Clinical Research Of Mixture Treatment Of Postoperative Urinary Retention By Acupuncturing Lieque And Zhaohai Alone With Moxibustion Yongquan

Objective: The acupuncture at Lieque,Zhaohai acupoint and moxibustion Yongquan and intramuscular injection of neostigmine methyl sulfate,listening to the sound of water on the mixed hemorrhoid postoperative urinary retention of clinical curative effect comparison of acupuncture at Lieque,Zhaohai acupoint and moxibustion Yongquan clinical value,as a curative effect of urinary retention with mixed hemorrhoids after the exact clinical method of high security.Methods: The March 2016-2017 year in February period in accordance with the inclusion criteria of 90 subjects,randomly divided into acupuncture group,neostigmine group,water group three group.The acupuncture group of 30 cases,for acupuncture at Lieque,Zhaohai and moxibustion Yongquan,specific operation method is Lieque point to the elbow the direction for 0.2 ~ 0.3 inches,Zhaohai for perpendicularly 0.5 to 0.8 inches,with lifting thrusting twirling reinforcing reducing method 15 s,the needle after the gas,while bilateral Yongquan moxa stick moxibustion,and then fixed distance,moxa plantar skin distance to patients can tolerate,after the end of acupuncture and 15 min moxibustion;neostigmine group 30 cases,using Neostigmine Methylsulfate Injection 1mg,given intramuscular injection of local skin disinfection buttocks;the sound of water group 30 cases,treated with open ward water tap after listening to the sound of water for 10 minutes.Three groups of patients after the first started treatment were observed after the first micturition time,after treatment for the first time The quantity of urine,2h after treatment of urination after treatment,urinary 2h,urinary volume,abdominal distension and adverse reactions during 2H treatment after treatment,and the curative effect of urinary retention evaluation.Using the SPSS19.0 software to statistical analysis of the data processing.Result: 1.The three groups of patients in age,sex,hemorrhoids in installment,operation mode,the number of incision,the replenishment quantity,after the operation,the use of painkillers,after the operation of urinary retention time,bladder voiced boundary,and the distance of the pubic symphysis distribution equilibrium,and degree of abdominal distention,had no obvious difference,so they are comparable.2.The acupuncture group compared with neostigmine group,acupuncture group after treatment the first micturition time compared with neostigmine group after treatment for the first time,urine volume,2h after treatment of abdominal distension,there was significant difference between the efficacy evaluation(P < 0.05),there was statistical significance in 2h after treatment.After treatment,the total volume of urination.The 2H frequency of urination,urethral catheterization cases(P > 0.05)no significant difference was not statistically significant.3.The acupuncture group compared with the sound of water: the acupuncture group in the treatment group after the first micturition time compared with the sound of water treatment group,after the first urination after treatment,2h urinary total 2h after treatment of voiding,urethral catheterization,2h after treatment of abdominal distension,curative effect evaluation had significant difference(P < 0.05),there was statistical meaning.4.The total efficiency comparison: the acupuncture group total effective rate of treatment was 93.10%,neostigmine group total effective rate was 76.67%,the sound of water group the total effective rate was 48.28%,the total effective rate of acupuncture group was significantly higher than that of the group and the group,the new sound of water.Conclusion: Acupuncture at Lieque,Zhaohai acupoint and moxibustion Yongquan in the treatment of mixed hemorrhoids postoperative effect of urinary retention time is short,curative effect,can improve the symptoms of patients,high safety.Therefore,it is worth popularizing in clinical use.