Effect of auricular acupoint acupuncture and acupressure on bladder function of the patients with urinary retention after operation / 国际中医中药杂志

ABSTRACT

Objective To evaluate the effect of auricular acupoint acupressure combined with acupuncture and moxibustion on urinary retention after operation. Methods Ninety patients with urinary retention after operation were retrospectively analyzed. They were divided into two groups according to different treatment methods, 45 cases in each group. The control group was treated with acupuncture and moxibustion, while the observation group was treated with auricular acupoint sticking on the basis of the control group. Both groups were treated for 7 days. The urination volume of the two groups was observed 3-5 h, 5-8 h after treatment, and the residual urine volume, maximum urinary flow rate, average urinary flow rate, urination time, bladder compliance (BC), maximum detrusor pressure (MDP) before and 48 h after treatment, and the clinical efficacy were evaluated. Results The urinary outputs of the observation group were significantly higher than this of the control group at 3-5 h and 5-8 h after treatment (t values were 3.189 and 4.325, respectively, P<0.01). After 48 hours of treatment, the maximum urinary flow rate, average urinary flow rate, BC and MDP in the observation group were significantly higher than those in the control group (t values were 5.292, 3.655, 3.364, 5.042 respectively, all Ps<0.01), and the residual urine volume and urination time in the observation group were significantly lower than this in the control group (t values were -5.261, -4.174 respectively, P<0.01). The total effective rate was 95.6% (42/45) in the observation group and 88.9% (40/45) in the control group. There were significant differences in clinical efficacy between the two groups (Z=-2.157, P=0.031). Conclusions The Auricular acupoint pressure with acupuncture can improve the urinary function of patients with urinary retention after operation and improve the clinical efficacy.