关键词: 混合痔, 通淋固肾灸, 尿潴留, 腹胀

Abstract:

Objective To observe the effect of Tonglin Gushen Moxibustion combined with traditional Chinese medicine comprehensive nursing on the risk of urinary retention in patients with mixed hemorrhoids after operation. Method 102 patients with mixed hemorrhoids who underwent external stripping and internal ligation surgery at Sanshui Hospital of Foshan Traditional Chinese Medicine Hospital from July 2022 to October 2023 were selected and randomly divided into a control group and an experimental group, with 51 patients in each group, using a random number table method. The control group of patients received comprehensive traditional Chinese medicine nursing, while the experimental group of patients received a combination of Tonglin Gushen Moxibustion and comprehensive traditional Chinese medicine nursing. The incidence of urinary retention, perioperative related indicators, and urination status of the two groups were compared, and the abdominal distension of the patients was evaluated with the self-made abdominal distension scale. Result The fi rst spontaneous urination time of the experimental group patients after surgery was shorter than that of the control group, and the residual urine volume in the bladder was less than that of the control group, but the urine volume was greater than that of the control group, with signifi cant diff erences (P ＜ 0.05). The incidence of urinary retention in the test group was 3.92% (2/51), signifi cantly lower than 19.6% (10/51) in the control group, and the score of urination status and abdominal distention in the patients were signifi cantly lower than those in the control group (P ＜ 0.05). Conclusion Tonglin Gushen moxibustion combined with comprehensive nursing of traditional Chinese medicine can significantly reduce the incidence of urinary retention in patients with mixed hemorrhoids after operation, shorten the time of first urination, increase the amount of urination, reduce the amount of residual urine in the bladder, promote the smooth discharge of urine, and improve the abdominal distension of patients.

Key words: Mixed hemorrhoids, Tonglin Gushen Moxibustion, Urinary retention, abdominal distention