肛肠术后尿潴留原因分析及防治措施  

Analysis of causes of urinary retention after anorectal surgery and preventive measures

作　　者：于庆 YU Qing(Anorectal Ward,Shahekou District Central Hospital,Dalian 116003,China)

机构地区：[1]辽宁省大连市中心医院肛肠病房,116003

出　　处：《中国实用医药》2020年第34期162-164,共3页China Practical Medicine

摘　　要：对42例肛肠疾病手术患者术后出现尿潴留进行原因分析,并总结处理方法。原因为心理因素、麻醉因素、手术因素、疼痛因素及个人因素等。根据患者发生尿潴留的原因有针对性的予以预防及处理,手术前进行充分准备及心理护理,选择合适的手术方法及合理剂量的麻醉用药,手术操作动作轻柔,及时止痛可有效预防尿潴留发生,轻微尿潴留给予物理刺激,中药坐浴、针炙、理疗、肌内注射新斯的明等,可减少尿潴留的发生,利于患者康复。The causes of postoperative urinary retention in 42 patients with anorectal diseases were analyzed and the treatment methods were summarized. The reasons are psychological factors, anesthesia factors, surgical factors, pain factors and personal factors. According to the patient’s causes of urinary retention, targeted precautions and treatments, adequate preparation and psychological care before surgery, selection of appropriate surgical methods and reasonable doses of anesthetics, gentle operation and timely pain relief can effectively prevent urinary retention, physical stimulation for slight urinary retention, traditional Chinese medicine bathing, acupuncture, physiotherapy, and intramuscular injection of neostigmine can reduce the occurrence of urinary retention and help patients recover.

关 键 词：肛肠疾病 尿潴留 原因分析 防治措施 

分 类 号：R657.1[医药卫生—外科学]