中医护理适宜技术在肛肠疾病术后尿潴留患者中的应用效果(1)
[摘要]目的 探讨中医护理适宜技术在肛肠疾病术后尿潴留患者中的应用效果。方法 回顾性分析2017年10月～2018年11月我院收治的60例肛肠疾病术后尿潴留患者，按照护理方法的不同分为对照组和研究组，每组各30例。对照组采取传统护理，研究组采取中医护理适宜技术，比较两组的护理差异。结果 研究组总有效率为96.6%，高于对照组的76.6%，差异有统计学意义(P<0.05);研究组治疗后残余尿量少于对照组，自行排尿时间短于对照组，差异均有统计学意义(P<0.05)。结论 中医护理适宜技术在肛肠疾病术后尿潴留患者中的临床效果显著，可有效地改善患者排尿情况，可在临床推广。
[关键词]中医护理适宜技术;肛肠疾病;术后尿潴留;临床效果;护理效果
[Abstract] Objective To explore the application effect of appropriate nursing techniques of traditional Chinese medicine in patients with urinary retention after anorectal diseases surgery. Methods Sixty patients with urinary retention after anorectal diseases surgery admitted to our hospital from October 2017 to November 2018 were retrospective analyzed. According to the difference of nursing methods， they were divided into control group and study group， 30 cases in each group. The control group took traditional nursing. The research group took appropriate nursing techniques of traditional Chinese medicine， and the nursing differences between the two groups were compared. Results The total effective rate of the study group was 96.6%， higher than 76.6% of the control group， with statistical difference (P<0.05). The residual urine volume of the patients in the study group after treatment was less than that of the control group， and the self-urination time was shorter than that of the control group， with statistical differences (P<0.05). Conclusion Appropriate nursing techniques of traditional Chinese medicine has significant clinical effect in patients with urinary retention after anorectal diseases surgery， can effectively improve urination of patients， and should be popularized in clinical practice.
[Key words] Traditional Chinese medicine nursing appropriate technology; Anorectal diseases; Postoperative urinary retention; Clinical effect; Nursing effect
由于大部分患者肛肠术后，极易出现尿潴留，且术后患者的免疫功能低下，增加患者的术后痛苦，不利于患者早日康复。中医将尿潴留归类为“癃闭”“淋浊”症，将神经调节障碍、膀胱周围血管病变、膀胱毒理堵塞因素定为引发尿潴留的关键因素[1]。癃闭是指患者膀胱出现功能性病变或肾功能减退，而出现膀胱尿液滞留过多、排尿困难等症状。穴位按摩、针灸、敷足脐疗、药贴、药浴等中医护理技术，能有效改善膀胱血管血液的循环情况，而起到通便利尿、止痛消炎、缓解潴留的作用[2-3]。本研究選取60例接受肛肠术的患者，对其中30例采取中医护理适宜技术，探讨其临床护理效果，现报道如下。
1资料与方法
1.1一般资料
回顾性分析2017年10月～2018年11月我院收治的60例肛肠疾病术后尿潴留患者，按照护理方法的差异分为对照组和研究组，每组各30例。对照组中，男17例，女13例;年龄30～55岁，平均(37.3±5.5)岁;根据疾病类型区分，肛周脓肿3例，血栓性外痔7例，肛瘘1例，单纯性内痔11例，混合痔8例。研究组中，男15例，女15例;年龄32～50岁，平均(40.3±7.5)岁;根据疾病类型区分，肛周脓肿1例，血栓性外痔9例，肛瘘2例，单纯性内痔13例，混合痔5例。两组的年龄、性别、疾病类型等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。本研究经我院医学伦理委员会批准。
纳入标准：①术后3～6 h，膀胱处于充盈状态，尿液不能自行排出，且膀胱尿量>500 ml;②患者术前肝肾功能正常;③肝、心、肺、肾等重要器官功能正常;④精神状态正常，能正常沟通;⑤泌尿系统正常。排除标准：①心肺、大脑和造血系统、糖尿病等严重的原发疾病;②妊娠期或哺乳期妇女;③对本研究产生异议;④严重精神性疾病;⑤近3个月内进行过重大手术;⑥对本研究使用药物有过敏史;⑦先天性重要器官疾病者。, 百拇医药(吴晖 李霞玉 林海英)
[关键词]中医护理适宜技术;肛肠疾病;术后尿潴留;临床效果;护理效果
[Abstract] Objective To explore the application effect of appropriate nursing techniques of traditional Chinese medicine in patients with urinary retention after anorectal diseases surgery. Methods Sixty patients with urinary retention after anorectal diseases surgery admitted to our hospital from October 2017 to November 2018 were retrospective analyzed. According to the difference of nursing methods， they were divided into control group and study group， 30 cases in each group. The control group took traditional nursing. The research group took appropriate nursing techniques of traditional Chinese medicine， and the nursing differences between the two groups were compared. Results The total effective rate of the study group was 96.6%， higher than 76.6% of the control group， with statistical difference (P<0.05). The residual urine volume of the patients in the study group after treatment was less than that of the control group， and the self-urination time was shorter than that of the control group， with statistical differences (P<0.05). Conclusion Appropriate nursing techniques of traditional Chinese medicine has significant clinical effect in patients with urinary retention after anorectal diseases surgery， can effectively improve urination of patients， and should be popularized in clinical practice.
[Key words] Traditional Chinese medicine nursing appropriate technology; Anorectal diseases; Postoperative urinary retention; Clinical effect; Nursing effect
由于大部分患者肛肠术后，极易出现尿潴留，且术后患者的免疫功能低下，增加患者的术后痛苦，不利于患者早日康复。中医将尿潴留归类为“癃闭”“淋浊”症，将神经调节障碍、膀胱周围血管病变、膀胱毒理堵塞因素定为引发尿潴留的关键因素[1]。癃闭是指患者膀胱出现功能性病变或肾功能减退，而出现膀胱尿液滞留过多、排尿困难等症状。穴位按摩、针灸、敷足脐疗、药贴、药浴等中医护理技术，能有效改善膀胱血管血液的循环情况，而起到通便利尿、止痛消炎、缓解潴留的作用[2-3]。本研究選取60例接受肛肠术的患者，对其中30例采取中医护理适宜技术，探讨其临床护理效果，现报道如下。
1资料与方法
1.1一般资料
回顾性分析2017年10月～2018年11月我院收治的60例肛肠疾病术后尿潴留患者，按照护理方法的差异分为对照组和研究组，每组各30例。对照组中，男17例，女13例;年龄30～55岁，平均(37.3±5.5)岁;根据疾病类型区分，肛周脓肿3例，血栓性外痔7例，肛瘘1例，单纯性内痔11例，混合痔8例。研究组中，男15例，女15例;年龄32～50岁，平均(40.3±7.5)岁;根据疾病类型区分，肛周脓肿1例，血栓性外痔9例，肛瘘2例，单纯性内痔13例，混合痔5例。两组的年龄、性别、疾病类型等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。本研究经我院医学伦理委员会批准。
纳入标准：①术后3～6 h，膀胱处于充盈状态，尿液不能自行排出，且膀胱尿量>500 ml;②患者术前肝肾功能正常;③肝、心、肺、肾等重要器官功能正常;④精神状态正常，能正常沟通;⑤泌尿系统正常。排除标准：①心肺、大脑和造血系统、糖尿病等严重的原发疾病;②妊娠期或哺乳期妇女;③对本研究产生异议;④严重精神性疾病;⑤近3个月内进行过重大手术;⑥对本研究使用药物有过敏史;⑦先天性重要器官疾病者。, 百拇医药(吴晖 李霞玉 林海英)
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