Clinical study on treatment of acute urinary retention after anorectal surgery by comprehensive treatment of TCM / 国际中医中药杂志

ABSTRACT

Objective Clinical observation of the effect of comprehensive treatment of TCM on the patients with Acute Urinary Retention after Anorectal Surgery. Methods A total of 90 patients with acute urinary retention after anorectal surgery were selected. The patients were divided into control group and treatment group by random number table method. The control group was treated with intramuscular injection of neostigmine. The treatment group was treated with comprehensive treatment of TCM. Both groups were observed over 24 h. The voiding patency score, abdominal fullness score, urination time, the average effective time, the first urinary bladder residual urine output and 2 h after treatment the total urination were detected and compared. Results The total effective rate was 88.89％ (40/45) in the treatment group and 64.44％ (29/45) in the control group. The total effective rate of the two groups was statistically significant (Z=-2.131, P=0.033). After treatment, the levels of urine patency score (0.94 ± 0.66 vs. 1.87 ± 0.74, t=-2.433), belly fullness score (0.72 ± 0.26 vs. 1.39 ± 0.35, t=-2.185), first urination time (35.72 ± 10.43 min vs. 58.69 ± 12.85 min, t=-2.210), average effective time (60.23 ± 14.60 min vs. 97.57 ± 17.33 min, t=-2.980), the urinary bladder after the first urination (23.87 ± 15.29 ml vs. 65.14 ± 17.53 ml, t=-2.125) in the treatment group were significantly lower than those in the control group (P<0.05). And total urination within 2h after treatment (839.77 ± 106.35 ml vs. 0.46 ± 0.55 ml, t=-2.003) in the treatment group were significantly higher than that in the control group (P<0.05). Conclusions Comprehensive treatment of TCM can significantly reduce the degree of urination and abdominal fullness fullness of the score, shorten the first timeand the average duration of urination, reduce the amount of urine after the first urination of the patients with Acute Urinary Retention after Anorectal Surgery.