耳穴埋豆联合艾灸护理预防痔疮术后尿潴留临床研究  

Clinical Study on Auricular Point Sticking with Beans Combined with Moxibustion Nursing Preventing Urinary Retention After Hemorrhoid Surgery

作　　者：卓悦[1] 郑海霞[1] ZHUO Yue;ZHENG Haixia

机构地区：[1]丽水市中医院肛肠外科,浙江丽水323000

出　　处：《新中医》2020年第17期127-129,共3页New Chinese Medicine

摘　　要：目的:观察耳穴埋豆联合艾灸护理预防痔疮术后尿潴留的临床效果。方法:选取痔疮术后患者102例,按随机数字表法分对照组和观察组各51例。对照组给予痔疮术后常规护理,观察组在对照组基础上给予耳穴埋豆联合艾灸护理。比较2组患者首次排尿时间、尿潴留发生率、泌尿系统感染发生率、视觉模拟评分(VAS)、创面愈合时间。结果:观察组首次排尿时间和创面愈合时间均低于对照组,差异均有统计学意义(P<0.05)。观察组尿潴留发生率、泌尿系统感染发生率均低于对照组,差异均有统计学意义(P<0.05)。治疗前,2组VAS评分比较,差异无统计学意义(P>0.05)。治疗后,2组VAS评分较治疗前降低,且观察组VAS评分低于对照组,差异均有统计学意义(P<0.05)。结论:耳穴埋豆联合艾灸护理可有效降低痔疮术后患者尿潴留发生率,减轻疼痛,促进创面愈合。Objective:To observe the clinical effect of auricular point sticking with beans combined with moxibustion nursing preventing urinary retention after hemorrhoid surgery. Methods: A total of 102 cases of patients after hemorrhoid surgery were selected and divided into the control group and the observation group according to the random number table method, 51 cases in each group. After hemorrhoid surgery, the control group was given routine nursing, and the observation group was additionally given auricular point sticking with beans combined with moxibustion nursing based on the treatment of the control group. The first urination time, the incidences of urinary retention and urinary system infection,Visual Analogue Scale(VAS) scores,and wound healing time in the two groups were compared. Results:The first urination time and wound healing time in the observation group were shorter than those in the control group, differences being significant(P<0.05). The incidences of urinary retention and urinary system infection in the observation group were lower than those in the control group, differences being significant(P<0.05). Before treatment, there was no significant difference being found in the comparison of VAS scores between the two groups(P>0.05). After treatment, VAS scores in the two groups were decreased when compared with those before treatment,and the score in the observation group was lower than that in the control group, differences being significant(P<0.05). Conclusion: The therapy of auricular point sticking with beans combined with moxibustion nursing can effectively reduce the incidence of urinary retention in patients after hemorrhoid surgery,relieve their pain and promote wound healing.

关 键 词：痔疮术后 尿潴留 耳穴埋豆 艾灸护理 尿潴留发生率 泌尿系统感染 视觉模拟评分 

分 类 号：R248.2[医药卫生—中医临床基础]