Volume 22 Issue 1
Jan.  2024
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(1): 21-25
PAN Jiandan, CHEN Chunli, HU Ali, CAI Danfeng, WANG Shaoyan, ZHENG Afen, ZHENG Chenguo. Retrospective study of Xiaozhi Powder combined with moxa salt bag to prevent urinary retention after procedure for prolapse and hemorrhoids[J]. Chinese Journal of General Practice, 2024, 22(1): 21-25. doi: 10.16766/j.cnki.issn.1674-4152.003322
Citation: PAN Jiandan, CHEN Chunli, HU Ali, CAI Danfeng, WANG Shaoyan, ZHENG Afen, ZHENG Chenguo. Retrospective study of Xiaozhi Powder combined with moxa salt bag to prevent urinary retention after procedure for prolapse and hemorrhoids[J]. Chinese Journal of General Practice, 2024, 22(1): 21-25. doi: 10.16766/j.cnki.issn.1674-4152.003322
shu

Retrospective study of Xiaozhi Powder combined with moxa salt bag to prevent urinary retention after procedure for prolapse and hemorrhoids

doi: 10.16766/j.cnki.issn.1674-4152.003322

  • Colorectal Surgery Wenzhou Medical University Affiliated Second Hospital, Yuying Children' s Hospital, Wenzhou, Zhejiang 325000, China

Funds:

 81704076

 Y20220671

  • Received Date: 2023-09-11
    Available Online: 2024-03-09
    Abstract
  •   Objective  To retrospectively investigate the role of traditional Chinese medicine (TCM) treatment technique in preventing urinary retention after procedure for prolapse and hemorrhoids (PPH) surgery.  Methods  A total of 100 patients with mixed hemorrhoids treated with PPH from the Second Affiliated Hospital of Wenzhou Medical University, Yuying Children' s Hospital from January 2020 to January 2022, were divided into two groups according to different treatment methods. The control group was treated with routine western medicine after surgery, while the observation group was treated with Xiaozhi Powder combined with moxa salt bag after surgery, compare the traditional Chinese medicine syndrome scores, urinary status, visual analogue scale (VAS) and changes in urodynamic indicators between the two groups after treatment, calculate the overall efficacy rate of two treatment groups and evaluate the safety of treatment.  Results  The scores of various traditional Chinese medicine syndromes in both groups showed that the residual urine volume in the bladder at 8 hours after surgery was lower than before treatment (P < 0.05), and the observation group was lower than the control group after treatment (P < 0.05); After treatment, the maximum urine flow, detrusor pressure during filling, and maximum bladder volume in both groups were higher than before treatment (P < 0.05), and the observation group was higher than the control group (P < 0.05); The time of first urination, the time of disappearance of abdominal sensation and the incidence of urinary retention at 8 hours after surgery in the observation group were shorter or lower than those in the control group (P < 0.05), and the amount of first urination was more than that in the control group (P < 0.05); The VAS scores of the observation group at 36 hours after surgery were lower than those of the control group (P < 0.05); The overall treatment efficacy rate in the observation group (92.0%, 46/50) was higher than that in the control group (72.0%, 36/50, χ2=6.775, P=0.009); No significant adverse drug reactions were observed in either group.  Conclusion  Xiaozhi Powder in combination with moxa salt bag can effectively adjust the urodynamic indicators of patients after PPH, alleviate abdominal distension, abdominal pain and other uncomfortable symptoms, promote postoperative urination, reduce the risk of postoperative urinary retention, and is worthy of clinical promotion.

     

    • FullText(HTML)
  • loading
    • References(20)
  • [1]
    桂阳, 刘丹峰. 吻合器痔上黏膜环切术与传统外剥内扎术治疗痔的疗效和安全性对比[J]. 皖南医学院学报, 2019, 38(5): 451-454. doi: 10.3969/j.issn.1002-0217.2019.05.012

    GUI Y, LIU D F. Comparing the efficacy and safety of procedure for prolapse and hemorrhoids and conventional Milligan-Morgan hemorrhoidectomy[J]. Acta Academiae Medicinae Wannan, 2019, 38(5): 451-454. doi: 10.3969/j.issn.1002-0217.2019.05.012
    [2]
    DE ROBLES M S, YOUNG C J. Surgical technique is the main predictor of recurrence in the management of haemorrhoids[J]. ANZ J Surg, 2021, 91(9): 1854-1858. doi: 10.1111/ans.16738
    [3]
    章志霞, 李静, 潘兰兰, 等. 循经中药熨烫结合自我按摩预防混合痔术后尿潴留的临床观察[J]. 中国民间疗法, 2019, 27(7): 20-22. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMJL201907012.htm

