静脉输液对肛门病术后尿潴留的影响
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摘要
为观察静脉输液对于肛门病术后尿潴留的影响,选取我院住院肛门疾病患者287例,随机分成治疗组(144例)和对照组(143例)。治疗组术中及术后静滴极化液,控制补液量在500～800 mL,液体滴速控制在40滴/min左右;对照组术中及术后静滴极化液,液体输入量2 000～3 000 mL,滴速在60滴/min左右。2组均采取常规镇痛、下腹部热敷等干预措施。结果显示,治疗组144例,显效48例,有效87例,无效9例,总有效率93.75%;对照组143例,显效36例,有效72例,无效35例,总有效率75.52%,2组患者总有效率比较有显著性差异(P <0.05)。结果表明,术中及术后控制输液量及速度,可以明显减少术后尿潴留的发生,获得较好临床效果。
This study was to investigate the influence of phleboclysis on postoperative uroschesis of coloproctological disease patients, randomly divided 287 cases admitted in author's hospital into treatment group(144 cases) and control group(143 cases),which the former intra-and post-operatively got polarization-solution by phleboclysis[volume: 500-800 mL,dropping velocity:40(drop)/min about], at the same time,in the latter,2000-3000 mL,60(drop)/min about;both groups all received routine analgesia and inferior belly fomentation. As results, in the former among 144 cases 48 were of excellent response, 87 of response,9 of non-response,thus total effective rate was up to 93.75%, meanwhile in the latter among 143 cases,36,72,35,thus 75.52%,the difference was significant( P <0.05).Results show that controlling volume and dropping velocity of phleboclysis can significantly reduce uroschesis occurence,thus obtain better clinical efficacy.
This study was to investigate the influence of phleboclysis on postoperative uroschesis of coloproctological disease patients, randomly divided 287 cases admitted in author's hospital into treatment group(144 cases) and control group(143 cases),which the former intra-and post-operatively got polarization-solution by phleboclysis[volume: 500-800 mL,dropping velocity:40(drop)/min about], at the same time,in the latter,2000-3000 mL,60(drop)/min about;both groups all received routine analgesia and inferior belly fomentation. As results, in the former among 144 cases 48 were of excellent response, 87 of response,9 of non-response,thus total effective rate was up to 93.75%, meanwhile in the latter among 143 cases,36,72,35,thus 75.52%,the difference was significant( P <0.05).Results show that controlling volume and dropping velocity of phleboclysis can significantly reduce uroschesis occurence,thus obtain better clinical efficacy.
引文
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[7]王玲,谢俊,王红,等.不同时段烫熨疗法预防肛肠术后尿潴留的护理观察[J].云南中医中药杂志,2016,37(9):103-105.
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[9]陈泰宇,孔鹏飞,陈虹羽,等.八正散加减预防腰腧穴麻醉肛肠术后尿潴留的临床观察[J].世界华人消化杂志,2017,25(6):526-530.
[10]刘玥,鞠玉林,刘斌.针刺治疗肛肠疾病术后尿潴留85例[J].中国肛肠病杂志,2015,35(8):27.
[2]付欢欢,余苏萍.肛肠术后尿潴留的中西医治疗进展[J].现代中西医结合杂志,2016,25(17):1927-1929.
[3]用文明,徐根贤.手术并发症学[M].北京:中国中医药出版社,1999:142.
[4]国家中医药管理局.ZY/T001.7-94中医肛肠科病证诊断疗效标准[S].南京:南京大学出版社,1995:82.
[5]崔玉,麻晶,韩晶,等.耳穴埋豆贴压疗法防治肛肠科手术后尿潴留的临床研究[J].中国医学工程,2016,24(12):29-31.
[6]张景在.综合方法防治肛肠病术后尿潴留[J].实用中西医结合临床,2013,13(1):34-36.
[7]王玲,谢俊,王红,等.不同时段烫熨疗法预防肛肠术后尿潴留的护理观察[J].云南中医中药杂志,2016,37(9):103-105.
[8]张长凯,杨秀丽,董璐,等.中医治未病思想在预防痔病中的运用[J].中国肛肠病杂志,2014,34(7):65-67.
[9]陈泰宇,孔鹏飞,陈虹羽,等.八正散加减预防腰腧穴麻醉肛肠术后尿潴留的临床观察[J].世界华人消化杂志,2017,25(6):526-530.
[10]刘玥,鞠玉林,刘斌.针刺治疗肛肠疾病术后尿潴留85例[J].中国肛肠病杂志,2015,35(8):27.