A kind of external Chinese medicine of treating the anorectal postoperative urine retention
Technical field
The present invention relates to a kind of Chinese medicine preparation, particularly a kind of external Chinese medicine of treating the anorectal postoperative urine retention belongs to technical field of Chinese medicines.
Background technology
Urine retention is the common complication of anorectal disease postoperative, and it is anxious bloated to show as lower abdomen, and urine can not be discharged voluntarily, and sickness rate is up to 52%.General processing method; Common have hot compress, acupuncture, a urethral catheterization etc.; But effect is not satisfied; Particularly plug in catheter and can cause 75%~80% patient urinary tract infection takes place, the generation of therefore adopt an effective measure prevention and treatment postoperative urine retention is for the misery that alleviates the patient, improve curative effect and have the important clinical meaning.Motherland's medical science thinks that postoperative urine retention belongs to Chinese medicine " difficulty in urination " category, and main cause operation back mechanism of qi is disorderly contrary, and venation is impaired, qi depression to blood stasis and causing due to the bladder mechanism of qi do not change.Modern medicine thinks how this disease is imported due to the reasons such as more liquid, wound pain, psychentonia, heating because of postoperative in anesthesia, the art is very fast.It is how dissatisfied that the author observes the Western medicine curative effect clinically, and take the applying Chinese medicine to the umbilicus therapy to reach promising result.
The present invention is that Application of TCM is theoretical, works out the prescription of treating both the principal and secondary aspects of a disease according to clinical experience, adopts the applying Chinese medicine to the umbilicus therapy, has better curative effect aspect the treatment anorectal postoperative urine retention.
Rhizoma Zingiberis among the present invention, the Borneolum Syntheticum effects such as function that invigorate blood circulation, stimulate the menstrual flow circulation of qi promoting and pain relieving are arranged warm in nature; Herba Lophatheri, Folium Perillae, Medulla Junci have effects such as relieving stranguria by diuresis, clearing heart fire; Moreover umbilical part is the position, SHENQUE acupoint place of conception vessel, and there is element culturing fixed folder in this cave, strengthen the spleen and stomach, regulate the flow of vital energy and effect such as intestinal, and therefore, deposited umbilicus has the effect of dredging the meridian simultaneously.
Herba Lophatheri, Folium Perillae, Rhizoma Zingiberis, Medulla Junci, Borneolum Syntheticum united process unguentum, have the function of relevant internal organs of adjustment and meridians, reach QI invigorating Hang Shui, dredge effects such as promoting the circulation of QI machine, regulating fluid apssage, for treating anorectal postoperative urine retention better therapeutic effect.It is investigated, do not appear in the newspapers.
Summary of the invention
The objective of the invention is a kind of external Chinese medicine of treating the anorectal postoperative urine retention, material medicine comprises by Herba Lophatheri, Folium Perillae, Rhizoma Zingiberis, Medulla Junci, Borneolum Syntheticum.The unguentum of this kind external curing urine retention acts on umbilical part, and it is fast, effective to play a role, and for the treatment urine retention, effect is remarkable.
In the most preferred embodiment of the present invention, medicine of the present invention following raw material by weight:
In the most preferred embodiment of the present invention, the weight proportion of medicine material of the present invention is:
Rhizoma Zingiberis among the present invention, the Borneolum Syntheticum effects such as function that invigorate blood circulation, stimulate the menstrual flow circulation of qi promoting and pain relieving are arranged warm in nature; Herba Lophatheri, Folium Perillae, Medulla Junci have effects such as relieving stranguria by diuresis, clearing heart fire; Moreover umbilical part is the position, SHENQUE acupoint place of conception vessel, and there is element culturing fixed folder in this cave, strengthen the spleen and stomach, regulate the flow of vital energy and effect such as intestinal, and therefore, deposited umbilicus has the effect of dredging the meridian simultaneously.Medicine characteristics of the present invention are that instant effect, cure rate are high, and expense is low and side effect is low.
