18例术后癃闭病人的辨证施护

Selection of Nursing Based on Differential Diagnosis to 18 Postoperative Dysuria Patients

目的探讨解除术后癃闭病人的有效护理方法。方法对 18例术后癃闭病人进行辨证分型 ,并对实邪郁滞型采用热旋磁治疗及艾条灸 ,下焦虚寒型采用隔姜灸及黄芪水煎服。结果实邪郁滞型 12例中 8例治疗后 1次排尿 ,4例 2次排尿 ;下焦虚寒型 6例中治疗 2周后分别于 3、6个月随访 ,小便由原 10～ 2 0次 / d减少至 4～ 6次 / d。结论采用中医辨证分型施护 。

Objective To investigate the effects of planning of nursing based on differential diagnosis of TCM on postoperative dysuria patients. Methods Eighteen patients with postoperative dysuria were divided into two groups: Excess evil stagnation type group receiving the treatment of hot whirl magnetic instrument and moxa stick moxibustion; lower energizer asthenia cold type group receiving the treatment of ginger partition moxibustion and drinking astragalus root water. Results The effects were satisfactory. In the excell evil stagnation type group, 8 out of 12 cases recovered urinary function after treatment one time and 4 after treatment two times. In the lower energizer asthenia cold type group, 3 months or 6 months follow up showed that the times of urination were decreased from 10 20 times/day to 4 to 6 times/day in 6 cases after treatment for 2 weeks. Conclusion Nusing care of the paitents with postoperative dysuria must be based on the differential diagnosis of TCM.