| Purpose:To retrospectively analyze the clinical effect of acupuncture combined with TDP irradiation in the prevention and treatment of postoperative urinary retention of mixed hemorrhoids.Material and method:A retrospective research method was used to review the medical records of inpatients with mixed hemorrhoids from October 2019 to October 2021 in the Department of Anorectal,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine.Group B;patients who received acupuncture combined with TDP irradiation were included in group C.Fill in the observation form by consulting the electronic medical records,and collect the basic information of the patients and the condition information during the hospitalization.The general data of the three groups of patients(sex,age,course of disease,stage of internal hemorrhoids,number of hemorrhoids,number of incisions for external hemorrhoids,and duration of operation);curative effect indicators(score of urinary intention,abdominal symptom score,urination patency score,suprapubic bladder area examination)were counted.body score,anal pain VAS score,postoperative pain medication use,and anal margin edema score);objective indicators(incidence of urinary retention,bladder residual urine volume in patients with urinary retention,postoperative first voiding time in patients without urinary retention and urination rate,catheterization rate,hospitalization time within4 h,6h,and 8h after operation);clinical efficacy;follow-up of invalid cases;adverse reactions.Statistical analysis was performed using SPSS 26.0.Results:1.Ninety-eight patients were included,including 33 in group A,30 in group B,and 35 in group C.The general conditions of the three groups of patients,including gender,age,course of disease,internal hemorrhoid stage,number of hemorrhoids,number of external hemorrhoid incisions,and operation duration,were not statistically different,P>0.05,which was comparable.2.Compared with the three groups of patients in terms of improving the feeling of urination and abdominal symptoms,group C was better than group A on the day of operation and on the2 nd and 4th days after operation(P<0.05).better than group B(P < 0.05);on the 4th day after operation,group B was better than group A(P < 0.05).3.Compared with the three groups of patients in terms of improving urination patency and suprapubic bladder area examination,group C was better than group A on the day of operation and on the 2nd and 4th days after operation(P<0.05).On the 2nd day after operation,group C was better than group B(P<0.05);on the 2nd day after operation,group B was better than group A(P<0.05).4.The anal pain scores of the three groups were compared.On the 2nd,4th,and 6th days after operation,group C was lower than group A(P<0.05)and group B(P<0.05).On the day of operation,and on the 2nd,4th,and 6th days after operation,the anal pain score was positively correlated with the urination patency score(P<0.01).5.Comparing the use of analgesics in the three groups after operation,on the 2nd,4th,and6 th days after operation,the number of patients in group C who used analgesics was less than that in group A(P<0.05)and group B(P<0.05).6.Comparing the scores of anal edema among the three groups,group C was lower than group A(P<0.05)and group B(P<0.05)on the 4th and 6th day after operation.On the day of surgery,on the 2nd,4th,and 6th days after surgery,the score of anal edema was positively correlated with the score of urination patency(P<0.01).7.Comparison of the incidence of urinary retention among the three groups,group C(5.71%)was lower than that of group A(30.30%)and group B(23.33%)(P<0.05);bladder residual urine volume of patients with urinary retention in three groups There was no statistical difference(P>0.05).8.Comparing the first urination time of the three groups without urinary retention,group C was significantly shorter than group A(P<0.01)and group B(P<0.05).9.Comparing the urination rate within 4h,6h and 8h of the three groups without urinary retention,group C was higher than that of group A(P<0.05).10.Comparing the incidence of catheterization among the three groups,group C(0%)was lower than group A(18.18%)and group B(13.33%)(P<0.05).11.Compared with the hospitalization time of the three groups,group C was significantly lower than group A and group B(P<0.01).12.Comparing the cure rate of urinary retention among the three groups on the 6th day after operation,group C(77.14%)was significantly higher than group A(15.15%)(P<0.01),and group C was higher than group B(46.67%)(P < 0.05),group B was higher than group A(P <0.05).Conclusion:1.Acupuncture combined with TDP irradiation is more effective in preventing and treating urinary retention after external dissection and internal ligation of mixed hemorrhoids than pure hot compress and TDP irradiation alone,and all three treatments have no adverse reactions.2.All three treatment methods can improve the urge to urinate but difficult to discharge,abdominal fullness,poor urination,and overfilled bladder.The improvement effect of acupuncture combined with TDP irradiation is better than that of hot compress and TDP irradiation alone;TDP irradiation alone Therapy is better than pure hot compress therapy.3.Acupuncture combined with TDP irradiation therapy can promote early postoperative urination,improve prevention and treatment efficiency,relieve postoperative anal pain and anal edema,reduce the application of postoperative oral painkillers,reduce the incidence of urinary retention and catheterization,and improve urinary retention.The cure rate and shortening of hospital stay were better than those of simple hot compress therapy and simple TDP irradiation therapy. |
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