中药热奄包联合葱白穴位贴敷在妇科手术后尿潴留中的应用效果  

Application effect of traditional Chinese medicine"Reyan Bao"combined with acupoint application of scallion white on urinary retention after gynecological surgery

作　　者：张文婷 王凌峰 韩鹂姗 ZHANG Wenting;WANG Lingfeng;HAN Lishan(The Third Department of Gynecology,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang 330108,China)

机构地区：[1]江西省妇幼保健院妇三科,江西南昌330108

出　　处：《中国当代医药》2025年第8期172-176,共5页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2023B0630)。

摘　　要：目的探讨中药热奄包联合葱白穴位贴敷对妇科手术患者术后尿潴留发生率的应用效果。方法选取2023年5月至2024年5月在江西省妇幼保健院接受妇科手术治疗且术后留置导尿管的60例患者作为研究对象,采用随机数字表法分为对照组和观察组,各30例。对照组采用常规护理,观察组加用中药热奄包联合葱白穴位贴敷干预,两组均连续干预2 d。比较两组排尿情况、胃肠功能恢复情况、术后疼痛程度、排尿顺畅度、尿流动力学、并发症及护理满意度。结果观察组首次排尿量多于对照组,首次排尿时间、首次排尿所用时间、胃肠功能恢复时间短于对照组,差异有统计学意义(P<0.05)。两组患者术后疼痛程度时间、组间、交互作用比较,差异有统计学意义(P<0.05)。两组术后12、24、48 h视觉模拟评分法(VAS)评分低于术后6 h,差异有统计学意义(P<0.05);观察组术后6、12、24、48 h VAS评分低于对照组,差异有统计学意义(P<0.05)。两组患者排尿顺畅度评分时间、组间、交互作用比较,差异有统计学意义(P<0.05)。两组术后6、12、24 h排尿顺畅度评分低于术后4 h,差异有统计学意义(P<0.05);观察组术后4、6、12、24 h排尿顺畅度评分低于对照组,差异有统计学意义(P<0.05)。观察组术后48 h最大尿流率、逼尿肌压力高于对照组,残余尿量、膀胱顺应性低于对照组,差异有统计学意义(P<0.05);观察组尿路感染发生率、尿潴留发生率低于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05)。结论中药热奄包联合葱白穴位贴敷可降低妇科手术患者术后尿潴留和尿路感染发生率,减轻术后疼痛,促进胃肠功能恢复,改善尿动力学,促进排尿,提高患者护理满意度,值得临床推广应用。Objective To explore the application effect of traditional Chinese medicine"Reyan Bao"combined with acupoint application of scallion white on the incidence of urinary retention after gynecological surgery.Methods A total of 60 patients who underwent gynecological surgery and postoperative indwelling catheterization at Jiangxi Maternal and Child Health Hospital from May 2023 to May 2024 were selected as the research objects,and they were divided into the control group and the observation group by random number table method,with 30 patients in each group.The control group received routine nursing care,while the observation group received intervention with traditional Chinese medicine"Reyan Bao"combined with acupoint application of scallion white.Both groups received continuous intervention for 2 days.The urinary status,gastrointestinal function recovery,postoperative pain level,urinary smoothness,urodynamics,complications,and nursing satisfaction were compared between two groups.Results The first urination volume of the observation group was higher than that of the control group,and the first urination time,the first urination time and the gastrointestinal function recovery time were shorter than those of the control group,with statistical significances(P<0.05).There were significant differences in postoperative pain degree,time,intergroup and interaction between the two groups(P<0.05).Visual analogue scale(VAS)scores at 12,24 and 48 h after surgery were lower than those at 6 h after surgery,and the differences were statistically significant(P<0.05).The VAS scores of the observation group at 6,12,24 and 48 h after operation were lower than those of the control group, and the differences were statistically significant (P<0.05). There were statistically significant differences in the scoring time, inter-group and interaction between the two groups (P<0.05). The scores of urinary smoothness at 6, 12 and 24 h after surgery were lower than those at 4 h after surgery, and the differences were statistically significant (P

关 键 词：妇科手术 中药热奄包 葱白穴位贴敷 排尿情况 术后疼痛 尿潴留 

分 类 号：R473[医药卫生—护理学]