车前子吴茱萸热奄包配合耳穴压豆预防肠痈术后尿潴留临床观察

Clinical Observation on Semen Plantaginis and Fructus Evodiae Fomentation Package Combined with Auricular Point Pressing in Preventing Postoperative Urinary Retention after Operation for Intestinal Carbuncle

目的探讨分析采用车前子吴茱萸热奄包配合耳穴压豆治疗肠痈患者术后尿潴留的临床疗效。方法将2019年6月—2020年6月收治的60例肠痈患者作为研究对象,随机分为治疗组和对照组,每组30例。对照组与治疗组采取相同的腹腔镜阑尾切除手术治疗,治疗组在进行手术治疗后再予以车前子吴茱萸热奄包配合耳穴压豆治疗。观察患者排尿时间以及排尿量。结果治疗组以车前子、吴茱萸热奄包配合耳穴压豆预防肠痈患者术后尿潴留的临床疗效明显高于对照组,差异具有统计学意义,P<0.05;治疗组在术后第2天检测患者48 h的残余尿量,最大尿流率,平均尿流率,排尿时间均优于对照组,差异存在统计学意义,P<0.05。结论采用车前子吴茱萸热奄包配合耳穴压豆治疗肠痈患者术后尿潴留具有显著疗效,能有效提高患者的生活质量。

Objective To investigate and analyze the clinical effect of semen plantaginis and fructus evodiae fomentation package combined with auricular point pressing in preventing postoperative urinary retention in patients with intestinal carbuncle.Methods 60 patients with intestinal carbuncle in the department of general surgery from June 2019 to June 2020 were selected as the research objects.They were randomly divided into treatment group and control group,with 30 cases in each group.The control group and treatment group to adopt the same laparoscopic appendectomy surgery treatment,and the treatment group was given semen plantaginis and fructus evodiae fomentation package combined with auricular point pressing after surgery.The urination time and volume of patients was observed.Results In the treatment group,the clinical effect of the treatment group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).The residual urine volume,maximum urine flow rate,average urine flow rate and urination time of 48 hours in the treatment group were all better than those in the control group on the second day after surgery,and there had significant differences(P<0.05).Conclusion The semen plantaginis and fructus evodiae fomentation package combined with auricular point pressing in preventing postoperative urinary retention in patients with intestinal carbuncle has significantly therapeutic effect,and can improve the quality of life of patients.