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Moxibustion Therapy at CV4 Prevents Postoperative Dysuria after Procedure for Prolapse and Hemorrhoids
Xue-Mei Bian1, Ling Lv1, Wan-Bing Lin1
1Department of Anorectal Surgery, The First Affiliated Hospital of Zhejiang Chinese Medical University, No. 54, Youdian Road, Hangzhou 310006, China.
Insights
Moxibustion therapy effectively reduces urinary difficulties after Procedure for Prolapse and Hemorrhoids (PPH). Patients receiving moxibustion experienced faster autonomous urination and lower catheterization rates compared to routine care.
Area of Science:
- Surgical recovery
- Traditional Chinese Medicine
- Urology
Background:
- Post-operative urinary retention is a common complication following the Procedure for Prolapse and Hemorrhoids (PPH).
- Dysuria and the need for urethral catheterization can prolong recovery and increase patient discomfort.
- Exploring effective, minimally invasive interventions is crucial for improving post-PPH patient outcomes.
Purpose of the Study:
- To investigate the efficacy of moxibustion therapy in managing post-operative dysuria in patients undergoing PPH.
- To compare the rates of autonomous urination and urethral catheterization between patients receiving moxibustion and those receiving routine care.
Main Methods:
- A randomized controlled trial involving 100 patients with hemorrhoids undergoing PPH.
- The experimental group received moxa roll moxibustion at the Guanyuan acupoint for 30 minutes, one hour post-operation.
- The control group received standard post-operative nursing care.
- Key outcome measures included the time to autonomous urination and the rate of catheterization at 8 hours post-operation.
Main Results:
- The median time to autonomous urination was significantly shorter in the moxibustion group (6 hours) compared to the control group (8 hours) (P < 0.001).
- Moxibustion therapy was positively correlated with automatic micturition, with a 2.032 times higher probability in the experimental group.
- The catheterization rate was significantly lower in the moxibustion group (10%) versus the control group (38%) (P < 0.001).
Conclusions:
- Guanyuan acupoint moxibustion is an effective intervention for preventing and treating post-operative dysuria after PPH.
- This traditional Chinese medicine technique can reduce the need for urethral catheterization, improving patient recovery.
- Moxibustion offers a safe and beneficial complementary therapy for surgical patients experiencing urinary difficulties.
Abstract:
Objective. To explore the intervention methods of the patients with dysuria after performing the procedure for prolapse and hemorrhoids (PPH). Methods. 100 cases with hemorrhoids were randomly divided into experimental and control groups. The control group received routine nursing care. As comparison, the experimental group, on the basis of conventional care, was treated with moxa roll moxibustion 1 hour after the operation for 30 minutes. The autonomous urination within 1 h, 2 h, 4 h, 6 h, and 8 h after operation and the catheterization rate 8 h after operation of two groups of patients were observed. Results. The median time of autonomous urination of control group (8 h) was significantly greater than that of the experimental group (6 h) (P < 0.001). Cox regression analysis showed that the moxibustion therapy was positively correlated with automatic micturition in the patients after PPH. The probability of automatic micturition in the experimental group was 2.032 times that in the control group (RR = 2.032, 95% CI: 1.278~3.230). The catheterization rate of control group (38%) was significantly higher than that of the experimental group (10%) (P < 0.001). Conclusion. The Guanyuan acupoint moxibustion can prevent dysuria after PPH and reduce the urethral catheterization.
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