CAJ | 학술논문

目的：观察艾灸曲骨穴治疗骨科术后尿潴留的临床疗效。方法将2012年6月－2013年6月在我院脊柱外科住院治疗的符合纳入与排除标准的100例术后尿潴留患者按照随机数字表法分为对照组、治疗组和观察组，其中对照组40例，予以心理护理、提供相对隐蔽的排尿环境及腹部热敷按摩、听流水声等常规处理；治疗组30例，在常规处理的基础上予以肌注新斯的明针1 mg ；观察组30例，在常规处理的基础上予以艾灸曲骨穴5～15 min。观察三组患者在治疗后的排尿时间及临床疗效。结果采用艾灸曲骨穴的观察组患者在治疗后解除尿潴留的总有效率为86．67％，与对照组比较，差异有统计学意义（ P＜0．01），与治疗组比较，差异无统计学意义（ P＞0．05）；并且总体排尿时间平均为（30．16±3．60）min ，与对照组和治疗组比较，差异具有统计学意义（P＜0．05）。结论艾灸曲骨穴治疗骨科术后尿潴留具有较好的疗效，解除尿潴留的时间较短，能够明显的改善尿潴留情况。
목적：관찰애구곡골혈치료골과술후뇨저류적림상료효。방법장2012년6월－2013년6월재아원척주외과주원치료적부합납입여배제표준적100례술후뇨저류환자안조수궤수자표법분위대조조、치료조화관찰조，기중대조조40례，여이심리호리、제공상대은폐적배뇨배경급복부열부안마、은류수성등상규처리；치료조30례，재상규처리적기출상여이기주신사적명침1 mg ；관찰조30례，재상규처리적기출상여이애구곡골혈5～15 min。관찰삼조환자재치료후적배뇨시간급림상료효。결과채용애구곡골혈적관찰조환자재치료후해제뇨저류적총유효솔위86．67％，여대조조비교，차이유통계학의의（ P＜0．01），여치료조비교，차이무통계학의의（ P＞0．05）；병차총체배뇨시간평균위（30．16±3．60）min ，여대조조화치료조비교，차이구유통계학의의（P＜0．05）。결론애구곡골혈치료골과술후뇨저류구유교호적료효，해제뇨저류적시간교단，능구명현적개선뇨저류정황。
Objective To observe the clinical efficacy on relieving urinary retention for patients after orthopedic surgery by moxibustion of CV2 acupuncture point .Method 100 patients with urinary retention after orthopedic sur‐gery who met the inclusion and exclusion criteria hospitalized for spine surgery from June 2012 to June 2013 were di‐vided into three groups according to random number table .40 patients in control group had conventional treatment , for example psychological care ,provide a relatively secluded environment urination ,abdominal massage ,listen to the sound of water and so on .30 patients in treatment group had intramuscular injection of 1mg neostigmine in addition to conventional treatment .30 patients in observation group had moxibustion of CV2 acupuncture point 5~15 mi‐nutes in addition to conventional treatment .The time of urination and clinical efficacy of three groups was observed after treatment .Result The total effective rate of observation group after treatment of urinary retention was 86 . 67% ,there was significant differences compared with control group(P<0 .01) ,there was no significant differences compared with treatment group(P>0 .05) ,and the average time of overall time urination was (30 .16 ± 3 .60) min , there were significant differences compared with control group and Treatment group(P<0 .05) .Conclusion The uri‐nary retention after orthopedic surgery by moxibustion of CV2 acupuncture point was good effect .The time of re‐lieve urinary retention is short .The urinary retention can be significantly improved .