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 treat-ment 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 syn-drome 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,x2=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 pa-tients after PPH,alleviate abdominal distension,abdominal pain and other uncomfortable symptoms,promote postopera-tive urination,reduce the risk of postoperative urinary retention,and is worthy of clinical promotion.
Procedure for prolapse and hemorrhoidsMixed hemorrhoidsUrinary retentionXiaozhi PowderMoxa salt bagUrodynamics
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