针刺疗法联合热敏灸治疗肛瘘术后尿潴留的临床疗效观察

Clinical Observation on the Efficacy of Acupuncture Combined with Moxibustion in Treating Urinary Retention after Anal Fistula Surgery

摘要: 目的：本研究旨在探讨针刺疗法联合热敏灸治疗肛瘘术后尿潴留的临床疗效。方法：选取2024年1月至2024年6月期间，在乌鲁木齐市自治区人民医院收治的60例肛瘘术后尿潴留患者作为研究对象，采用随机数字表法将其分为对照组和试验组，每组30例。对照组接受常规治疗，包括热敷小腹、听流水声以及心理疏导，并辅以甲硫酸新斯的明肌肉注射。试验组则采用针刺疗法与热敏灸相结合的治疗方案。通过对比两组患者的首次排尿时间、2小时内排尿总量、主要症状评分以及尿路感染发生率，评估两种治疗方案的临床疗效。结果：显示试验组的治疗总有效率显著高于对照组(P < 0.05)，且试验组的首次排尿时间更短、2 h排尿量更多、残余尿量更少，同时尿路感染发生率也低于对照组(P < 0.05)。结论：针刺疗法联合热敏灸治疗肛瘘术后尿潴留方面具有显著疗效，能够缩短患者首次排尿时间，2 h内排尿总量大于400 ml，提高患者控尿能力，预防泌尿系感染，提高患者生活质量，值得临床推广。

Abstract: Objective: This study aims to explore the clinical efficacy of acupuncture combined with moxibustion in treating urinary retention after anal fistula surgery. Methods: Sixty patients with urinary retention after anal fistula surgery admitted to the People’s Hospital of Xinjiang Uygur Autonomous Region from January to June 2024 were selected as subjects and divided into a control group and an experimental group using a random number table method, with 30 cases in each group. The control group received treatment with hot towel application on the lower abdomen, listening to the sound of running water, and emotional counseling, along with intramuscular injection of neostigmine methyl sulfate, while the experimental group was treated with a combination of acupuncture therapy and heat-sensitive moxibustion. The clinical efficacy of the two groups was assessed by comparing the time of first urination, the total amount of urine within 2 hours, the main symptom scores, and the incidence of urinary tract infections. Results: The total effective rate of treatment in the experimental group was significantly higher than that in the control group (P < 0.05), and the experimental group had a shorter time to first urination, a greater amount of urine within 2 hours, less residual urine, and a lower incidence of urinary tract infections than the control group (P < 0.05). Conclusion: Acupuncture therapy combined with heat-sensitive moxibustion has significant efficacy in treating urinary retention after anal fistula surgery, can shorten the time to first urination, ensure that the total amount of urine within 2 hours exceeds 400 ml, improve patients’ urinary control ability, prevent urinary tract infections, and enhance patients’ quality of life, making it worthy of clinical promotion.