| Objective:To observe the clinical efficacy of acupuncture in the treatment of postoperative urinary retention of mixed hemorrhoids,and explore the following two questions:(1)To compare the efficacy of acupuncture group and western medicine group(Neosystemine Methylsulfate Injection)in the treatment of urinary retention after mixed hemorrhoids operation under two kinds of anesthesia;(2)Compare whether there are differences in the clinical efficacy of acupuncture treatment of two anesthesia(general anesthesia and sacral anesthesia,referred to as "general anesthesia" and "sacral anesthesia")for urinary retention after mixed hemorrhoid surgery.Methods:A total of 88 subjects who underwent mixed hemorrhoid external ligation and internal ligation were divided into four groups:general anesthesia acupuncture group,general anesthesia western medicine injection group,sacral anesthesia acupuncture group,and sacral anesthesia western medicine injection group.All groups were given the same preoperative preparation,operation method and postoperative routine treatment.After operation,acupuncture was performed by the same operator,and neostigmine injection was intramuscularly injected by senior nurse.To evaluate the first voiding volume,the total amount of two hours voiding,the number of two hours urination times,the catheterization and the urinary retention scores after the acupuncture or intramuscular injection of neostigmine,and the data collected were processed and analyzed by SPSS26.0 software.Results:1.88 patients were included in this study.According to the statistical analysis,through intra-group comparison and inter-group comparison,there were no significant differences in age,gender,heart rate,blood pressure,BMI index,course of disease,infusion volume,blood loss and operation time(P>0.05).2.After treatment,clinical efficacy evaluation and statistical analysis were performed on the 88 included patients.Within group comparison,in the general anesthesia group and the sacral anesthesia group,compared with the western medicine group,the difference was statistically significant in the urination interval,the first urination volume and the total urine volume in two hours(P<0.05);Comparison between groups,after the acupuncture intervention,the general anesthesia group and the sacral anesthesia group in the two-hour total urine output and the time between urination,the difference was statistically significant(P<0.05);in the first urination volume,the difference was not statistically significant(P>0.05);In terms of the number of urination,in the comparison of intra-group,The number of micturition in the sacral anesthesia group was statistically significant(P<0.05);there was no statistical significance in the general anesthesia group,inter-group and the comparison between the acupuncture group and the western medicine group under the two anesthesia methods(P>0.05).3.In the aspect of the occlusion score,the total effective rate of acupuncture intervention in the general anesthesia group was 86.36%,and the total effective rate of patients with western medicine intervention was 63.63%,the difference was statistically significant(P<0.05);in the sacral anesthesia group,The total effective rate of patients with urinary retention treated with acupuncture intervention was 68.18%,and the total effective rate of patients with urinary retention treated with western medicine intervention was54.55%,the difference was not statistically significant(P>0.05).In terms of catheterization,there were 3 people catheterized in the acupuncture group of general anesthesia group,and the catheterization rate was about 13.64%.There were 8 people catheterized in the western medicine group,and the catheterization rate was about 36.36%.The difference was not statistically significant(P>0.05);In the sacral anesthesia group,there were 7 people catheterized in the acupuncture group,the catheterization rate was about 31.82%,and there were 10 people catheterized in the western medicine group,the catheterization rate was about 45.45%,the difference was not statistically significant(P>0.05);Comparison between groups,In the general anesthesia acupuncture group,there were 3 patients catheterized with urinary catheterization rate of 13.64%,and in the sacral anesthesia acupuncture group,there were 7 patients catheterized with urinary catheterization rate of 31.82%.the difference was not statistically significant(P>0.05);Comparing under the two types of anesthesia,There were 10 patients catheterized in the acupuncture group with a catheterization rate of 22.73%,and 18 patients catheterized in the western medicine group with a catheterization rate of 40.19%.The difference was not statistically significant(P>0.05).Conclusion:1.Under the two anesthesia methods,acupuncture and intramuscular injection of neostimine methulfate have better efficacy in the treatment of mixed hemorrhoid urinary retention,and the effective rate of acupuncture group is slightly higher than that of western medicine injection group.2.Under general anesthesia and sacral anesthesia,compared with the western medicine group,acupuncture can promote the patients with postoperative urinary retention of mixed hemorrhoids to urinate as soon as possible,reduce the catheterization rate,and the safety is good,worthy of clinical promotion.3.Compared with the sacral anesthesia acupuncture group,The therapeutic effect of general anesthesia acupuncture group on mixed hemorrhoids urinary retention is better,indicating that the anesthesia method may have an impact on the acupuncture effect,but the specific mechanism needs further study. |
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