Analysis of the effect of moxibustion in relieving bladder spasm after urological surgery
艾灸缓解泌尿外科术后膀胱痉挛的效果分析

摘要

目的 分析泌尿外科术后以艾灸缓解膀胱痉挛的效果。方法 回顾本院执行泌尿外科手术治疗合并有膀胱痉挛的患者60例资料展开调查，资料收集时间为2020年5月-2022年5月间，在基础药物治疗上，另外对照组施行常规干预，分别从心理、抗感染、引流、膀胱冲洗以及减少腹压的角度缓解，观察组则在药物与常规干预之上，另外给予艾灸缓解，对比术后三天内，两组膀胱痉挛的次数、一次膀胱痉挛持续时间平均值、膀胱冲洗转清的时间；统计患者术后三天内对干预的满意度。结果 观察组术后膀胱痉挛的次数少于对照组，痉挛平均持续时间低于对照组，冲洗转清的时间相对早；观察组在术后三天内对于干预形式的满意度偏高，（P<0.05）。结论 艾灸对于疏通静脉、缓解痉挛与疼痛具有明显效果，泌尿外科术后基于药物应用与临床基础干预，另需给予艾柱施灸，交替在穴位施行，达到更快缓解痉挛、减少痉挛时间的效果，从而提高术后预后。

Abstract

Objective: To analyze the effect of moxibustion in relieving bladder spasm after urological surgery.
Methods: The data of 60 patients with bladder spasm who underwent urological surgery in our hospital were reviewed and investigated. The data collection time was from May 2020 to May 2022. In addition to the basic drug treatment, the control group received routine intervention. The patients were relieved from the perspectives of psychology, anti-infection, drainage, bladder irrigation and reduction of abdominal pressure. The observation group was given drugs and routine interventions, and moxibustion was given to relieve the symptoms. The frequency of bladder spasm and one time of bladder spasm in the two groups within three days after the operation were compared. The average duration of bladder spasm, the time of bladder irrigation and clearing; the satisfaction of the patients with the intervention within three days after the operation was counted.
Results: The frequency of postoperative bladder spasm in the observation group was less than that in the control group, the average duration of spasm was lower than that in the control group, and the time of flushing and clearing was relatively earlier; the observation group had higher satisfaction with the intervention within three days after the operation, (P <0.05).
Conclusion  : Moxibustion has obvious effects on dredging veins, relieving spasm and pain. Based on drug application and clinical basic intervention after urological surgery, moxa column moxibustion is also needed, and it is applied at acupoints alternately to achieve faster spasm relief and reduce spasm time. effect, thereby improving postoperative prognosis.