坦索罗辛联合中医疗法防治女性PPH术后尿潴留的疗效观察

发布时间：2018-03-03 21:58

本文选题：PPH术后　切入点：坦索罗辛　出处：《广州中医药大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的：痔是一个古老的常见病,随着人们对痔本质的研究和探讨,“肛垫学说”应运而生,并在此基础上形成PPH术,由于其简单、安全、有效而被广泛应用。但随之而来的术后尿潴留也成为不得不面对的问题,如何有效的防治PPH术后尿潴留已经成为一个研究热点。本研究旨在评价坦索罗辛联合中医疗法在女性PPH术后尿潴留的疗效观察。方法：随机选择符合本实验的研究对象50例,采用随机的、对照的方法,将研究对象分为2组(实验组25人、对照组25人),对照组采用常规热敷膀胱区、穴位贴敷、耳穴压豆。实验组患者在此基础上于手术前一天晚上及手术后3天加服坦索罗辛1粒(0.2mg/粒),P.0, QD。观察术后8h内2组患者首次排尿时间、排尿量、导尿人数,运用SPSS 21.0进行统计分析。结果：本研究纳入的全部病例均完成治疗,2组的年龄、术程进行比较,差异均无统计学意义(P0.05),提示2组具有可比性。两组患者术后首次排尿时间、导尿率比较均有统计学意义,提示实验组优于对照组；但二者排尿量无明显统计学意义。说明坦索罗辛联合中医疗法可缩短患者术后排尿时间,减少导尿。结论：中医疗法简单、安全、经济有效,口服药物容易被接受,患者依从性好,两种方法联合使用可降低尿潴留的发生。中医疗法基础上口服坦索罗辛对防治女性PPH术后尿潴留有一定的疗效,值得临床推广。
[Abstract]:Objective: hemorrhoids is an ancient common disease. With the study and discussion of the essence of hemorrhoids, "anal cushion theory" came into being, and on this basis, PPH procedure was formed, because of its simplicity and safety, Effective and widely used, but the subsequent postoperative urinary retention has become a problem that has to be faced. How to effectively prevent and treat urinary retention after PPH has become a hot research topic. This study was designed to evaluate the efficacy of tansoroxine combined with traditional Chinese medicine in the treatment of urinary retention after PPH in women. The subjects were randomly divided into two groups (25 in the experimental group, 25 in the control group and 25 in the control group). On the basis of this, the patients in the experimental group were treated with tamsoloxin 0.2mg / L, QD on the night before operation and 3 days after operation. The first time of urination, the quantity of urination and the number of catheterization were observed in the two groups within 8 hours after operation. SPSS 21.0 was used for statistical analysis. Results: the age and procedure of the two groups were all completed in this study. The difference was not statistically significant (P 0.05), indicating that the two groups were comparable. The first time of urination after operation between the two groups was comparable. The comparison of urinary catheterization rates was statistically significant, suggesting that the experimental group was superior to the control group, but there was no significant difference in the amount of urine excretion between the two groups. The results showed that the combination of tansoroxin and traditional Chinese medicine therapy could shorten the time of urination after operation. Conclusion: traditional Chinese medicine therapy is simple, safe, economical and effective, oral medicine is easy to accept, patient compliance is good, The combination of the two methods can reduce the occurrence of urinary retention. Oral tamsoloxine on the basis of traditional Chinese medicine therapy has a certain curative effect on preventing and treating female urinary retention after PPH, and it is worth popularizing in clinic.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R657.18

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