观察葱白穴位贴敷联合艾灸预防骨科人工关节置换术后尿潴留的临床疗效。

前瞻性收集2016年9月至2017年9月于江苏省中医院行人工关节置换术且符合纳入标准的患者91例，采用随机数字表法，分为3组，对照组（A组）30例、艾灸组（B组）31例、葱白穴位贴敷联合艾灸组（C组）30例。对照组患者术后次日晨拔除保留导尿管后予心理疏导及指导饮水、鼓励排尿等常规护理方法诱导排尿。B组在上述治疗基础之上加用艾灸灸神阙穴。C组在A组上述治疗基础之上加用葱白敷贴于神阙穴并联合艾灸。治疗结束后，对比拔除尿管后尿潴留发生率、尿管重置率、护理满意度。

所有患者均获得满意随访，随访率100%，随访时间1~5 d，平均（3.6±1.0）d。B组人工关节置换术后尿潴留发生率为22.5%、重置尿管率为19.3%，C组术后尿潴留发生率为10.0%、重置尿管率为6.7%，A组术后尿潴留发生率为43.3%、重置尿管率为36.7%，B组与C组人工关节置换术后尿潴留发生率、重置尿管率均低于A组，差异均有统计学意义（均P<0.05）。护理满意度A组66.6%，B组83.8%，C组96.6%，B组C组高于A组，同时C组术后尿潴留发生率、重置尿管率又低于B组，护理满意度高于B组，差异均有统计学意义（均P<0.05）。

葱白穴位贴敷联合艾灸对预防髋关节置换术后拔除保留导尿管后发生尿潴留的临床疗效优于单纯采用艾灸治疗及常规护理的患者，且术后尿管重置率降低，患者护理满意度高。

To observe the effect of acupoint application combined with onion moxibustion in preventing urinary retention of clinical curative effect after artificial joint replacement in Department of orthopedics.

91 patients who underwent artificial joint replacement in Jiangsu Province Traditional Chinese Medicine Hospital from 9 to September 2017 in 2016 were selected and divided into 3 groups by random number table, the control group (group A), 30 cases of moxibustion group (group B) 31 cases, onion acupoint application combined with moxibustion group (group C) 30 cases. The patients in the control group were removed after the morning of the operation. After the catheter was retained, psychological counseling and guidance of drinking water and urination were used to induce urination. In group B, moxibustion and moxibustion were applied on the basis of the above treatment. In group C, A was added to the acupoint on the basis of the above treatment and combined with moxibustion. After the treatment, the clinical efficacy of the three groups was evaluated, and the rate of urinary retention, the rate of urethral catheterization and the satisfaction of nursing were compared.

All patients were followed up with a mean duration of (3.6±1.0) days (range, 1-5 days). The rate of urinary retention and the rate of urethral catheterization were lower in group C in group B than in group A, and the satisfaction of nursing was much higher than that in group A. At the same time, the rate of postoperative urinary retention and urethral catheterization were significantly lower in group C than in group B, and the satisfaction of nursing was higher than that of group B.

AcupointMoxibustion Combined with onion after catheter urinary retention in patients with the clinical curative effect is better than using moxibustion treated patients for the prevention of hip arthroplasty after removal of retention was significantly higher than that of the conventional nursing group, and postoperative catheter replacement rate, nursing care of patients with high satisfaction. The curative effect is accurate and simple.