目的 探討黃芪注射液聯(lián)合新斯的明治療腹部手術(shù)后尿潴留的臨床療效。方法 收集2014年10月—2016年10月在天津中醫(yī)藥大學(xué)第一附屬醫(yī)院就診的腹部手術(shù)后尿潴留的患者116例，隨機(jī)分為對(duì)照組和治療組，每組各58例。對(duì)照組患者在常規(guī)護(hù)理基礎(chǔ)上肌肉注射甲硫酸新斯的明注射液，1 mg/次。治療組患者在對(duì)照組的治療基礎(chǔ)上于三陰交穴位注射黃芪注射液，2 mL/次。觀(guān)察兩組患者治療前后臨床療效以及排尿時(shí)間和VAS評(píng)分改善情況。結(jié)果 治療后，對(duì)照組患者總有效率為79.31%，顯著低于治療組的98.28%，兩組比較差異具有統(tǒng)計(jì)學(xué)意義（P< 0.05）。治療后，治療組患者開(kāi)始排尿時(shí)間明顯短于對(duì)照組，且術(shù)后3、6 h，治療組患者的疼痛明顯輕于對(duì)照組，兩組比較差異具有統(tǒng)計(jì)學(xué)意義（P< 0.05）。結(jié)論 黃芪注射液聯(lián)合新斯的明治療腹部手術(shù)后尿潴留的臨床療效顯著，能顯著縮短小便時(shí)間、減輕痛苦，具有一定的臨床推廣應(yīng)用價(jià)值。

objective To explore the clinical effect of Huangqi Injection combined with neostigmine in treatment of urinary retention after abdominal surgery. Methods Patients (116 cases) with urinary retention after abdominal surgery in the First Teaching Hospital of Tianjin University of TCM from October 2014 to October 2016 were randomly divided into control and treatment groups, and each group had 58 cases. Patients in the control group were im injected with Neostigmine Methylsulfate Injection on the basis of routine care, 1 mg/time. Patients in the treatment group were injected with Huangqi Injection on the basis of the control group in Sanyinjiao acupoint, 2 mL/time. The improvement of clinical efficacy, voiding time and VAS scores in two groups before and after treatment was compared. Results After treatment, the clinical efficacy in the control group was 79.31%, which was significantly lower than 98.28% in the treatment group, and there were differences between two groups (P < 0.05). After treatment, the voiding time in the treatment group was significantly shorter than that in the control group, and the pain in the treatment group was significantly less than that in the control group after the operation for 3 and 6 h, with significant difference between two groups (P < 0.05). Conclusion Huangqi Injection combined with neostigmine has significant efficacy in treatment of urinary retention after abdominal surgery, can significantly shorten the voiding time and ease the pain, which has a certain clinical application value.