中医适宜技术对腹腔镜手术患者术后尿潴留的影响  

Effects of Appropriate Techniques of Traditional Chinese Medicine on Postoperative Urinary Retention in Patients Undergoing Laparoscopic Surgery

作　　者：岑肖丽 关永格 李娟 CEN Xiaoli;GUAN Yongge;LI Juan(The Third Affiliated Hospital,Guangzhou University of Chinese Medicine,Guangzhou 510000,China)

机构地区：[1]广州中医药大学第三附属医院,广东广州510000

出　　处：《基层中医药》2024年第1期22-25,共4页Basic Traditional Chinese Medicine

基　　金：广州中医药大学第三附属医院“瞪羚计划”。

摘　　要：目的观察中医适宜技术对腹腔镜手术患者术后尿潴留的影响。方法选自2022年1月—2022年12月本院收治的年龄21~40岁的50例腹腔镜手术患者,按随机数字表法平均分为2个组别,每组各25例,对照组采取常规干预,观察组在常规治疗基础上采取中医适宜技术(穴位埋针+艾灸+穴位注射)干预。观察比较两组尿潴留发生率、膀胱顺应性、生活质量评分(SF-36评分)、康复评分(FIM评分)。结果经过干预后,观察组的尿潴留发生率显著低于对照组(P<0.01);经过干预后,观察组的膀胱顺应性、SF-36评分、FIM评分优于对照组(P<0.01)。结论中医适宜技术对腹腔镜手术患者术后实施干预,能降低腹腔镜手术患者术后尿潴留的发生,改善膀胱顺应性,具有重要临床应用价值。Objective To observe the effects of appropriate techniques of traditional Chinese medicine(TCM)on postoperative urinary retention in the patients undergoing laparoscopic surgery.Methods Fifty patients aged 21 to 40 years who underwent laparoscopic surgery in the Third Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2022 to December 2022 were randomized into control and observation groups,with 25 patients in each group.The control group received routine intervention,while the observation group received TCM appropriate techniques(acupoint needle-embedding+moxibustion+acupoint injection)on the basis of routine treatment.The incidence of urinary retention,bladder compliance,quality of life score(36-Item Short Form Survey,SF-36),and Functional Independence Measure(FIM)score were compared between the two groups.Results After intervention,the incidence of urinary retention in the observation group was lower than that in the control group(P<0.01).In addition,the observation group outperformed the control group in terms of bladder compliance,SF-36 score,and FIM score(P<0.01).Conclusion The application of TCM appropriate techniques of in patients undergoing laparoscopic surgery can reduce the incidence of postoperative urinary retention and improve bladder compliance,demonstrating great clinical significance.

关 键 词：中医适宜技术 腹腔镜手术 尿潴留 膀胱顺应性 生活质量 

分 类 号：R47[医药卫生—护理学]