利水通淋法结合穴位及下腹部按摩治疗肛肠术后排尿困难效果观察

Observation on the Effects of Promoting-diuresis Freeing-stranguria Method Combined with Acupoints and Lower Abdominal Massage in the Treatment of Dysuria after Anorectal Surgery

目的:观察利水通淋法结合穴位及下腹部按摩治疗肛肠术后排尿困难的效果。方法:将200例肛肠科术后患者按电脑数字表法随机分为两组各100例,对照组予常规治疗,试验组予利水通淋法结合穴位及下腹部按摩治疗,比较两组术后排尿一般症状评分、尿流率、排尿时间及排尿状况评分、首次排尿量、术后24 h残余尿量。结果:治疗后,试验组与对照组术后排尿一般症状评分分布存在明显差异(Z=61.127,P<0.001)。试验组术后排尿一般症状总评分是(3.22±0.19)分,低于对照组的(7.74±0.67)分,差异有统计学意义(t=65.576,P<0.001);治疗后,试验组与对照组术后尿流率、排尿时间及排尿状况评分分布存在明显差异(Z=22.695,17.880,18.909,P均<0.001),试验组尿流率、排尿时间及排尿状况评分均低于对照组,差异有统计学意义(P<0.05);治疗后,试验组与对照组术后首次排尿量、术后24 h残尿量评分分布存在明显差异(Z=9.020,P=0.029;Z=22.374,P<0.001),试验组首次排尿量为(383.59±131.77)mL,高于对照组的(300.05±126.69)mL,而试验组术后24 h残余尿量为(8.18±1.37)mL,低于对照组的(19.86±2.10)mL,差异有统计学意义(P<0.05)。结论:利水通淋法结合穴位及下腹部按摩有助于改善肛肠术后排尿困难患者术后排尿症状,增加首次排尿量,减少术后24 h残余尿量。

Objective:To observe the effects of promoting-diuresis freeing-stranguria method combined with acupoints and lower abdominal massage in treating dysuria after anorectal surgery.Methods:All 200 patients were randomly allocated to two groups based on computer digital table method,the control group accepted conventional therapy,and the test group was given promoting-diuresis freeing-stranguria method combined with acupoints and lower abdominal massage,to compare postoperative micturition general symptom scores,urinary flow rate,voiding time,micturition score,initial micturition volume and residual urine volume within 24 hours after operation between both groups.Results:After the treatment,the significant difference existed in the scores of general symptoms of urination between the test group and the control group after the operation(Z=61.127,P<0.001).The scores of general symptoms of urination of the test group was(3.22±0.19)points,lower than(7.74±0.67)points of the control group,and the difference had statistical meaning(t=65.576,P<0.001);after the treatment,the significant difference existed in urine flow rate,urination time and the scores of urination status between the test group and the control group(Z=22.695,17.880,18.909,P<0.001),urine flow rate,urination time and the scores of urination status of the test group were lower than these of the control group,and the difference had statistical meaning(P<0.05);after the treatment,the notable difference existed in first urination volume and residual urine volume within 24 hours after operation between the test group and the control group(Z=9.020,P=0.029;Z=22.374,P<0.001),after treatment,initial urination volume of the test group was(383.59±131.77)mL,higher than(300.05±126.69)mL of the control group;residual urine volume within 24 hours after operation of the test group was(8.18±1.37)mL,lower than(19.86±2.10)mL of the control group,and the difference had statistical meaning(P<0.05).Conclusion:promoting-diuresis freeing-stranguria method combined with acupoints and lower abdominal massage could help improve voiding symptoms after operation,increase initial micturition volume and reduce residual urine volume within 24 hours after operation in treating dysuria after anorectal surgery.