针刺用于肛肠病术后排尿障碍的临床观察

目的观察针刺对治疗肛肠病术后排尿障碍的临床疗效。方法将符合纳入标准的60例患者按随机数字表法完全随机设计分为两组，治疗组30例给予针刺中极、关元、水道、三阴交等穴位，对照组30例给予诱导排尿，两组患者均从术后有明显尿意、自觉腹胀不能自行排尿或小便点滴而出或腹胀明显开始治疗，治疗一次，治疗时间30min。治疗后对比观察两纽患者术后小便排出情况，评定其治疗效果。结果临床研究表明，经过治疗后治疗组总有效率86．7％，对照组总有效率为53．3％，治疗组疗效明显优于对照组（P〈0．01）。结论针刺中极、关元、水道、三阴交等穴位可促使膀胱平滑肌收缩从而治疗肛肠病术后排尿障碍。该方法简单、易行、有效，并能降低患者导尿后泌尿系统感染机率，易被患者接受。

Clinical Observation on Curative Effect of A'cupuncture for Postoperative Urinary Dysfunction in Patients with Anorectal Disease

Objective To observe the clinical effects of acupuncture for postoperative urinary dysfunction in patients with anorectal disease. Methods 60 patients with anorectal disease were randomly divided into two groups. The therapy group （ 30 cases） was treated with acupuncture by selecting the acupoints of zhongji, guanyuan, shuidao and sanyinjiao ,while the control group（ 30 cases） with inducing urination. The treatments of 30 minutes were performed in all cases when the patients showed durative urine retention symptoms, such as the urge to urinate, ＇abdomen discomfort and abdomen distention. The urinating conditions were observed and the effects were evaluated. Results The total effective rate was 86.7% and 53.3% in the therapy group and control group respectively, and the difference had statistical significance（ P 〈 0. 01 ）. Conclusions The acupuncture treatment by selecting zhongji, guanyuan, shuidao, sanyinjiao acupoints can improve the postoperative urinary dysfunction in patients with anorectal disease through stimulating the contract of bladder smooth muscles. It is simple, feasible and effective with a low infection rate of urinary system, and can be widely implemented.