摘要
目的:探讨不同时间应用艾灸疗法预防肛瘘术后尿潴留的效果。方法:选取2021年3-12月福建中医药大学附属人民医院肛肠科收治的90例肛瘘术后患者,用随机分组的方法将其分为对照组30例、干预Ⅰ组30例、干预Ⅱ组30例。对照组患者给予肛肠科术后常规护理,干预Ⅰ组返回病房10 min时在常规护理的基础上予艾灸干预;干预Ⅱ组返回病房后予以常规护理,并在返回病房3 h时予以艾灸干预。比较三组疗效、术后首次排尿时间、首次排尿量、平均排尿时间、尿潴留发生率、导尿率。结果:干预Ⅰ组、干预Ⅱ组的总有效率均高于对照组,且干预Ⅰ组高于干预Ⅱ组,差异均有统计学意义(P<0.05)。干预Ⅰ组、干预Ⅱ组的首次排尿时间、平均排尿时间均少于对照组,首次排尿量均多于对照组,且干预Ⅰ组的首次排尿时间、平均排尿时间均短于干预Ⅱ组,首次排尿量多于干预Ⅱ组,差异均有统计学意义(P<0.05)。干预Ⅰ组、干预Ⅱ组尿潴留发生率和导尿率均低于对照组,干预Ⅰ组均低于干预Ⅱ组,差异均有统计学意义(P<0.05)。结论:肛瘘切除术后予以艾灸疗法能显著缓解肛瘘切术术后排尿困难,有效促进患者排尿,预防尿潴留的发生,降低导尿率,且术后越早予以艾灸疗法预防肛瘘术后尿潴留效果越好。
Objective:To investigate the effect of moxibustion therapy on prevention of urinary retention after anal fistula operation at different time.Method:A total of 90 patients after anal fistula operation treated in the Proctology Department of the Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine from March to December,2021 were selected,they were divided into the control group 30 patients,the intervention groupⅠ30 patients and the intervention groupⅡ30 patients according to random grouping method.The patients in the control group were given conventional care after the operation in the Proctology Department,and the patients in the intervention groupⅠwere given the moxibustion therapy at 10 min after returned to the ward on the basis of conventional care;the patients in the intervention groupⅡwere given moxibustion therapy at 3 h after returned to the ward on the basis of conventional care.Efficacy,first urination time,first urination volume,average urination time,incidence of urinary retention and catheterization rate were compared among the three groups.Result:The total effective rates of the intervention groupⅠand intervention groupⅡwere higher than that of the control group,and that of the intervention groupⅠwas higher than that of the intervention groupⅡ,the differences were statistically significant(P<0.05).The first urination time and average urination time of the intervention groupⅠand intervention groupⅡwere shorter than those of the control group,and the first urination volume of the intervention groupⅠand intervention groupⅡwere more than that of the control group,and the first urination time and average urination time of the intervention groupⅠwere shorter than those of the intervention groupⅡ,and the first urination volume of the intervention groupⅡwas higher,the differences were statistically significant(P<0.05).The incidence of urinary retention and catheterization rate of the intervention groupⅠand intervention groupⅡwere lower than those of the control group,and those of the intervention groupⅠwere lower than those of the intervention groupⅡ,the differences were statistically significant(P<0.05).Conclusion:The moxibustion therapy after anal fistula operation can obviously release the dysuresia,and it can also promote the patient urination effectively,prevent uroschesis and reduce urethal catheterization rate,and the earlier the moxibustion therapy is performed,the better the effect of preventing uroschesis after anal fistulectomy will be.
作者
曹玉银
李彩兰
CAO Yuyin;LI Cailan(The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou 350004,China;不详)
出处
《中国医学创新》
CAS
2023年第4期128-132,共5页
Medical Innovation of China
基金
福建省教育厅中青年教师教育科研项目(JAT190251)。
关键词
肛瘘
尿潴留
艾灸疗法
Anal fistula
Urine retention
Moxibustion therapy
