中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
10期
1183-1185
,共3页
中医肛肠科学%尿潴留%综合预防%舒尿通煎剂
中醫肛腸科學%尿潴留%綜閤預防%舒尿通煎劑
중의항장과학%뇨저류%종합예방%서뇨통전제
Colo-proctology ( TCM)%Urinary retention%Universal precautions%Shuniaotong decoction
目的:观察舒尿通煎剂对肛肠疾病术后尿潴留的预防效果。方法选取我院2012年8月-2013年8月住院肛肠疾病患者88例,根据入院先后顺序分为舒尿通煎剂治疗组30例,辅助治疗组29例,哈乐口服治疗组29例。舒尿通煎剂治疗组术前夜及术后2 h顿服舒尿通煎剂250 ml,辅助治疗组采取心理安慰、鼓励排尿、听流水声刺激排尿、下腹部冷热敷、恢复平素排尿体位、适当松解肛周敷料等干预措施,哈乐口服治疗组术前夜及术后2h顿服盐酸坦索罗辛缓释胶囊0.2 mg。观察3组患者临床疗效及疼痛视觉模拟评分( VAS评分)。结果舒尿通煎剂治疗组临床疗效优于辅助治疗组和哈乐口服治疗组( u=2.446, P=0.014; u=2.128, P=0.033),而辅助治疗组和哈乐口服治疗组临床疗效间差异无统计学意义( u=0.351, P=0.725)。舒尿通煎剂治疗组4、6 h VAS评分低于辅助治疗组和哈乐口服治疗组(P<0.05),而辅助治疗组和哈乐口服治疗组4、6 h VAS评分间差异无统计学意义(P>0.05)。结论舒尿通煎剂具有散瘀、通经、止痛、利尿功效,对肛肠疾病术后尿潴留有较好的预防效果,有助于减轻患者痛苦,提高患者生活质量,有临床推广价值。
目的:觀察舒尿通煎劑對肛腸疾病術後尿潴留的預防效果。方法選取我院2012年8月-2013年8月住院肛腸疾病患者88例,根據入院先後順序分為舒尿通煎劑治療組30例,輔助治療組29例,哈樂口服治療組29例。舒尿通煎劑治療組術前夜及術後2 h頓服舒尿通煎劑250 ml,輔助治療組採取心理安慰、鼓勵排尿、聽流水聲刺激排尿、下腹部冷熱敷、恢複平素排尿體位、適噹鬆解肛週敷料等榦預措施,哈樂口服治療組術前夜及術後2h頓服鹽痠坦索囉辛緩釋膠囊0.2 mg。觀察3組患者臨床療效及疼痛視覺模擬評分( VAS評分)。結果舒尿通煎劑治療組臨床療效優于輔助治療組和哈樂口服治療組( u=2.446, P=0.014; u=2.128, P=0.033),而輔助治療組和哈樂口服治療組臨床療效間差異無統計學意義( u=0.351, P=0.725)。舒尿通煎劑治療組4、6 h VAS評分低于輔助治療組和哈樂口服治療組(P<0.05),而輔助治療組和哈樂口服治療組4、6 h VAS評分間差異無統計學意義(P>0.05)。結論舒尿通煎劑具有散瘀、通經、止痛、利尿功效,對肛腸疾病術後尿潴留有較好的預防效果,有助于減輕患者痛苦,提高患者生活質量,有臨床推廣價值。
목적:관찰서뇨통전제대항장질병술후뇨저류적예방효과。방법선취아원2012년8월-2013년8월주원항장질병환자88례,근거입원선후순서분위서뇨통전제치료조30례,보조치료조29례,합악구복치료조29례。서뇨통전제치료조술전야급술후2 h돈복서뇨통전제250 ml,보조치료조채취심리안위、고려배뇨、은류수성자격배뇨、하복부랭열부、회복평소배뇨체위、괄당송해항주부료등간예조시,합악구복치료조술전야급술후2h돈복염산탄색라신완석효낭0.2 mg。관찰3조환자림상료효급동통시각모의평분( VAS평분)。결과서뇨통전제치료조림상료효우우보조치료조화합악구복치료조( u=2.446, P=0.014; u=2.128, P=0.033),이보조치료조화합악구복치료조림상료효간차이무통계학의의( u=0.351, P=0.725)。서뇨통전제치료조4、6 h VAS평분저우보조치료조화합악구복치료조(P<0.05),이보조치료조화합악구복치료조4、6 h VAS평분간차이무통계학의의(P>0.05)。결론서뇨통전제구유산어、통경、지통、이뇨공효,대항장질병술후뇨저류유교호적예방효과,유조우감경환자통고,제고환자생활질량,유림상추엄개치。
Objective To observe the efficacy of Shuniaotong Decoction on urinary retention after anorectal opera-tion.Methods Eighty-eight patients with anorectal disease hospitalized in this hospital from August 2012 to August 2013 were divided, according admission order, into groups A (given Shuniaotong Decoction, 250 ml, the night before operation and 2 h after, n=30), B (given adjunctive therapy such as psychological comfort , encouraging urination, stimulating urination by lis-tening to the sound of flowing water , lower abdominal cold compress , recovery usual voiding posture , proper releasing perianal dressings, n=29), C (given oral tamsulosing hydrochloride release capsule 0.2 mg, n=29) .Clinical effect and pain visual analogue scale ( VAS) score were observed.Results The clinical effects of group A were superior to those of groups B , C ( u=2.446 , P=0.014; u =2.128 , P =0.033 ) , there was no significant difference between groups B , C ( u =0.351 , P =0.725 ) .The 4 h, 6 h VAS scores were lower in group A than in groups B , C ( P<0.05 ) , there was no significant difference between groups B, C (P>0.05) .Conclusion Shuniaotong Decoction, effective on eliminating stasis to activate blood circu-lation, stimulating menstrual flow, relieving pains, diuresis, has good preventive effect on urinary retention after anorectal oper-ation, which helps to alleviate patients′pains, improve quality of life and worthy of clinical generalization.