    ZHANG Z X, LI J, PAN L L, et al. Clinical Observation on the Prevention of Urinary Retention after Operation of Mixed Hemorrhoids by Traditional Chinese Medicine Pressing along Meridians and Self massage[J]. China's Naturopathy, 2019, 27(7): 20-22. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMJL201907012.htm
    [4]
    周喜, 熊燕萍, 谭伟能. 中药热罨包外敷神阙穴联合腹部按摩对预防混合痔PPH术后尿潴留的干预价值[J]. 内蒙古中医药, 2021, 40(1): 133-134. https://www.cnki.com.cn/Article/CJFDTOTAL-NZYY202101080.htm

    ZHOU X, XIONG Y P, TAN W N. Interventional value of external application of traditional Chinese medicine hot pouches on Shenque point combined with abdominal massage in preventing urinary retention after PPH for mixed hemorrhoids[J]. Nei Mongol Journal of Traditional Chinese Medicine, 2021, 40(1): 133-134. https://www.cnki.com.cn/Article/CJFDTOTAL-NZYY202101080.htm
    [5]
    段文英. 腹腔镜胆囊切除术后女性患者发生尿潴留的危险因素分析[J]. 中国医学创新, 2020, 17(32): 151-155. doi: 10.3969/j.issn.1674-4985.2020.32.039

    DUAN W Y. Risk Factors of Urinary Retention in Female Patients after Laparoscopic Cholecystectomy[J]. Chinese Medical Innovation, 2020, 17(32): 151-155. doi: 10.3969/j.issn.1674-4985.2020.32.039
    [6]
    陈婕妤, 盛莉莉, 陈俭, 等. 中药热熨联合中药灌肠治疗慢性盆腔炎(气滞血瘀型)的临床价值及对患者情绪的影响[J]. 山西医药杂志, 2023, 52(4): 243-246. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY202304001.htm

    CHEN J Y, SHENG L L, CHEN J, et al. Evaluation of the clinical efficacy of Chinese herbal hot pressing and Chinese herbal enema for the treatment of chronic inflammatory diseases of the pelvis(Types of Qi stagnation and congestion)and its effect on patients'mood[J]. Shanxi Medical Journal, 2023, 52(4): 243-246. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY202304001.htm
    [7]
    中国中西医结合学会大肠肛门病专业委员会. 中国痔病诊疗指南(2020)[J]. 结直肠肛门外科, 2020, 26(5): 519-533. https://www.cnki.com.cn/Article/CJFDTOTAL-DCGM202204020.htm

    The Professional Committee of Colorectal and Anorectal Diseases of the Chinese Society of Integrated Traditional and Western Medicine. Chinese Guidelines for the Diagnosis and Treatment of Hemorrhoids (2020)[J]. Colorectal and anal surgery, 2020, 26(5): 519-533. https://www.cnki.com.cn/Article/CJFDTOTAL-DCGM202204020.htm
    [8]
    郑筱萸. 中药新药临床研究指导原则(试行)[M]. 北京: 中国医药科技出版社, 2002: 90-105.

    ZHENG X Y. Guiding Principles for Clinical Research of New Traditional Chinese Medicine (Trial)[M]. Beijing: China Medical Science and Technology Press, 2002: 90-105.
    [9]
    孙壮, 杨宇慎, 宫爱民. 肠镜下长城式切开环切法治疗吻合器痔上黏膜环切术术后重度吻合口狭窄的临床疗效[J]. 实用医学杂志, 2020, 36(4): 475-478. doi: 10.3969/j.issn.1006-5725.2020.04.011

    SUN Z, YANG Y S, GONG A M. Clinical efficacy analysis of colonoscopic assisted Great Wall type incision and ring-cut method for severe anastomotic stenosis after PPH[J]. The Journal of Practical Medicine, 2020, 36(4): 475-478. doi: 10.3969/j.issn.1006-5725.2020.04.011
    [10]
    鲁振锋, 张秀峰, 沈忠, 等. 外剥内扎术联合荷包缝合术治疗Ⅲ、Ⅳ度混合痔的临床效果分析[J]. 中华全科医学, 2019, 17(4): 574-576, 604. doi: 10.16766/j.cnki.issn.1674-4152.000738

    LU Z F, ZHANG X F, SHEN Z, et al. Clinical effects of Milligan-Morgan hemorrhoidectomy combined with purse-string suture for grades Ⅲ-Ⅳ mixed hemorrhoid[J]. Chinese Journal of General Practice, 2019, 17(4): 574-576, 604. doi: 10.16766/j.cnki.issn.1674-4152.000738
    [11]
    邵继华, 黄英, 陈芳. 吻合器痔上黏膜环切术治疗环状脱垂痔的疗效及术后发生尿潴留的影响因素[J]. 实用医学杂志, 2022, 38(23): 2986-2990. doi: 10.3969/j.issn.1006-5725.2022.23.017

