耳穴压豆联合中药封包减轻混合痔术后疼痛及预防尿潴留的效果  

Effect of Auricular Point Pressing Combined with Chinese Medicine Package on Postoperative Pain Relief and Prevention of Urinary Retention in Patients with Mixed Hemorrhoids

作　　者：彭辉艳 李晓妍 陈丽平 吴先哲 PENG Hui-yan;LI Xiao-yan;CHEN Li-ping;WU Xian-zhe(The fourth ward,The Third Affiliated Hospital of Shenzhen University,Shenzhen Guangdong 518000,China;Anorectal surgery,The Third Affiliated Hospital of Shenzhen University,Shenzhen Guangdong 518000,China)

机构地区：[1]深圳大学第三附属医院外四病区,广东深圳518000 [2]深圳大学第三附属医院肛肠外科,广东深圳518000

出　　处：《中华养生保健》2023年第12期88-91,共4页CHINESE HEALTH CARE

摘　　要：目的研究耳穴压豆与中药封包联合护理方式干预对于减轻患者混合痔术后疼痛及预防尿潴留的效果。方法选取2021年7月—2021年12月深圳大学附属第三医院收治的112例混合痔手术患者作为研究对象,按照随机数表法分为对照组(56例)与试验组(56例)。对照组予术后常规护理,试验组在此基础上予耳穴压豆联合中药封包进行护理。比较两组患者的术后首次排尿时间、膀胱残余尿量、预防尿潴留有效率、术前及术后疼痛状况。结果试验组术后首次自行排尿时间短于对照组,膀胱残余尿量少于对照组,差异有统计学意义(P<0.05)。试验组术后尿潴留发生率低于对照组,差异有统计学意义(P<0.05)。两组患者护理后VAS评分均低于同组护理前,差异有统计学意义(P<0.05)。试验组护理后VAS评分低于对照组,差异有统计学意义(P<0.05)。结论耳穴压豆联合中药封包可有效减轻混合痔术后患者疼痛,缩短术后首次排尿时间,降低术后尿潴留发生率,值得应用并深入研究。Objective To investigate the effect of auricular point pressing combined with Chinese medicine package on reducing postoperative pain and preventing urinary retention in patients with mixed hemorrhoids.Methods 112 patients with mixed hemorrhoids treated in the Third Hospital,Shenzhen University from Jul 2021 to Dec 2021 were selected as the research object.All patients were randomly separated to two groups by the name of control group(n=56)and treated group(n=56).The control group was given postoperative routine nursing.The treated group was given ear point pressing bean combined with traditional Chinese medicine package beyond postoperative routine nursing.The first voiding time,effective rate of preventing urinary retention,VAS score were recorded and compared between treated group and control group.Results The first self voiding time and remaining urine of bladder in the treated group was shorter and less than that in the control group(P<0.05).The incidence of postoperative urinary retention in the treated group was lower than that in the control group(P<0.05).All the two groups got lower VAS scores after nursing than themselves before nursing(P<0.05).The treated group got lower VAS score than the control group after nursing(P<0.05).Conclusion Ear point beans combined with Chinese medicine package can effectively reduce postoperative pain after mixed hemorrhoids,shorten the first time of urination after operation,prevent the occurrence of urinary retention after mixed hemorrhoids.

关 键 词：耳穴压豆 中药封包 尿潴留 混合痔 

分 类 号：R473.6[医药卫生—护理学]