Acupuncture point-hot treatment with Kaiguan powder for postoperative bladder dysfunction

Abstract

Objective To investigate an effective nursing method for bladder dysfunction induced by intraspinal anesthesia.Methods 60 patients with bladder dysfunction who met the selection criteria were randomly divided into study group and control group,30 for each group.The study group received acupuncture point-hot treatment with Kaiguan powder to heat Zhongji,Guanyuan,Qugu,Yinlingquan,Sanyinjiao,and Zusanli until restoration of bladder function.The control group received routine indwelling catheter and care for the catheter.The initial urine intention,bladder pressure,and residual urine volume were tested every 24 hours.Normal levels of bladder pressure and residual urine volume revealed restoration of bladder function,and the urinary catheter could be removed.Duration of catheter placement,rate of urinary tract infection,improvement in urgent micturition and urodynia,and patient satisfaction were compared between the two groups.Results Duration of catheter placement was shorter in the study group than in the control group ( t =4.233,P ＜ 0.001 ); the rate of urinary tract infection was significantly lower in the study group than in the control group ( Fisher exact probability,P=0.033 ) ; improvement in urgent micturition and urodynia and patient satisfaction differed statistically ( P ＜ 0.05 ).Conclusions Acupuncture point-hot treatment with Chinese medicine can accelerate restoration of of bladder function induced by intraspinal anesthesia,promoting postoperative rehabilitation in patients. Key words: Intraspinal anesthesia; Bladder dysfunction; Acupuncture point-hot treatment with Kaiguan powder