Effect Of Transcutaneous Acupoint Electrical Stimulation On Preventing Dysuria After Posterior Lumbar Interbody Fusion

ObjectiveTo investigate the effects of transcutaneous acupoint electrical stimulation on the first symptoms of spontaneous urination,volume of first spontaneous urination,the first active urination time,the urinary flow rate and other indicators,in order to observe and evaluate the early prevention effect of transcutaneous acupoint electrical stimulation on postoperative dysuria in patients with posterior lumbar interbody fusion,so as to provide an effective and scientific clinical basis for the further application of transcutaneous acupoint electrical stimulation.MethodPatients were selected from August 2018 to December 2019 who were admitted to the orthopedics department of the people’s hospital affiliated to fujian university of traditional Chinese medicine for lumbar degenerative diseases and underwent posterior lumbar interbody fusion.According to the inclusion and exclusion criteria,the 80 patients who met this standard and volunteered to participate in this study were randomly divided into the control group and the observation group,40 patients in each.The control group was given conventional treatment and nursing after surgery,and the observation group was given transcutaneous acupoint electrical stimulation on the basis of routine treatment and nursing.Transcutaneous acupoint electrical stimulation was started one day before surgery,30 minutes each time,once a day,and the intervention was continued for 7 days.Observe and record the first symptoms of spontaneous urination,volume of first spontaneous urination,the first active urination time,the urinary flow rate,the time when the postoperative urethral pain(discomfort)completely disappears and other indicators after removing the urinary catheter48 h after surgery.Statistical methods were applied for comparative analysis under the guarantee that the collected data is accurate and complete,and P < 0.05 was regarded as a statistical difference.Result1.Baseline data comparisonThere was no statistically significant difference in the general conditions of patients before the intervention(P > 0.05),indicating that the two groups were comparable in gender,age,disease diagnosis,height,weight,BMI,surgical segment and surgical duration.2.Symptoms of first spontaneous urinationIn addition to endless urination,there were statistically significant differences between the observation group and the control group in the degree of difficulty in urination,the waiting time for urination and the symptoms of lower abdomen(P < 0.05).3.Volume of first spontaneous urinationThere was no statistically significant difference in the volume of first spontaneous urination after surgery between the two groups(P > 0.05).4.First active urination timeThere was a statistically significant difference in the time of the first active urination between the two groups(P < 0.001).5.Urinary flow rateThe difference of postoperative urinary flow rate between the two groups was statistically significant(P < 0.05).6.Time when urethral pain(discomfort)completely disappearsThere was a statistically significant difference between the two groups in the time for urethral pain(discomfort)to completely disappear after the catheter was removed(P < 0.001).7.Urinary tract infectionThere was no statistically significant difference in the incidence of postoperative urinary tract infection between the two groups(P > 0.05).8.Clinical efficacyThe clinical control of postoperative dysuria in the two groups was compared,and the difference was statistically significant(P < 0.05).Conclusions1.Transcutaneous acupoint electrical stimulation could improve the degree of postoperative urination difficulty,shorten the waiting time for the first spontaneous urination,reduce the symptoms of small abdominal fullness,and increase the value of urinary flow rate,indicating that patients with posterior lumbar interbody fusion surgery could achieve better overall postoperative urination effect by the intervention of transcutaneous acupoint electrical stimulation.2.Transcutaneous acupoint electrical stimulation could shorten the waiting time for the first time to urinate autonomously after the operation and the time for the complete disappearance of pain(discomfort)in the posterior urethra after the indwelling of the catheter,helping patients urinate as soon as possible after the operation.3.Transcutaneous acupoint electrical stimulation could improve the clinical control rate of postoperative dysuria and prevent the occurrence of postoperative dysuria.4.Transcutaneous acupoint electrical stimulation to prevent urination difficulty after posterior lumbar interbody fusion has the advantages of less pain and has a higher degree of acceptance,which is conducive to postoperative rehabilitation and is worthy of clinical promotion.