骶区按摩配合热敷对急性尿潴留的临床疗效观察

Clinical Observation on the Effect of Phlegm Massage Combined with Hot Compress on Acute Urinary Retention

目的研究骶区按摩配合热敷预防急性尿潴留(AUR)的临床疗效。方法选择我院2013年5月～2018年6月治疗的AUR患者86例,随机分为实验组46例和对照组40例。对照组给予常规护理,实验组在常规护理的基础上给予骶区行手法按摩配合热敷干预。比较两组患者的首次自主排尿时间、尿潴留持续时间及护理干预后的导尿率。结果实验组首次自主排尿时间少于对照组[(235.33±51.34)min vs(293.13±63.12)min],差异有统计学意义(P<0.05);实验组AUR持续时间为(517.15±136.72)min,对照组为(879.53±158.76)min,差异有统计学意义(P<0.05);实验组导尿率低于对照组,差异有统计学意义(P<0.05)。结论骶区按摩配合热敷对AUR有明显的治疗效果,可有效缩短患者首次自主排尿时间,降低导尿率。

Objective To study the clinical efficacy of massage combined with hot compress to prevent acute urinary retention(AUR).Methods 86 patients with AUR who were treated in our hospital from May 2013 to June 2018 were randomly divided into the experimental group(46 cases)and the control group(40 cases).The control group received routine nursing,and the experimental group was given a manual massage combined with hot compress intervention on the basis of routine nursing.The first spontaneous urination time,the duration of urinary retention,and the catheterization rate after nursing intervention were compared between the two groups.Results The initial spontaneous urination time of the experimental group was less than that of the control group[(235.33±51.34)min vs(293.13±63.12)min],the difference was statistically significant(P<0.05);the duration of AUR in the experimental group was(517.15±136.72)min.The control group was(879.53±158.76)min,the difference was statistically significant(P<0.05);the experimental group had lower catheterization rate than the control group,the difference was statistically significant(P<0.05).Conclusion The massage combined with hot compress has a significant therapeutic effect on AUR,which can effectively shorten the patient's first spontaneous urination time and reduce the catheterization rate.