Effect of wrist and ankle acupuncture on urinary retention after fracture of lower extremity
腕踝针治疗对下肢骨折术后尿潴留的效果观察

摘要

目的 通过对下肢骨折手术患者实施腕踝针干预，从而预防术后尿潴留的发生，明显提高下肢骨折术后患者的生活质量。方法 将玉林市中西医结合骨科医院创伤一、二科2023年3月-8月收治的60例下肢骨折术后发生尿潴留患者，组间性别、年龄、体质量指数均衡可比的原则上，通达百分之五十法分成了观察组和对照组，均为30例，对照组通过心理指导、对膀胱部位行热敷毛巾、药物治疗等，以诱导排尿，治疗组在在对照组的基础上采取腕踝针的干预，腕踝针针刺区域比常规选择双侧踝部下1区治疗多增加双侧踝部下6区以增强排尿反射，比较两组治疗前后第一次排尿量与排尿时间、疗效，最后通过统计学方法观察并探究腕踝针疗法对于下肢骨折术后尿潴留的预防效果。结果 在有效率上观察组优于对照组，p<0.05。结论 骨科下肢术后患者在一般护理措施的基础上，采用腕踝针干预能够有效缓解术后患者发生尿潴留，减轻患者尿潴留的痛苦，减少因侵入性操作引起尿路感染的发生率，提高患者舒适度、满意度。为下肢术后患者发生尿潴留提供了新的治疗方法，值得临床进一步推广应用。

Abstract

Objective To prevent postoperative urinary retention and improve the quality of life of patients with lower extremity fracture by implementing wrist and ankle acupuncture intervention.
Methods A total of 60 patients with urinary retention after lower limb fracture admitted to the Trauma Department 1 and 2 of Yulin Orthopedic Hospital of Integrated Traditional Chinese and Western Medicine from March to August 2023 were divided into observation group and control group by 50% method based on the principle of balanced comparison of gender, age and body mass index. In the control group, urination was induced by psychological guidance, hot compress towel and drug treatment on the bladder site, etc. In the treatment group, on the basis of the control group, the intervention of wrist and ankle acupuncture was performed, and the acupuncture area of wrist and ankle acupuncture increased 6 areas under both ankles to enhance the urination reflex compared with the routine treatment of bilateral subankle zone 1. The first urination volume, urination time and curative effect were compared between the two groups before and after treatment. Finally, the prophylactic effect of wrist and ankle acupuncture therapy on urinary retention after lower limb fracture was observed and explored by statistical methods.
Results The effective rate of observation group was better than that of control group (p<0.05).
Conclusion   On the basis of general nursing measures, wrist and ankle acupuncture intervention can effectively relieve postoperative urinary retention, relieve the pain of urinary retention, reduce the incidence of urinary tract infection caused by invasive surgery, and improve the comfort and satisfaction of patients. It provides a new treatment method for patients with urinary retention after lower extremity surgery, which is worthy of further clinical application.