Objective: To compare the therapeutic effect of Tongdu Tiaoqi acupuncture (acupuncture for unblocking governor vessel and regulating qi ) combined with warming acupuncture, Tongdu Tiaoqi acupuncture, abdominal moxibustion and oral tamsulosin hydrochloride sustained release capsule on postoperative urinary retention.
Methods: A total of 120 patients with postoperative urinary retention were randomized into an acupuncture-moxibustion group, an acupuncture group, a moxibustion group and a medication group, 30 cases in each group. Tongdu Tiaoqi acupuncture combined with warming acupuncture were applied in the acupuncture-moxibustion group. Tongdu Tiaoqi acupuncture was applied at Baihui (GV 20), Shuigou (CV 26) etc. in the acupuncture group. Moxibustion was applied at Qihai (CV 6), Guanyuan (CV 4), Shuidao (ST 28) and Sanyinjiao (SP 6) in the moxibustion group. Tamsulosin hydrochloride sustained release capsule was given orally in the medication group. The treatment was once a day, and 5-day treatment was required in each group. Before and after treatment, the residual urine volume of bladder, the visual analogue scale (VAS) score and the time of first urethral catheter removal were observed, and the clinical efficacy was compared in the 4 groups.
Results: After treatment, the residual urine volume of bladder was decreased compared before treatment in the 4 groups (P<0.05), and that in the acupuncture-moxibustion group was less than the other 3 groups (P<0.05). After treatment, the VAS scores were decreased compared before treatment in the acupuncture-moxibustion group, the acupuncture group and the moxibustion group (P<0.05), and those in the 3 groups were lower than the medication group (P<0.05). The time of first urethral catheter removal in the acupuncture-moxibustion group was earlier than the other 3 groups (P<0.05). The total effective rate was 93.3% (28/30) in the acupuncture-moxibustion group, which was superior to 63.3% (19/30) in the acupuncture group, 60.0% (18/30) in the moxibustion group and 66.7% (20/30) in the medication group (P<0.05).
Conclusion: The therapeutic effect of Tongdu Tiaoqi acupuncture combined with warming acupuncture on postoperative urinary retention is superior to simple acupuncture, abdominal moxibustion and tamsulosin hydrochloride sustained release capsule.
目的：比较“通督调气”法针刺结合温针灸与“通督调气”法针刺、腹部艾灸、口服盐酸坦索罗辛缓释胶囊治疗术后尿潴留的疗效。方法：将120例术后尿潴留患者随机分为针灸组、针刺组、艾灸组和药物组，每组30例。针灸组予“通督调气”法针刺结合温针灸治疗，针刺组予“通督调气”法针刺治疗，均穴取百会、水沟等；艾灸组于气海、关元、水道、三阴交穴艾灸；药物组予盐酸坦索罗辛缓释胶囊口服。均每天治疗1次，治疗5 d。观察各组患者治疗前后膀胱残余尿量、视觉模拟量表（VAS）评分、首次拔管时间，并比较各组临床疗效。结果：治疗后，各组患者膀胱残余尿量均较治疗前减少（P<0.05），针灸组膀胱残余尿量少于其他3组（P<0.05）；治疗后针灸组、针刺组、艾灸组VAS评分均较治疗前降低（P<0.05），且低于药物组（P<0.05）；针灸组首次拔管时间早于其他3组（P<0.05）。针灸组总有效率为93.3%（28/30），高于针刺组的63.3%（19/30）、艾灸组的60.0%（18/30）和药物组的66.7%（20/30）。结论：“通督调气”法针刺结合温针灸治疗术后尿潴留疗效优于单纯针刺、艾灸及盐酸坦索罗辛缓释胶囊。.
Keywords: Tongdu Tiaoqi acupuncture; moxibustion; postoperative urinary retention; warming acupuncture.