针刺联合α1-受体阻滞剂治疗老年急性尿潴留的疗效分析(1)
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【摘要】 目的 探讨针刺联合α1-受体阻滞剂治疗老年急性尿潴留的疗效。 方法 采用前瞻性监测和回顾性调查方法,选择2006年1月1日至2009年1月1日发生急性尿潴留的老年住院患者82例,按时间先后顺序分为治疗组39例,对照组43例;两组均经尿道导尿,停留导尿管。对照组口服α1-受体阻滞剂高特灵(盐酸特拉唑嗪)及应用抗生素,治疗组在上述基础上加针刺治疗。结果 治疗组有效率94.87%,对照组有效率为76.74%,两组比较,P<0.05,差异有显著性。结论 针刺联合α1-受体阻滞剂治疗老年急性尿潴留比单纯α1-受体阻滞剂疗效好,有协同作用,缩短了留置尿管时间,避免反复导尿和减少泌尿系统医院感染,值得临床推广。
【关键词】 针刺;α1-受体阻滞剂;老年;急性尿潴留
ɑ1-receptor blockers combined with acupuncture treatment efficacy analysis of elderly patients with acute urinary retention
DAI Zhao-yan,SU Xiao-lin,HUANG Jie-zhen.Zhanjiang central People’s Hospital,Zhanjiang,,Zhanjiang 524037,China
DOI:10.3760/cma.j.issn 1673-8799.2010.04.56
作者单位:524037广东省湛江中心人民医院老年科
【Abstract】 Objective To explore acupuncture and ɑ1-receptor blocker treatment efficacy of elderly patients with acute urinary retention.Methods Use of forward-looking monitoring and retrospective survey methodology,Choose January 1,2006 to January 1,2009 of acute urinary retention in 82 cases of elderly inpatients,Chronological order according to treatment group,39 cases were divided into control group,43 cases; Transurethral catheterization in both groups,stay catheter. The control group was treated with α1-receptor blocker hytrin (terazosin) and the application of antibiotics; the treatment group based on the above plus acupuncture therapy.Results The treatment group was 94.87% in the control group response rate was 76.74%,the two groups,P<0.05,the difference was significant.Conclusion ɑ1-receptor blockers combined with acupuncture treatment of elderly patients with acute urinary retention ɑ1-receptor blocker than simply good effects,synergistic effect,shortening the indwelling catheter time,avoid repeated urinary catheterization and reduce hospital infection,worthy to be popularized.
【Key words】 Acupuncture;ɑ1-receptor blocker; Elderly; Acute retention of urine
急性尿潴留(acute retention of urine,AUR)是指突然发生,下腹胀痛难忍,尿液不能排出,可触及或扣出胀大的膀胱,用手按压尿意感加重,有时也可滴出少许尿液,但不能缓解症状[1]。常见于老年人的急诊疾病中,尿潴留占7%[2]。发病急,患者痛苦。导尿是解除AUR最直接、最有效的方法[3]。而导尿后常出现尿管依赖及泌尿系感染,给患者康复造成困扰,甚至加重病情危及生命[4] ......
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