摘要
目的:观察对肛肠外科手术术后排尿困难患者采取热敏灸配合莱菔子烫熨法促进排尿的临床效果分析。方法:将我院2014年1月-2018年9月肛肠外科收治220例肛肠手术术后排尿困难患者随机数字法分成两组,对照组与实验组各110例。对照组采取莱菔子烫熨法,实验组在对照组基础上配合热敏灸。对比两组患者首次自行排尿时间,首次排出尿量、膀胱剩余尿量,治疗后尿潴留发生率、尿路感染率、满意率及临床疗效。结果:实验组患者尿潴留发生率为0.00%,尿路感染率为1.82%,患者满意率为100.00%,对照组尿潴留发生率为3.64%,尿路感染率为12.73%,患者满意率为86.36%,差异具有统计学意义(P<0.05)。实验组患者首次排尿时间、排尿完全恢复时间明显短于对照组,首次排出尿量且膀胱剩余尿量少于对照组,差异具有统计学意义(P<0.001)。实验组总有效率为98.18%,对照组为88.18%,差异具有统计学意义(P<0.01)。结论:对于肛肠外科手术术后排尿困难患者,采取热敏灸配合莱菔子烫熨法治疗,可有效缩短患者首次自行排尿时间,增加首次排出尿量,减少膀胱剩余尿量,降低尿潴留与尿路感染的发生率,提高临床治疗效果,并获得较高的满意度。
Objective:To observe efficacy of heat sensitive moxibustion with ironing with Laifuzi(莱菔子)on postoperative voiding in patients with anus-intestine surgery.Methods:220 patients were randomly divided into the control group(110 cases)and experimental group(110 cases).The control group was treated by ironing with Laifuzi,while the experimental group was treated by heat sensitive moxibustion more.Results:The incidence of urinary retention was 0.00%,urinary tract infection rate was 1.82%,and satisfaction rate was 100%in the experimental group.In the control group,incidence of urinary retention was 3.64%,urinary tract infection rate was 12.73%,satisfaction rate was 86.36%(P<0.05).The first voiding time and complete recovery time in the experimental group were significantly shorter than the control group.The first voiding volume in the experimental group and the residual urine volume of the bladder were less than the control group(P<0.001).The total efficiency in the experimental group was 98.18%,better than 88.18%in the control group(P<0.01).Conclusion:Heat sensitive moxibustion with ironing with Laifuzi can effectively shorten the first time of self-urination,increase the first time urination output,reduce the residual urine volume of bladder,reduce the incidence of urinary retention and urinary tract infection,improve effects.
出处
《中医临床研究》
2019年第20期69-71,共3页
Clinical Journal Of Chinese Medicine
关键词
热敏灸
莱菔子熨烫法
肛肠外科手术
术后排尿困难
Heat sensitive moxibustion
Ironing with Laifuzi
Anus-intestine surgery
Postoperative dysuria
