国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
15期
2145-2147
,共3页
椎管内麻醉术%膀胱功能障碍%开关散穴位烫疗
椎管內痳醉術%膀胱功能障礙%開關散穴位燙療
추관내마취술%방광공능장애%개관산혈위탕료
Intraspinal anesthesia%Bladder dysfunction%Acupuncture point-hot treatment with Kaiguan powder
目的 探讨椎管内麻醉术后膀胱功能障碍的有效护理方法.方法 将60例符合纳入标准的膀胱功能障碍患者按随机分配原则分为实验组和对照组,每组30人.实验组采用开关散穴位烫疗法:用中药散烫疗中极、关元、曲骨、阴陵泉、三阴交、足三里穴位,连续治疗至膀胱功能恢复.对照组常规留置导尿管,进行导尿管护理,每24 h测试1次患者初尿意、膀胱内压、残余尿量,如达到正常值水平,则膀胱功能恢复,拔除导尿管.比较两组导尿管留置时间、泌尿系统感染率、尿急尿痛改善情况以及患者主观满意度.结果 实验组导尿管留置时间明显少于对照组[( 2.70±0.49)dvs.(4.30±0.74)d,t=4.233,P＜0.001]；实验组泌尿系统感染发生率明显低于对照组(3例vs.7例,Fisher确切概率法,P=0.033)；实验组尿急尿痛改善情况以及患者主观满意度与对照组比较,差异均有统计学意义(P均＜0.05).结论 中药穴位烫疗疗法可加快椎管内麻醉术后膀胱功能的恢复,促进患者术后康复.
目的 探討椎管內痳醉術後膀胱功能障礙的有效護理方法.方法 將60例符閤納入標準的膀胱功能障礙患者按隨機分配原則分為實驗組和對照組,每組30人.實驗組採用開關散穴位燙療法:用中藥散燙療中極、關元、麯骨、陰陵泉、三陰交、足三裏穴位,連續治療至膀胱功能恢複.對照組常規留置導尿管,進行導尿管護理,每24 h測試1次患者初尿意、膀胱內壓、殘餘尿量,如達到正常值水平,則膀胱功能恢複,拔除導尿管.比較兩組導尿管留置時間、泌尿繫統感染率、尿急尿痛改善情況以及患者主觀滿意度.結果 實驗組導尿管留置時間明顯少于對照組[( 2.70±0.49)dvs.(4.30±0.74)d,t=4.233,P＜0.001]；實驗組泌尿繫統感染髮生率明顯低于對照組(3例vs.7例,Fisher確切概率法,P=0.033)；實驗組尿急尿痛改善情況以及患者主觀滿意度與對照組比較,差異均有統計學意義(P均＜0.05).結論 中藥穴位燙療療法可加快椎管內痳醉術後膀胱功能的恢複,促進患者術後康複.
목적 탐토추관내마취술후방광공능장애적유효호리방법.방법 장60례부합납입표준적방광공능장애환자안수궤분배원칙분위실험조화대조조,매조30인.실험조채용개관산혈위탕요법:용중약산탕료중겁、관원、곡골、음릉천、삼음교、족삼리혈위,련속치료지방광공능회복.대조조상규류치도뇨관,진행도뇨관호리,매24 h측시1차환자초뇨의、방광내압、잔여뇨량,여체도정상치수평,칙방광공능회복,발제도뇨관.비교량조도뇨관류치시간、비뇨계통감염솔、뇨급뇨통개선정황이급환자주관만의도.결과 실험조도뇨관류치시간명현소우대조조[( 2.70±0.49)dvs.(4.30±0.74)d,t=4.233,P＜0.001]；실험조비뇨계통감염발생솔명현저우대조조(3례vs.7례,Fisher학절개솔법,P=0.033)；실험조뇨급뇨통개선정황이급환자주관만의도여대조조비교,차이균유통계학의의(P균＜0.05).결론 중약혈위탕료요법가가쾌추관내마취술후방광공능적회복,촉진환자술후강복.
Objective To investigate an effective nursing method for bladder dysfunction induced by intraspinal anesthesia.Methods 60 patients with bladder dysfunction who met the selection criteria were randomly divided into study group and control group,30 for each group.The study group received acupuncture point-hot treatment with Kaiguan powder to heat Zhongji,Guanyuan,Qugu,Yinlingquan,Sanyinjiao,and Zusanli until restoration of bladder function.The control group received routine indwelling catheter and care for the catheter.The initial urine intention,bladder pressure,and residual urine volume were tested every 24 hours.Normal levels of bladder pressure and residual urine volume revealed restoration of bladder function,and the urinary catheter could be removed.Duration of catheter placement,rate of urinary tract infection,improvement in urgent micturition and urodynia,and patient satisfaction were compared between the two groups.Results Duration of catheter placement was shorter in the study group than in the control group ( t =4.233,P ＜ 0.001 ); the rate of urinary tract infection was significantly lower in the study group than in the control group ( Fisher exact probability,P=0.033 ) ; improvement in urgent micturition and urodynia and patient satisfaction differed statistically ( P ＜ 0.05 ).Conclusions Acupuncture point-hot treatment with Chinese medicine can accelerate restoration of of bladder function induced by intraspinal anesthesia,promoting postoperative rehabilitation in patients.
