调气化瘀利水方联合艾灸治疗肛肠术后尿潴留的临床观察
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摘要
目的观察调气化瘀利水方联合艾灸治疗肛肠术后尿潴留的临床疗效。方法将120例肛肠术后尿潴留患者随机分为对照组与治疗组,每组各60例,对照组给予臀部肌内注射新斯的明治疗,治疗组给予调气化瘀利水方联合艾灸治疗,观察两组首次排尿时间、平均显效时间及临床疗效。结果两组治疗后排尿情况和小腹胀满较治疗前均有改善(P<0.05),治疗组改善程度优于对照组(P<0.05);治疗组首次排尿时间、平均显效时间、首次排尿后膀胱残余尿量、治疗后2 h内排尿总量及临床总有效率均优于对照组(P<0.05)。结论调气化瘀利水方联合艾灸治疗肛肠术后尿潴留的疗效明显优于肌内注射新斯的明,同时具有显效快,提前首次排尿时间以及膀胱残余尿较少的优势,值得临床推广。
Objective To observe the clinical efficacy of Tiaoqi Huayu Lishui prescription combined with moxibustion on urinary retention after anorectal surgery. Methods The 120 cases of anorectal postoperative urinary retention patients were randomly divided into control group and treatment group, 60 cases in each group. The control group received intramuscular injection neostigmine, while the treatment group was received Tiaoqi Huayu Lishui prescription combined with moxibustion.The urination time for the first time, the average effective time and clinical efficacy were recorded. Results After treatment,urination and abdominal distension were improved after treatment(P<0.05), the degree of improvement in treatment group was better than the control group(P<0.05). The urination time for the first time, the average effective time, the amount of residual urine after first urination, 2 hours total urination amount after treatment, total clinical effective rate in treatment group were better than that in the control group(P<0.05). Conclusion Tiaoqi Huayu Lishui prescription combined with moxibustion treatment was superior to intramuscular neostigmine, it is worthy of promotion.
Objective To observe the clinical efficacy of Tiaoqi Huayu Lishui prescription combined with moxibustion on urinary retention after anorectal surgery. Methods The 120 cases of anorectal postoperative urinary retention patients were randomly divided into control group and treatment group, 60 cases in each group. The control group received intramuscular injection neostigmine, while the treatment group was received Tiaoqi Huayu Lishui prescription combined with moxibustion.The urination time for the first time, the average effective time and clinical efficacy were recorded. Results After treatment,urination and abdominal distension were improved after treatment(P<0.05), the degree of improvement in treatment group was better than the control group(P<0.05). The urination time for the first time, the average effective time, the amount of residual urine after first urination, 2 hours total urination amount after treatment, total clinical effective rate in treatment group were better than that in the control group(P<0.05). Conclusion Tiaoqi Huayu Lishui prescription combined with moxibustion treatment was superior to intramuscular neostigmine, it is worthy of promotion.
引文
[1]张振勇.从解剖学联系论肛肠术后尿潴留发病机制及其防治[J].中华现代中西医杂志,2004,2(1):63.
[2]黄文红,黄双英.关元穴穴位按摩联合中药贴敷预防肛肠科术后尿潴留疗效观察[J].中国中医急症,2014,23(3):491-492.
[3]晏江会,田振国.肛肠术后尿潴留防治[J].辽宁中医药大学学报,2011,13(5):144.
[4]用文明,徐根贤.手术并发症学[M].北京:中国中医药出版社,1991:102.
[5]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:27-28.
[6]李娜.电针结合药物热敷治疗肛肠疾病术后尿潴留的临床疗效观察[D].广州:广州中医药大学,2014.
[7]黄妤.艾条灸法治疗术后尿潴留的疗效观察[J].浙江中医杂志,2010,45(1):63-64.
[8]郭其乐,吴晓燕,唐亚荣,等.补中益气汤合五苓散加减治疗肛肠病术后不完全性尿潴留临床研究[J].中医学报,2014,29(1):108-109.
