PDF(Pubmed)
Abstract：
UNASSIGNED: Post-operative urinary retention (POUR) is a frequent complication following surgical procedures, characterized by an acute inability to void, leading to additional complications and extended hospitalization. Acupuncture has been shown to be effective in facilitating spontaneous urination and alleviating anxiety in patients experiencing poor urination. The present study aims to evaluate the effectiveness of electroacupuncture in the management of POUR in patients who have undergone lumbar spine surgery.
UNASSIGNED: This retrospective study conducted at the National Hospital of Acupuncture in Vietnam and reviewed the medical records of patients over 18 years old who underwent lumbar spine surgery and were diagnosed with POUR between January to December 2019. Electroacupuncture was administered at five specific acupuncture points Qugu (CV2), Zhongji (CV3), Zhibian (BL54), Pangguanshu (BL28), and Kunlun (BL60). This study monitored key parameters related to the effectiveness of the acupuncture treatment, including the number of acupuncture treatment sessions required until a patient was successfully treated was recorded, with a maximum of three acupuncture treatment sessions per patient, the time elapsed until urination following the treatment (minutes), and urinary bladder volume before and after treatment (mL).
UNASSIGNED: The study demonstrated a 93.3% success rate in treating POUR with electroacupuncture. A significant reduction in post-void residual volume was noted, and patients could void within 30 minutes post-treatment. No significant differences in treatment effectiveness were observed across difference genders and age groups.
UNASSIGNED: Electroacupuncture proved to be a highly effective treatment for POUR in patients post-lumbar spine surgery, with a rapid response time and substantial reduction in PVR. However, the retrospective nature of the study and single-center focus limit its generalizability. Future research incorporating randomized controlled trials or multi-center observational studies are recommended to validate these findings and explore the potential of acupuncture in POUR management on a broader scale.
UNASSIGNED: This retrospective study conducted at the National Hospital of Acupuncture in Vietnam and reviewed the medical records of patients over 18 years old who underwent lumbar spine surgery and were diagnosed with POUR between January to December 2019. Electroacupuncture was administered at five specific acupuncture points Qugu (CV2), Zhongji (CV3), Zhibian (BL54), Pangguanshu (BL28), and Kunlun (BL60). This study monitored key parameters related to the effectiveness of the acupuncture treatment, including the number of acupuncture treatment sessions required until a patient was successfully treated was recorded, with a maximum of three acupuncture treatment sessions per patient, the time elapsed until urination following the treatment (minutes), and urinary bladder volume before and after treatment (mL).
UNASSIGNED: The study demonstrated a 93.3% success rate in treating POUR with electroacupuncture. A significant reduction in post-void residual volume was noted, and patients could void within 30 minutes post-treatment. No significant differences in treatment effectiveness were observed across difference genders and age groups.
UNASSIGNED: Electroacupuncture proved to be a highly effective treatment for POUR in patients post-lumbar spine surgery, with a rapid response time and substantial reduction in PVR. However, the retrospective nature of the study and single-center focus limit its generalizability. Future research incorporating randomized controlled trials or multi-center observational studies are recommended to validate these findings and explore the potential of acupuncture in POUR management on a broader scale.
摘要：
■术后尿潴留（POUR）是外科手术后常见的并发症，其特征是急性无法无效，导致额外的并发症和延长住院时间。针灸已被证明可有效促进排尿不良患者的自发排尿和减轻焦虑。本研究旨在评估电针在腰椎手术患者POUR治疗中的有效性。
■这项回顾性研究在越南国家针灸医院进行，回顾了2019年1月至12月接受腰椎手术并被诊断为POUR的18岁以上患者的病历。在五个特定的穴位Qugu（CV2）进行电针，中基（CV3），志边（BL54），庞官树(BL28),昆仑（BL60）。这项研究监测了与针灸治疗有效性相关的关键参数，包括在患者成功治疗之前所需的针灸治疗次数，每位患者最多可进行三次针灸治疗，治疗后直到排尿的时间（分钟），治疗前后膀胱体积(mL)。
■该研究表明，电针治疗POUR的成功率为93.3％。注意到后空隙残余体积显着减少，患者可以在治疗后30分钟内排尿。不同性别和年龄组的治疗效果没有显着差异。
■电针被证明是腰椎手术后患者POUR的高效治疗方法，具有快速的响应时间和PVR的大幅降低。然而,研究的回顾性性质和单中心重点限制了其普遍性.建议结合随机对照试验或多中心观察性研究的未来研究来验证这些发现，并在更广泛的范围内探索针灸在POUR管理中的潜力。
■这项回顾性研究在越南国家针灸医院进行，回顾了2019年1月至12月接受腰椎手术并被诊断为POUR的18岁以上患者的病历。在五个特定的穴位Qugu（CV2）进行电针，中基（CV3），志边（BL54），庞官树(BL28),昆仑（BL60）。这项研究监测了与针灸治疗有效性相关的关键参数，包括在患者成功治疗之前所需的针灸治疗次数，每位患者最多可进行三次针灸治疗，治疗后直到排尿的时间（分钟），治疗前后膀胱体积(mL)。
■该研究表明，电针治疗POUR的成功率为93.3％。注意到后空隙残余体积显着减少，患者可以在治疗后30分钟内排尿。不同性别和年龄组的治疗效果没有显着差异。
■电针被证明是腰椎手术后患者POUR的高效治疗方法，具有快速的响应时间和PVR的大幅降低。然而,研究的回顾性性质和单中心重点限制了其普遍性.建议结合随机对照试验或多中心观察性研究的未来研究来验证这些发现，并在更广泛的范围内探索针灸在POUR管理中的潜力。
