中医综合疗法联合中医特色护理防治肛肠术后尿潴留的效果

Effect of comprehensive therapy of traditional Chinese medicine combined with characteristic nursing of traditional Chinese medicine in preventing and treating urinary retentionafter anorectal surgery

  • 摘要:
    目的 探讨肛肠病患者术后应用中医综合疗法联合中医特色护理对尿潴留的防治效果。
    方法 选取行手术治疗的120例肛肠病患者为研究对象, 采用随机数字表法分成2组,每组60例。对照组患者行常规治疗及护理干预,观察组在对照组基础上行中医综合疗法和中医特色护理。观察2组治疗前后尿动力学指标和中医症候积分,分析尿潴留的发生和排尿情况,记录术后各时点疼痛程度、住院时间和住院费用。
    结果 与对照组比较,观察组治疗后膀胱初感容积较小,最大尿流率、最大膀胱容量、最大逼尿肌压力较高,差异有统计学意义(P < 0.05)。观察组治疗后主症积分、次症积分低于对照组,差异有统计学意义(P < 0.05)。观察组首次自行排尿时间短于对照组,首次排尿后膀胱残留尿量和尿潴留发生率低于对照组, 2 h内排尿总量高于对照组,差异有统计学意义(P < 0.05)。观察组术后12 h和1、3、5 d的视觉模拟评分法(VAS)评分低于对照组,住院时间短于对照组,差异均有统计学意义(P < 0.05)。2组住院费用比较,差异无统计学意义(P>0.05)。
    结论 中医综合疗法联合中医特色护理能够有效预防肛肠病患者术后尿潴留,改善尿动力学指标和临床症状,缓解疼痛,缩短住院时间。

     

    Abstract:
    Objective To explore the effect of comprehensive therapy of traditional Chinese medicine combined with characteristic nursing of traditional Chinese medicine in prevention and treatment of urinary retentionin patients with anorectal disease after operation.
    Methods A total of 120 patients with anorectal disease who underwent surgical treatment were selected as study objects, and were divided into two groups by random number table method.The patients in the control group (n=60) were given routine treatment and nursing intervention, and the patients in the observation group (n=60) were given comprehensive therapy of traditional Chinese medicine (TCM) combined with characteristic nursing of TCM on the basis of the above measures.Urodynamic indexes and TCM symptom scores were observed in the two groups before and after the intervention, the occurrence of urinary retention and urination were analyzed, and the pain degree, hospitalization time, and hospitalization expenses were recorded at each time point after operation.
    Results The initial bladder volume ofthe observation group after treatment was smaller than that of the control group, and the maximum urine flow rate, maximum bladder volume, and maximum detrusor pressure were higher than those of the control group (P < 0.05).The scores of the main symptoms and secondary symptoms of the observation group were significantly lower than those of the control group after intervention (P < 0.05).The first urination time in the observation group was shorter, the bladder residual urine volume after the first urination and the incidence of urinary retention were lower than those of the control group, and the total amount of urination within two hours was higher than that of the control group (P < 0.05).The Visual Analogue Scale (VAS) of 12 hours after operation and 1 day, 3 days, and 5 days after operation in the observation group were significantly lower than those of the control group, and the length of hospital stay in the observation group was shorter than that in the control group (P < 0.05).There was no significant difference in hospitalization costs between the two groups (P>0.05).
    Conclusion Comprehensive therapy combined with characteristic nursing of TCM can effectively prevent postoperative urinary retention, improve urodynamic indexes and clinical symptoms, relieve pain, and shorten hospitalization time of patients.

     

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