Clinical observation of Chinese herbal hot compress combined with moxibustion in the treatment of uroschesis after orthopedic surgery / 中国基层医药

ABSTRACT

Objective To observe the clinical curative effect of traditional Chinese medicine hot compress combined with moxibustion in the treatment of urinary retention after orthopedic surgery.Methods 56 patients with postoperative uroschesis who underwent orthopedic surgerywere randomly divided into observation group and control group, and 28 cases in each group.All patients underwent pelvic muscle training, psychological counseling before surgery, and physical therapy with conventional methods such as induction of urination after surgery.The control group was treated with moxibustion Ququan acupoint, and the observation group was treated with Chinese herbal medicine hot compress on the basis of the above treatment.The patients in both two groups were treated for 28 days.At the end of the treatment, the clinical efficacy of the two groups was evaluated, also the time of first voiding after operation, the average effective time, urinary tract infection and urinary catheter replacement rate were compared.Results The total effective rate was 92.86% in the observation group and 78.57% in the control group.The effective rate in the observation group was higher than that in the control group (x2=46.86,P0.05).The urinary catheter replacement rate in the observation group was 7.14%,which was lower than 21.43% in the control group,the difference was statistical significance(x2=2.33,P<0.05).Conclusion The clinical curative effect of traditional Chinese medicine hot compress combined with moxibustion in the treatment of urinary retention after orthopedic surgery is better than moxibustion alone.The time of first urination and the average time of effect are shortened, and the rate of urinary catheter replacement is reduced.It is effective, simply and conductively to clinical use.