| Citation: |
LIU Shuang, HE Qiying, TANG Yaqing, DAN Dan, HUANG Xiujuan. Effect of comprehensive therapy of traditional Chinese medicine combined with characteristic nursing of traditional Chinese medicine in preventing and treating urinary retentionafter anorectal surgery[J]. Journal of Clinical Medicine in Practice, 2022, 26(16): 24-29. DOI: 10.7619/jcmp.20220519
|
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.
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.
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).
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.
| [1] |
韩菁, 许晓洁, 潘琼. 肛肠病术后尿潴留危险因素及中医综合干预预防效果分析[J]. 辽宁中医药大学学报, 2019, 21(5): 207-210. https://www.cnki.com.cn/Article/CJFDTOTAL-LZXB201905061.htm
|
| [2] |
戴玮, 赵航. 耳穴贴压辅助针灸对术后尿潴留患者膀胱功能的影响[J]. 国际中医中药杂志, 2019, 41(4): 365-368.
|
| [3] |
刘海燕, 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. doi: 10.3969/j.issn.1007-6948.2019.05.009
|
| [4] |
王艳, 朱雪萍, 胡芳. 中医综合护理治疗宫颈癌术后尿潴留的临床疗效探讨[J]. 山西医药杂志, 2020, 49(5): 638-639. doi: 10.3969/j.issn.0253-9926.2020.05.063
|
| [5] |
赵艳霞, 邹惠美, 成沛玉, 等. 利尿通淋散联合中医护理防治痔疮术后尿潴留的临床观察[J]. 中国医学创新, 2017, 14(22): 84-87. doi: 10.3969/j.issn.1674-4985.2017.22.024
|
| [6] |
孙兵, 车晓明. 视觉模拟评分法(VAS)[J]. 中国微侵袭神经外科杂志, 2004, 9(11): 483-483. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXJH201824073.htm
|
| [7] |
尤焱南, 周涛, 赵霞. 《中医病证诊断疗效标准》修订中文献研究法探析[J]. 中医药导报, 2019, 25(21): 22-25. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZB201921009.htm
|
| [8] |
胡珊, 赵井苓, 张静, 等. 中医多途径特色护理方案对宫颈癌根治术后患者胃肠及膀胱功能恢复的影响[J]. 中国医药导报, 2019, 16(11): 146-149. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201911037.htm
|
| [9] |
罗毅玲. 针刺联合生物反馈训练治疗宫颈癌广泛性子宫切除术后尿潴留的效果观察[J]. 中国计划生育和妇产科, 2019, 11(4): 73-77. doi: 10.3969/j.issn.1674-4020.2019.04.20
|
| [10] |
高英. 火龙疗法综合护理治疗椎管内麻醉术后尿潴留的疗效观察[J]. 长春中医药大学学报, 2020, 36(1): 169-172. https://www.cnki.com.cn/Article/CJFDTOTAL-CZXX202001047.htm
|
| [11] |
GANESH, DANGA, KENUSHA, et al. Complete Labial Fusion in a Postmenopausal Woman Presenting with Retention of Urine[J]. J Nepal Health Res Counc, 2019, 17(1): 122-124. doi: 10.33314/jnhrc.v17i01.1878
|
| [12] |
李娟, 何春晓, 刘冬梅. 中药封包联合盐酸坦洛新对宫颈癌术后尿潴留的防治[J]. 西部中医药, 2020, 33(2): 120-122. https://www.cnki.com.cn/Article/CJFDTOTAL-GSZY202002034.htm
|
| [13] |
DANGAL G, TIWARI K D, POUDEL R, et al. Complete labial fusion in a postmenopausal woman presenting with retention of urine[J]. J Nepal Heal Res Counc, 2019, 17(1): 122-124. doi: 10.33314/jnhrc.v17i01.1878
|
| [14] |
刘访, 史仁杰, 曹波, 等. 针刺联合麦粒灸治疗肛肠疾病术后急性尿潴留: 随机对照研究[J]. 中国针灸, 2019, 39(7): 709-712. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE201907008.htm
|
| [15] |
周晓玲, 荣华, 徐堂彩. 耳穴贴压联合中药封包防治肛肠疾病术后尿潴留的临床观察[J]. 山西医药杂志, 2020, 49(4): 466-467. doi: 10.3969/j.issn.0253-9926.2020.04.042
|
| [16] |
ZHAO Y, J LIANG, HUA X, et al. Mechanism of "Five Meridians Acupuncture"in Treating Postoperative Urinary Retention after Anorectal Diseases[J]. Proceedings of Anticancer Research, 2021, 5(4): 67-69.
|
| [17] |
陈蕾, 王婉荧. 综合护理模式对保留盆腔自主神经的广泛性子宫切除术后尿潴留的影响[J]. 检验医学与临床, 2020, 17(21): 3197-3200. doi: 10.3969/j.issn.1672-9455.2020.21.036
|
| [18] |
杜虹, 周彦芝. 按揉法联合个体化排尿训练对混合痔术后尿潴留患者自主排尿及膀胱功能的影响[J]. 山西医药杂志, 2020, 49(20): 2856-2858. doi: 10.3969/j.issn.0253-9926.2020.20.055
|
© 2020 《实用临床医药杂志》编辑部
Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807
Supported by:
Beijing Renhe Information Technology Co., Ltd.
苏公网安备 32100302010246号
DownLoad: