Clinical observation of acupoint massage for prevention of urinary retention after renal biopsy

LI Si; MENG Xin; LI Jiazhen; WU Fulu; WANG Yajing; CHENG Ning

doi:10.16025/j.1674-1307.2026.04.004

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Clinical observation of acupoint massage for prevention of urinary retention after renal biopsy

更新时间：2026-06-10

- Clinical observation of acupoint massage for prevention of urinary retention after renal biopsy
- Beijing Journal of Traditional Chinese Medicine Vol. 45, Issue 4, Pages: 448-451(2026)
- 作者机构：
  
  1.中国中医科学院广安门医院肾病科，北京 100053
  2.中国中医科学院广安门医院护理部，北京 100053
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2026.04.004
  CLC：
- Received：08 April 2025，
  
  Published：25 April 2026
- 稿件说明：
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李斯，孟昕，李家珍，等.经穴推拿技术预防肾穿刺活检术后尿潴留临床观察［J］.北京中医药，2026，45（4）：448-451.

LI Si,MENG Xin,LI Jiazhen,et al.Clinical observation of acupoint massage for prevention of urinary retention after renal biopsy[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(04):448-451.
李斯，孟昕，李家珍，等.经穴推拿技术预防肾穿刺活检术后尿潴留临床观察［J］.北京中医药，2026，45（4）：448-451. DOI： 10.16025/j.1674-1307.2026.04.004.

LI Si,MENG Xin,LI Jiazhen,et al.Clinical observation of acupoint massage for prevention of urinary retention after renal biopsy[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(04):448-451. DOI： 10.16025/j.1674-1307.2026.04.004.

摘要

目的

观察经穴推拿技术预防肾穿刺活检术后尿潴留的临床效果。

方法

选取2020年10月―2024年3月在中国中医科学院广安门医院肾病科行肾穿刺活检术的患者60例，采用随机数字表法分为观察组和对照组，各30例。对照组给予常规护理，观察组在常规护理基础上给予经穴推拿技术干预。对比2组疗效、术后首次自主排尿时间、膀胱残余尿量、尿潴留情况、疼痛评估量表（NRS）评分。

结果

观察组临床总有效率为93.3%，高于对照组的70.0%（

0.05）。观察组自主排尿时间短于对照组，自主排尿患者膀胱残余尿量少于对照组（

0.05）。观察组干预后NRS评分低于干预前，且低于对照组（

0.05）；对照组干预前后NRS评分比较，差异无统计学意义（

0.05）。

结论

经穴推拿技术可以预防肾穿刺活检术后患者发生尿潴留，缩短首次自主排尿时间，提高排尿成功率。

Abstract

Objective

To observe the clinical effect of acupoint massage therapy in preventing urinary retention after renal biopsy.

Methods

Sixty patients who underwent renal biopsy in the Department of Nephrology at Guang'anmen Hospital， China Academy of Chinese Medical Sciences， between October 2020 and March 2024 were selected and randomly divided into an observation group and a control group， with 30 cases in each group， according to a random number table. The control group received routine nursing care， while the observation group received acupoint massage therapy in addition to routine nursing care. Clinical efficacy， time to first spontaneous urination after surgery， residual bladder urine volume， incidence of urinary retention， and Numerical Rating Scale （NRS） scores were compared between the two groups.

Results

The total effective rate in the observation group was 93.3%， which was higher than the 70.0% in the control group （

0.05）. The time to spontaneous urination in the observation group was shorter than that in the control group， and the residual bladder urine volume in patients with spontaneous urination was lower than that in the control group （

0.05）. After intervention， the NRS score in the observation group was lower than that before intervention and lower than that in the control group （

0.05）. There was no statistically significant difference in NRS scores before and after intervention in the control group （

0.05）.

Conclusion

Acupoint massage therapy can prevent urinary retention after renal biopsy， shorten the time to first spontaneous urination， and improve the success rate of urination.

关键词

Keywords

references

MOLEDINA DG , LUCIANO RL , KUKOVA L , et al . Kidney biopsy-related complications in hospitalized patients with acute kidney disease [J ] . Clin J Am Soc Nephrol ， 2018 , 13 ( 11 ): 1633 - 1640 .