The method for using of medicine of the present invention: with above 5 flavor medicines mix break into powdery after, with a little furnishing pasty state of rice vinegar, place the white adhesive plaster central authorities of 10cmx10cm size to spread on umbilical part, the reusable heat water bag cover on it, temperature is with boiling hot (40 ℃-50 ℃) degree of being of sense slightly.
The specific embodiment
Below in conjunction with instance the present invention is described, it should be understood that these embodiment only are used for illustration purpose, scope of the present invention is not limited to these embodiment.
Embodiment 1
Method for using: with above 5 flavor medicines mix break into powdery after, with a little furnishing pasty state of rice vinegar, place the white adhesive plaster central authorities of 10cmx10cm size to spread on umbilical part, the reusable heat water bag cover on it, temperature is with boiling hot (40 ℃-50 ℃) degree of being of sense slightly.
Embodiment 2
Method for using: with above 5 flavor medicines mix break into powdery after, with a little furnishing pasty state of rice vinegar, place the white adhesive plaster central authorities of 10cmx10cm size to spread on umbilical part, the reusable heat water bag cover on it, temperature is with boiling hot (40 ℃-50 ℃) degree of being of sense slightly.
Specify beneficial effect of the present invention below in conjunction with clinical data:
1 clinical defective material
Select believe institute's anorectal disease patient with operation 83 examples the same period, all adopt caudal block, be postoperative dysuria on the same day, dysuria companion lower abdomen pain is all arranged, and invalid through hypogastric region hot compress, singing of the stream induced uresis etc.The patient is divided into 2 groups at random: 47 examples are organized in treatment, male 26 examples, women 21 examples; Age 22-73 year; Ring-shaped mixed hemorrhoids 25 examples, complexity anal fistula 12 examples, perianal abscess 7 examples, inflammatory external hemorrhoid 3 examples, companion's prostatic hyperplasia 5 examples.Matched group 36 examples, male 21 examples, women 15 examples; Age 23-64 year; Ring-shaped mixed hemorrhoids 20 examples, complexity anal fistula 8 examples, perianal abscess 6 examples, inflammatory external hemorrhoid 2 examples, companion's prostatic hyperplasia 3 examples.2 groups of patient's sexes, age, state of an illness etc. have comparability.
2 Therapeutic Method
After the treatment group breaks into powdery with 5 flavor medicines mixing such as Herba Lophatheri, Folium Perillae, Rhizoma Zingiberis, Medulla Junci, Borneolum Syntheticum; With a little furnishing pasty state of rice vinegar; Place the white adhesive plaster central authorities of 10cmx10cm size to spread on umbilical part, the reusable heat water bag cover on it, and temperature is with boiling hot (40 ℃-50 ℃) degree of being of sense slightly.Matched group adopts neostigmine methylsulfate injection 0.5-0.75mg intramuscular injection.
3 therapeutic evaluation standard and results
The recovery from illness of 31 curative effect determinate standards: urine is discharged unobstructed, intravesical noresidue urine, and abdominal symptoms disappears; Produce effects: urine is discharged, and intravesical has residual urine, and abdominal symptoms disappears; Invalid: urine drop and descend, intravesical has a large amount of residual urine, the abdominal symptoms existence.
32 results show that treatment group and matched group all have better therapeutic effect to urine retention, through two groups of differences of statistical procedures (X 2 test) statistical significance (P<0.01) are arranged, and treatment group clinical efficacy is superior to matched group.Treatment group total effective rate 94%; Matched group total effective rate 61%, treatment group total effective rate obviously are superior to matched group (P<0.01), show that external Chinese medicine has excellent curative to the anorectal postoperative urine retention.
Table 1 liang group curative effect relatively
N cures the invalid total effective rate of produce effects (%)
Treatment organizes 47 16 20 39 4
Matched group 36 5 17 14 61
Annotate: compare P<0.01 with matched group.
Two groups of cases of 33 untoward reaction are not all found obvious adverse reaction.
This shows that medicine of the present invention has instant effect, and is easy to use, characteristics such as cure rate height.