耳穴埋籽论文：耳穴埋籽防治痔术后尿潴留临床应用研究.docVIP

耳穴埋籽论文：耳穴埋籽防治痔术后尿潴留的临床研究 【中文摘要】观察耳穴埋籽疗法预防混合痔术后尿潴留的临床疗效及其安全性,为预防和治疗痔术后尿潴留,研究安全有效、简便易行,无创、无副作用的预防痔术后尿潴留的方法提供依据。方法：选择2010年3月至2011年1月间在江苏省中医院肛肠科收治住院,并符合纳入标准的混合痔患者60例,随机分为A、B、C三组,每组各20例。其中,A、B组是治疗组,分别为术前耳穴埋籽组、术后耳穴埋籽组,C组为空白对照组。三组在术前、术后常规治疗的基础上,术前耳穴埋籽组在术前1小时予耳穴(取穴：交感、神门、皮质下、膀胱、肾、三焦)埋籽,持续按压耳穴每穴3-4秒,分别轮流按压6次,隔30分钟再按一遍,术后每隔1小时予耳穴按压,至排尿通畅为止。术后耳穴埋籽组则在术后即予耳穴埋籽,耳穴按压方法同A组。对照组在术后不予特殊处理(观察)。观察记录导尿率、术后至首次排尿时间、术后至排尿完全通畅时间、首次排尿积分(排尿状况、小腹症状、排尿时间、尿流率),以及治疗期间的不良反应。结果：(1)在导尿率上,耳穴埋籽组较对照组明显降低(p0.05)；(2)耳穴埋籽组、术前及术后耳穴埋籽组分别与对照组比较,均能明显缩短术后至首次排尿时间、术后至排尿完全通畅时间(p0.05)；(3)耳穴埋籽组、术前及术后耳穴埋籽组分别与对照组比较,均能明显改善首次排尿状况、明显减轻首次排尿时小腹胀满症状、明显缩短首次排尿时间、明显增大尿流率值(p0.05)；且术前耳穴埋籽组在首次排尿时间与尿流率方面明显优于术后耳穴埋籽组(p0.05)；(4)术前与术后耳穴埋籽组患者均未见由于耳穴埋籽而引起的明显不良反应。结论：(1)耳穴埋籽能明显降低痔术后导尿率,且术前耳穴埋籽效果更优；(2)耳穴埋籽能有效缩短术后至首次排尿时间、术后至排尿完全通畅时间；(3)耳穴埋籽能有效改善术后首次排尿情况,即能明显改善排尿状况、减轻首次排尿时小腹胀满症状、缩短首次排尿时间、增大尿流率值,且术前耳穴埋籽在首次排尿时间与尿流率上明显优于术后耳穴埋籽。因此,耳穴埋籽是一种安全、有效防治痔术后尿潴留的中医药治疗方法。 【英文摘要】: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 e