耳穴压豆法预防肛肠病术后尿潴留的临床疗效观察

发布时间：2018-08-29 10:38

【摘要】：目的:通过对观察病例的尿潴留发生率、排尿情况、小腹症状等观察,了解耳穴压豆法预防肛肠病术后尿潴留的效果。以求进一步了解其可行性、实用性。方法:1.选取所有病情为一般,采用腰腧穴进行麻醉,并采用中医传统术式进行手术的肛肠病(混合痔、肛裂、肛瘘、肛周脓肿单一病种)术后病人,入组病例均为来自我院2015年1月至2016年1月肛肠科疗区的住院患者。将符合入组条件的66例患者按随机法分为治疗组和对照组两组。每组33例。治疗组采用耳穴压豆法(常规护理基础上进行)进行治疗;对照组在常规护理基础上不予处置。两组其他条件相同(麻醉方式、手术方式、术前术后心理疏导),分别对术后2小时、术后4小时、术后6小时、术后8小时患者排尿情况进行观察,进行统计分析,治疗期间并进行安全性检查和疗效性观查。结果:术后首次排尿时间、排尿所需时间、排尿情况、小腹症状等对比,表明治疗组效果优于对照组;两组尿潴留发生情况结果显示:治疗组术后尿潴留发生率为6.06%,对照组术后尿潴留的发生率为30.30%。经卡方检验,表明P=0.0250.05,两组存在统计学意义。结论:在预防肛肠病术后尿潴留方面,耳穴压豆法可有效预防尿潴留的发生,减轻术后排尿相关的不适症状,减轻患者痛苦,疗效安全可靠。
[Abstract]:Objective: to observe the incidence of urinary retention, micturition and the symptoms of lower abdomen in order to understand the effect of Auricular Point pressure on preventing postoperative urinary retention of anorectal disease. In order to further understand its feasibility and practicability. Method 1: 1. Patients with anorectal diseases (mixed hemorrhoids, anal fissure, anal fistula, perianal abscess) who were anesthetized with waist and acupoints and operated by traditional Chinese medicine were selected as general. All patients were hospitalized from January 2015 to January 2016. A total of 66 patients were randomly divided into two groups: treatment group and control group. 33 cases in each group. The treatment group was treated by auricular acupoint pressing bean (on the basis of routine nursing), while the control group was not treated on the basis of routine nursing. The other conditions of the two groups were the same (anaesthesia, operation, psychological guidance before and after operation). The patients' urination was observed at 2 hours after operation, 4 hours after operation, 6 hours after operation and 8 hours after operation, respectively. Safety examination and efficacy observation were also performed during treatment. Results: the comparison of the first time of urination, the condition of urination and the symptoms of abdomen showed that the effect of the treatment group was better than that of the control group. The results showed that the incidence of postoperative urinary retention was 6.06 in the treatment group and 30.30 in the control group. The chi-square test showed that the two groups had statistical significance. Conclusion: in the prevention of postoperative urinary retention of anorectal disease, auricular acupoint pressing method can effectively prevent the occurrence of urinary retention, relieve the symptoms associated with urination, alleviate the pain of patients, and the efficacy is safe and reliable.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.2

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