Objective To observe the clinical curative effect of traditional Chinese medicine hot compress combined with moxibustion in the treatment of urinary retention after orthopedic surgery.Methods 56 patients with postoperative uroschesis who underwent orthopedic surgerywere randomly divided into observation group and control group, and 28 cases in each group.All patients underwent pelvic muscle training, psychological counseling before surgery, and physical therapy with conventional methods such as induction of urination after surgery.The control group was treated with moxibustion Ququan acupoint, and the observation group was treated with Chinese herbal medicine hot compress on the basis of the above treatment.The patients in both two groups were treated for 28 days.At the end of the treatment, the clinical efficacy of the two groups was evaluated, also the time of first voiding after operation, the average effective time, urinary tract infection and urinary catheter replacement rate were compared.Results The total effective rate was 92.86% in the observation group and 78.57% in the control group.The effective rate in the observation group was higher than that in the control group (x2=46.86,P<0.05).The time of first voiding in the observation group was (32.13±4.42) mins and the control group was (61.37±5.87)mins.The time of first voiding in the observation group was shorter than that in the control group(t=21.06,P<0.05);The observation time was (57.34±2.63)mins,the control group was (73.23±3.87)mins,the average effective time of observation group was shorter than the control group (t=13.07,P<0.05).The rate of urinary tract infection in observation group was 10.71% and 17.86% in the observation group,the difference was not statistically significant (P>0.05).The urinary catheter replacement rate in the observation group was 7.14%,which was lower than 21.43% in the control group,the difference was statistical significance(x2=2.33,P<0.05).Conclusion The clinical curative effect of traditional Chinese medicine hot compress combined with moxibustion in the treatment of urinary retention after orthopedic surgery is better than moxibustion alone.The time of first urination and the average time of effect are shortened, and the rate of urinary catheter replacement is reduced.It is effective, simply and conductively to clinical use.

Objective To explore the clinical efficacy and nursing experience of the mild moxibustion combined with acupoint massage therapy on the urinary retention patients after orthopedic surgery . Methods Sixty-eight urinary retention patients after orthopedic surgery from January 2012 to April 2013 were chosen and divided into the control group and the observation group according to the random number table , each with 34 cases.The control group received the routine induced urination , and the observation group received the mild moxibustion combined with acupoint massage .The clinical efficacy , the significantly effective and effective times of micturition were observed and compared in two groups .Results The total effective rate , the significantly effective and effective times of micturition were respectively 85.3%, (21.0 ±5.0) min, (34.0 ±6.0) min in the observation group, and were 55.9%, (29.0 ±6.0) min, (39.0 ±7.0) min in the observation group, and the differences were statistically significant (χ2 =7.08,t=2.81,2.64, respectively;P<0.05).Conclusions The mild moxibustion combined with acupoint massage therapy on the urinary retention patients after orthopedic surgery can significantly increase the clinical efficacy , and improve the prognosis of patients , and is worthy of clinical promotion .