[9]庞国军,张挺,汤佩飞.三阴交穴位注射治疗术后尿潴留疗效观察[J].中国针灸,2003,23(12):717-718.
[10]蒋晓辉.肛肠病术后尿潴留72例原因分析及处理[J].中医药临床杂志,2013,25(6):522.
[11]周仲英.中医内科学[M].北京:中国中医药出版社,2007:349-357.
[12]邵海洋,王焕根.益气行水汤联合常规疗法治疗肛肠术后尿潴留临床研究[J].新中医,2015,47(5):140-141.
[13]戈宝红,吴鸿,李东芳.黎月恒教授针药并用治疗宫颈癌术后顽固性尿潴留经验[J].湖南中医药大学学报,2016,36(5):49-51.
[14]巫国胜,陈晓静,谢丽蓉.五苓散合五皮饮加减方治疗肛肠病术后尿潴留疗效观察[J].光明中医,2014,29(3):510-511.
[15]徐宝林,张文娟,孙静芸.桑白皮提取物平喘、利尿作用的研究[J].中成药,2005,9(25):758-760.
[16]孟雪燕.艾灸治疗肛肠术后尿潴留的临床护理疗效观察[J].中国实用医药,2015,10(22):227-228.
[17]刘国军.穴位敷贴联合耳穴压豆治疗肛肠病术后尿潴留临床研究[J].中医学报,2015,30(9):1377-1378.
[18]黄双英.艾灸盒温灸中极关元石门气海穴治疗骨科术后尿潴留的效果观察[J].护理学报,2012,19(16):68-69.
[2]黄文红,黄双英.关元穴穴位按摩联合中药贴敷预防肛肠科术后尿潴留疗效观察[J].中国中医急症,2014,23(3):491-492.
[3]晏江会,田振国.肛肠术后尿潴留防治[J].辽宁中医药大学学报,2011,13(5):144.
[4]用文明,徐根贤.手术并发症学[M].北京:中国中医药出版社,1991:102.
[5]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:27-28.
[6]李娜.电针结合药物热敷治疗肛肠疾病术后尿潴留的临床疗效观察[D].广州:广州中医药大学,2014.
[7]黄妤.艾条灸法治疗术后尿潴留的疗效观察[J].浙江中医杂志,2010,45(1):63-64.
[8]郭其乐,吴晓燕,唐亚荣,等.补中益气汤合五苓散加减治疗肛肠病术后不完全性尿潴留临床研究[J].中医学报,2014,29(1):108-109.
[9]庞国军,张挺,汤佩飞.三阴交穴位注射治疗术后尿潴留疗效观察[J].中国针灸,2003,23(12):717-718.
[10]蒋晓辉.肛肠病术后尿潴留72例原因分析及处理[J].中医药临床杂志,2013,25(6):522.
[11]周仲英.中医内科学[M].北京:中国中医药出版社,2007:349-357.
[12]邵海洋,王焕根.益气行水汤联合常规疗法治疗肛肠术后尿潴留临床研究[J].新中医,2015,47(5):140-141.
[13]戈宝红,吴鸿,李东芳.黎月恒教授针药并用治疗宫颈癌术后顽固性尿潴留经验[J].湖南中医药大学学报,2016,36(5):49-51.
[14]巫国胜,陈晓静,谢丽蓉.五苓散合五皮饮加减方治疗肛肠病术后尿潴留疗效观察[J].光明中医,2014,29(3):510-511.
[15]徐宝林,张文娟,孙静芸.桑白皮提取物平喘、利尿作用的研究[J].中成药,2005,9(25):758-760.
[16]孟雪燕.艾灸治疗肛肠术后尿潴留的临床护理疗效观察[J].中国实用医药,2015,10(22):227-228.
[17]刘国军.穴位敷贴联合耳穴压豆治疗肛肠病术后尿潴留临床研究[J].中医学报,2015,30(9):1377-1378.
[18]黄双英.艾灸盒温灸中极关元石门气海穴治疗骨科术后尿潴留的效果观察[J].护理学报,2012,19(16):68-69.