唐利群 , 皇甫志敏 . 基于生理相干与自主平衡系统的生物反馈训练对经皮肾穿刺活检患者术后排尿的影响 [J ] . 解放军护理杂志 , 2020 , 37 ( 10 ): 14 - 17 .

袁春艳 , 何群鹏 , 黄耀禹 . 超声引导下经皮肾穿刺活检术后出血并发症及原因分析 [J ] . 医学影像学杂志 , 2023 , 33 ( 4 ): 719 - 721 .

宋利媚 , 王利平 . 经皮肾脏穿刺术后并发尿潴留的原因分析及护理改进 [J ] . 中国医药科学 , 2017 , 7 ( 14 ): 166 - 168,228 .

康丽霞 , 张翠轻 , 王茹玲 . 耳穴埋豆联合常规护理防治肾穿刺术后尿潴留临床观察 [J ] . 湖北中医杂志 , 2017 , 39 ( 5 ): 38 - 39 .

王异玲 , 周静威 , 刘娜 , 等 . 耳穴压豆联合艾灸治疗肾穿刺后排尿困难的临床研究 [J ] . 中国中西医结合肾病杂志， 2020 , 21 ( 9 ): 811 - 812 .

李月琴 , 徐文娟 , 雷小华 , 等 . 穴位艾灸对肾活检术后尿潴留的影响 [J ] . 中国中西医结合肾病杂志 , 2014 , 15 ( 7 ): 624 - 625 .

用文明 , 徐根 . 手术并发症学 [Ｍ ] . 北京 : 中国中医药出版社 , 1999 : 142 .

张伯礼，吴勉华，林子强 . 中医内科学 [M ] . 北京：中国中医药出版社， 2019 : 176 .

孔莉娜 , 刘雨洁 . 中文版全球疼痛量表在减轻CKD患者肾穿刺活检术后疼痛体验中的应用效果分析 [J ] . 中国现代药物应用 , 2024 , 18 ( 14 ): 169 - 172 .

国家中医药管理局 . 中医病证诊断疗效标准 [M ] . 南京 : 南京大学出版社 , 1995 : 82 .

卫诺 , 吴梦靓 , 陈伟红 . 叙事干预在缓解肾穿刺活检术前患者焦虑中的应用 [J ] . 中国中西医结合肾病杂志 , 2019 , 20 ( 3 ): 248 - 249 .

郑慧芳 , 苏素花 , 王飞君 . 艾灸气海关元穴预防肾穿刺活检术后尿潴留的疗效观察 [J ] . 护理与康复 , 2017 , 16 ( 4 ): 375 - 376 .

潘冬雪 . 穴位按摩联合瑜伽放松乐预防肾穿刺术后尿潴留的效果研究 [D ] . 吉林：长春中医药大学 , 2018 .

刘燕 , 缪剑辉 . 艾灸联合经穴推拿治疗肛肠病术后尿潴留 [J ] . 中国中西医结合外科杂志 , 2019 , 25 ( 5 ): 696 - 699 .

邹小丽 , 杨依玲 , 李默洋 , 等 . 中医疗法防治脊柱术后尿潴留的研究进展 [J ] . 长春中医药大学学报 , 2023 , 39 ( 8 ): 940 - 944 .

郭宝 , 宫莉莉 . 隔附子灸关元、中极穴治疗外科术后急性尿潴留临床疗效观察 [J ] . 辽宁中医药大学学报 , 2020 , 22 ( 7 ): 114 - 116 .

施昊 , 黄志坚 , 任盛静 , 等 . 阴陵泉穴位注射中药改善痔术后尿潴留疗效观察 [J ] . 山东中医杂志 , 2017 , 36 ( 6 ): 471 - 473 .

刘雅芳 , 朱晓明 , 郝俊凯 , 等 . 药物贴敷涌泉穴的古今应用研究述略 [J ] . 针灸临床杂志 , 2018 , 34 ( 6 ): 72 - 75 .

王重阳 , 许意 , 严建 . 循肾经推拿治疗痔疮术后尿潴留临床观察 [J ] . 亚太传统医药 , 2020 , 16 ( 1 ): 134 - 135 .

宋晓萌 , 刘凤春 , 孟茜 , 等 . “申时”雀啄回旋法雷火灸对多系统萎缩症患者尿潴留的治疗效果观察 [J ] . 北京中医药 , 2024 , 43 ( 12 ): 1363 - 1365 .

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