Objective:Observe the clinical research of prevention and cure of auricular-point-pressing therapy for urinary retention on hemorrhoids after surgery. Discuss the effective method of prevention and cure to urinary retention on hemorrhoids after surgery, explore a precise curative effect, simple and convenient, cheap, noninvasive and no side effect method.Methods:Choose the cases of inpatients in Jiangsu province hospital of TCM from March 2010 to January 2011; besides, the sixty hemorrhoids sufferers accord with the taken standards. There are randomized study with three groups and each group consists of 20 cases. Group A and B is the treatment group. Group A is the preoperative group of auricular-point-pressing. Group B is the postoperative group of auricular-point-pressing. Group C is the blank controller. On the preoperative and postoperative basis of the treatment, the preoperative group of auricular-point-pressing oppress the seeds before one hour preoperative. Each point is pressed three or four seconds and executed six times by turns. And do it again every thirty minutes. Press points every hour after operative until the urine more or less than usual. The postoperative group of auricular-point-pressing oppress the seeds after the operative. The methods of press is equal to the preoperative group. The blank controller have no special treatment(observation). Observe the time from the postoperative time to the time of the first urine, the completely unimpeded urinate time, the first urine integral, the rate of the use of neostigmine, the rate of catheterization, urinary flow rate, the change of security and untoward effect. Evaluate the change of symptom of every group and integral of signs.Results:(l)Compare with the control group, group of auricular-point-pressing and the preoperative group of auricular-point-pressing are obviously discrepancies in catheterization. There haven't obviously discrepancies between the postoperative group of auricular-point-pressing and the control group, between the preoperative group of auricular-point-pressing and the postoperative one. (2) Compare with the control group, the treatment groups clearly shorten the time going to urinate after surgery and the completely unimpeded urinate time. (3)Compare with the control group, the treatment groups obviously discrepancies on the first urine conditions through the statistics analysis.Conclusion:(1) The auricular-point-pressing therapy can clearly reduce the ratio of catheterization, and the preoperative group of auricular-point-pressing is better than others. (2) The auricular-point-pressing therapy can shorten the time to first urinate after surgery, and the completely unimpeded urinate time. (3) The auricular-point-pressing therapy can effectively improve the first urine status, include the first urinate time, the urinary flow rate and so on. And the treatment group before surgery is better than the group after surgery in the first urinate time and the urinary flow rate. Consequently, we draw a conclusion that the auricular-point-pressing therapy is a kind of safety and effective traditional Chinese medicine treatment to prevent and cure urinary retention on hemorrhoids after surgery. |