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目的：探讨八正四妙散预防妇科经阴道手术后尿潴留的效果，为妇科经阴道手术后排尿功能恢复的临床干预提供依据。方法：选取2012年2月-2015年2月在新都区中医医院妇科住院部接受经阴道手术的患者，将80例患者分在对照组、试验两个小组，每组为40例患者。两组均在常规治疗基础上，对照组不给予其他干预措施，试验组为患者术后8小时开始分次口服八正四妙散200ml/天，直到正常排尿为止。观察两组患者尿潴留率及泌尿系统感染率。结果：试验组尿潴留发生率低于对照组，实验组泌尿系统感染率低于对照组。两组比较差异有统计学意义( p＜0．05)。结论：口服八正四妙散能有效预防妇科经阴道手术后患者尿潴留，可用于临床。“,”Objective: To evaluate the efficacy of Ba Zheng Si Miao San for the prevention of urinary retention after transvaginal surgery. Method: This restrospective controled study (February 2012-Februrary 2015) included 80 patients, which were recevied transvaginal surgery in Gynecology department of Xindu hospital of traditional Chinese medicine. Fifty of the 80 patients administrated 200ml Ba Zheng Si Miao San oraly in 24 hours after surgery, the rest 40 patients, who received surgery only, as control. Results: We found that the incidence of urinary retention in experimental group was lower than control group (3% vs. 24%, P<0.05). Meanwhile, the rate of urinary tract inftection in experimental group was less than control group (4% vs.16%, P<0.05). Conclusion: Ba Zheng Si Miao San could prevent the urinary retention after transvaginal surgery.