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通淋固肾灸联合中医综合护理对混合痔术后患者尿潴留风险的影响

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目的 观察通淋固肾灸联合中医综合护理对混合痔术后患者尿潴留风险的影响。方法 选取2022 年 7 月至 2023 年 10 月佛山市中医院三水医院收治的 102 例实施外剥内扎术的混合痔患者,采用随机数字表法分为对照组和试验组,各51例。对照组患者给予中医综合护理,试验组患者实施通淋固肾灸联合中医综合护理。对比两组患者的尿潴留发生率、围手术期相关指标、排尿状况,并用自制的腹胀评分量表对患者的腹胀情况进行评估。结果 试验组患者术后首次自主排尿时间短于对照组,膀胱残余尿量少于对照组,但排尿量多于对照组,差异均有显著性(P<0。05)。试验组患者尿潴留发生率为3。92%(2/51),显著低于对照组的 19。6%(10/51),且患者排尿状况评分、腹胀评分均显著低于对照组,差异均有显著性(P<0。05)。结论 通淋固肾灸联合中医综合护理可显著降低混合痔患者术后尿潴留发生率,缩短患者术后首次排尿时间,提高排尿量,减少膀胱残余尿量,促小便顺畅排出,改善患者腹胀情况。
Influence of Tonglin Gushen Moxibustion combined with comprehensive nursing of traditional Chinese medicine on the risk of urinary retention in patients after operation of mixed hemorrhoids
Objective To observe the effect of Tonglin Gushen Moxibustion combined with traditional Chinese medicine comprehensive nursing on the risk of urinary retention in patients with mixed hemorrhoids after operation.Method 102 patients with mixed hemorrhoids who underwent external stripping and internal ligation surgery at Sanshui Hospital of Foshan Traditional Chinese Medicine Hospital from July 2022 to October 2023 were selected and randomly divided into a control group and an experimental group,with 51 patients in each group,using a random number table method.The control group of patients received comprehensive traditional Chinese medicine nursing,while the experimental group of patients received a combination of Tonglin Gushen Moxibustion and comprehensive traditional Chinese medicine nursing.The incidence of urinary retention,perioperative related indicators,and urination status of the two groups were compared,and the abdominal distension of the patients was evaluated with the self-made abdominal distension scale.Result The first spontaneous urination time of the experimental group patients after surgery was shorter than that of the control group,and the residual urine volume in the bladder was less than that of the control group,but the urine volume was greater than that of the control group,with significant differences(P<0.05).The incidence of urinary retention in the test group was 3.92%(2/51),significantly lower than 19.6%(10/51)in the control group,and the score of urination status and abdominal distention in the patients were significantly lower than those in the control group(P<0.05).Conclusion Tonglin Gushen moxibustion combined with comprehensive nursing of traditional Chinese medicine can significantly reduce the incidence of urinary retention in patients with mixed hemorrhoids after operation,shorten the time of first urination,increase the amount of urination,reduce the amount of residual urine in the bladder,promote the smooth discharge of urine,and improve the abdominal distension of patients.

Mixed hemorrhoidsTonglin Gushen MoxibustionUrinary retentionabdominal distention

蔡雪贞、唐健荣

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佛山市中医院三水医院 肛肠科,广东 佛山 528100

混合痔 通淋固肾灸 尿潴留 腹胀

2024

临床普外科电子杂志

临床普外科电子杂志

影响因子:0.19
ISSN:
年,卷(期):2024.12(4)