    SHAO J H, HUANG Y, CHEN F. Efficacy of PPH in the treatment of circumferential prolapsed hemorrhoids and the influencing factors of postoperative urinary retention[J]. The Journal of Practical Medicine, 2022, 38(23): 2986-2990. doi: 10.3969/j.issn.1006-5725.2022.23.017
    [12]
    刘泽洋, 白国民, 李彤, 等. 揿针联合全息刮痧防治混合痔吻合器痔上黏膜环切术后尿潴留临床观察[J]. 河北中医, 2023, 45(4): 613-616. https://www.cnki.com.cn/Article/CJFDTOTAL-HBZY202304020.htm

    LIU Z Y, BAI G M, LI T, et al. Curative effect of press-needle combined with holographic scraping on postoperative urinary retention in mixed hemorrhoid patients underwent procedure for prolapse and hemorrhoids[J]. Hebei Journal of Traditional Chinese Medicine, 2023, 45(4): 613-616. https://www.cnki.com.cn/Article/CJFDTOTAL-HBZY202304020.htm
    [13]
    刘聪聪, 刘剑, 于航, 等. 肛肠病术后尿潴留的防治研究进展[J]. 中国肛肠病杂志, 2020, 40(12): 76-78. https://www.cnki.com.cn/Article/CJFDTOTAL-GCBZ202012037.htm

    LIU C C, LIU J, YU H, et al. Research progression on preventing&treating uroschesis following surgery for coloproctological diseases[J]. Chinese Journal of Coloproctology, 2020, 40(12): 76-78. https://www.cnki.com.cn/Article/CJFDTOTAL-GCBZ202012037.htm
    [14]
    李荣华, 蔡靓羽, 蒋晨浩, 等. 吻合器痔上黏膜环切术前揿针埋针对患者术后尿潴留发生的影响[J]. 山东医药, 2020, 60(20): 70-72. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYY202020019.htm

    LI R H, CAI J Y, JIANG C H, et al. The effect of pressing needle embedding before stapler hemorrhoidectomy on postoperative urinary retention[J]. Shandong Medical Journal, 2020, 60(20): 70-72. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYY202020019.htm
    [15]
    HIRAKI M, TANAKA T, SADASHIMA E, et al. The risk factors of acute urinary retention after laparoscopic colorectal cancer surgery in elderly patients receiving epidural analgesia[J]. Int J Colorectal Dis, 2021, 36(9): 1853-1859.
    [16]
    PATEL P M, SERIGERT S E, NELSON M, et al. Disparities in benign prostatic hyperplasia progression: predictors of presentation to the emergency department in urinary retention[J]. J Urol, 2020, 204(2): 332-335.
    [17]
    FRENDL D M, CHEN Y W, CHANG D C, et al. A claims based assessment of reoperation and acute urinary retention after ambulatory transurethral surgery for benign prostatic hyperplasia[J]. J Urol, 2021, 205(2): 532-538.
    [18]
    陈文鹏, 卢健棋, 庞延, 等. 仙鹤草化学成分、药理作用及临床应用研究进展[J]. 辽宁中医药大学学报, 2022, 24(6): 118-122. https://www.cnki.com.cn/Article/CJFDTOTAL-LZXB202206026.htm

    CHEN W P, LU J Q, PANG Y, et al. Research Progress on Chemical Constituents Pharmacological Action and Clinical Application of Xianhecao (Agrimoniae Herba)[J]. Journal of Liaoning University of Traditional Chinese Medicine, 2022, 24(6): 118-122. https://www.cnki.com.cn/Article/CJFDTOTAL-LZXB202206026.htm
    [19]
    刘琳, 程伟. 槐花化学成分及现代药理研究新进展[J]. 中医药信息, 2019, 36(4): 125-128. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXN201904035.htm

    LIU L, CHENG W. Research Progress in Chemical Constituents and Modern Pharmacology of Sophora japonica[J]. Information on Traditional Chinese Medicine, 2019, 36(4): 125-128. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXN201904035.htm
    [20]
    董庆海, 吴福林, 王涵, 等. 延胡索药学研究进展[J]. 中国野生植物资源, 2019, 38(1): 48-53, 79. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYSZ201901013.htm

    DONG Q H, WU F L, WANG H, et al. Advances in Pharmaceutical Research of Corydalis Yanhusuo[J]. Chinese Wild Plant Resources, 2019, 38(1): 48-53, 79. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYSZ201901013.htm
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (56) PDF downloads(10) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return