中药热敷联合艾灸治疗骨科术后尿潴留的临床疗效观察  

Clinical observation of Chinese herbal hot compress combined with moxibustion in the treatment of uroschesis after orthopedic surgery

作　　者：姜巧婷 李银飞 

机构地区：[1]余姚市中医医院骨伤科,浙江省余姚315400 [2]余姚市中医医院护理部,浙江省余姚315400

出　　处：《中国基层医药》2017年第11期1631-1634,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 观察中药热敷联合艾灸治疗骨科术后尿潴留的临床疗效.方法 收治的腰椎及下肢骨折患者术后发生尿潴留患者56例,采用随机数字表法分为观察组与对照组.全部患者术前均行骨盆肌肉训练,术后配合心理疏导及理疗等常规方法诱导排尿.对照组予艾灸曲泉穴治疗,观察组在上述治疗基础之上加用中药热敷.治疗结束后,评价两组患者临床疗效,并对比术后首次排尿时间、平均显效时间、泌尿系统感染及尿管重置率.结果 观察组总有效率为92.86%,对照组总有效率为78.57%,观察组总有效率高于对照组（x2=46.86,P＜0.05）.观察组患者首次排尿时间为（32.13±4.42）min,对照组为（61.37±5.87）min,观察组首次排尿时间短于对照组（t=21.06,P＜0.05）;观察组平均显效时间为（57.34±2.63）min,对照组为（73.23±3.87）min,观察组平均显效时间短于对照组（t=13.07,P＜0.05）.观察组泌尿系统感染率为10.71%,观察组为17.86%,差异无统计学意义（P＞0.05）;观察组尿管重置率为7.14%,低于对照组的21.43%,差异有统计学意义（x2=2.33,P＜0.05）.结论 对腰椎及下肢手术术后发生尿潴留患者配合中药热敷联合艾灸疗法其临床疗效优于单纯采用艾灸治疗的患者,患者首次排尿时间、平均显效时间均缩短,且术后尿管重置率降低.疗效确切,简单易行.Objective To observe the clinical curative effect of traditional Chinese medicine hot compress combined with moxibustion in the treatment of urinary retention after orthopedic surgery.Methods 56 patients with postoperative uroschesis who underwent orthopedic surgerywere randomly divided into observation group and control group, and 28 cases in each group.All patients underwent pelvic muscle training, psychological counseling before surgery, and physical therapy with conventional methods such as induction of urination after surgery.The control group was treated with moxibustion Ququan acupoint, and the observation group was treated with Chinese herbal medicine hot compress on the basis of the above treatment.The patients in both two groups were treated for 28 days.At the end of the treatment, the clinical efficacy of the two groups was evaluated, also the time of first voiding after operation, the average effective time, urinary tract infection and urinary catheter replacement rate were compared.Results The total effective rate was 92.86% in the observation group and 78.57% in the control group.The effective rate in the observation group was higher than that in the control group （x2=46.86,P〈0.05）.The time of first voiding in the observation group was （32.13±4.42） mins and the control group was （61.37±5.87）mins.The time of first voiding in the observation group was shorter than that in the control group（t=21.06,P〈0.05）;The observation time was （57.34±2.63）mins,the control group was （73.23±3.87）mins,the average effective time of observation group was shorter than the control group （t=13.07,P〈0.05）.The rate of urinary tract infection in observation group was 10.71% and 17.86% in the observation group,the difference was not statistically significant （P〉0.05）.The urinary catheter replacement rate in the observation group was 7.14%,which was lower than 21.43% in the control group,the difference was statistical significance（x2=2.33,P〈0.05）.Conclusion The clinical curative

关 键 词：中草药 灸法 尿潴留 

分 类 号：R687[医药卫生—骨科学]