperative urination, and the incidence of urinary retention postoperative24hours. But The Fu Zi(Aconium Carmichaeli)-cake-separated moxibustion produce positive effects on recovery of bladder function and can effectively control the occurrence of postoperative dysuria. Treatment adherence in patients with good and helpful to the postoperative recovery, is worth promoting prevention of lower limb fracture internal fixation of acupuncture therapy of postoperative dysuria. |
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