八正散干预治疗腰硬联合麻醉下术后尿潴留98例疗效观察

发布时间：2019-03-18 12:32

【摘要】：目的:八正散干预治疗腰硬联合麻醉下术后尿潴留98例进行疗效观察。方法:选取我院2010年1月至2013年12月所收治的98例在腰硬联合麻醉下行手术的患者,随机将所有患者分为两组,分别是治疗组(49例)和对照组(49例)。对照组则每日肌肉注射1次甲硫酸新斯的明注射液,每次1 mg。而治疗组则采用包括中药辨证施治、灸法、针刺在内的3种中医干预治疗方法。中药辨证施治主要应用八正散、济生肾气丸等药物,疗程1~3天。比较两组治疗效果。结果:治疗组患者总有效率93.88%,对照组患者总有效率71.43%,两组患者间存在明显差异(P0.05)。治疗组第1、3天膀胱残余尿量(71.3±12.2 ml、43.1±12.4ml)都明显少于对照组,而治疗组第3天膀胱残余尿量(43.1±12.4 ml)又与第1天膀胱残余尿量(71.3±12.2 ml)存在着较大差异。结论:八正散治疗腰硬联合麻醉下术后尿潴留疗效较佳,具有疗效稳定、见效快、安全可靠的特点。
[Abstract]:Objective: to observe the curative effect of Bazheng Powder intervention on 98 cases of postoperative urinary retention under combined spinal and epidural anesthesia. Methods: 98 patients treated in our hospital from January 2010 to December 2013 were randomly divided into two groups: the treatment group (49 cases) and the control group (49 cases). The patients were randomly divided into two groups: the treatment group (n = 49) and the control group (n = 49). The control group received intramuscular injection of neostigmine mesylate once a day for 1 mg. each time. The treatment group was treated with three Chinese medicine intervention methods, including traditional Chinese medicine syndrome differentiation, moxibustion and acupuncture. Bazheng Powder, Jishengshen Qi Pill and other drugs were mainly used in differentiation of symptoms and signs of traditional Chinese medicine, and the course of treatment was 1 ~ 3 days. The therapeutic effects were compared between the two groups. Results: the total effective rate was 93.88% in the treatment group and 71.43% in the control group. There was significant difference between the two groups (P0.05). On the 1st and 3rd day, the residual urinary volume (71.3 卤12.2 ml, 43.1 卤12.4ml) in the treatment group was significantly lower than that in the control group. The residual urinary volume in the treatment group (43.1 卤12.4 ml) on the 3rd day was significantly different from that in the first day (71.3 卤12.2 ml). Conclusion: Bazheng Powder is effective, safe and reliable in the treatment of postoperative urinary retention under combined spinal and epidural anesthesia.
【作者单位】：郑州市中医院;
【分类号】：R614

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