加减通淋汤对妇科腹腔镜术后尿管留置时间的影响

The effect of add and subtract tonglin decoction on urinary catheter retention time after gynecological laparoscopy

目的探究妇科腹腔镜术后应用加减通淋汤对尿管留置时间及效果的影响。方法选取60例接受腹腔镜手术治疗患者,根据随机抽签法分为对照组与试验组,每组30例。对照组应用常规术后处理,试验组应用加减通淋汤治疗。对比两组患者临床效果。结果试验组患者术后首次排尿时间(36.24±8.41)min短于对照组的(59.41±10.28)min(P<0.05)。试验组首次和术后3d残余尿量均明显少于对照组(P<0.05)。试验组患者术后症状积分明显低于对照组(P<0.05)。所有患者在治疗前后血、尿、粪常规检查及肝肾功能检测无异常表现。治疗期间无任何过敏、不适等症状。结论加减通淋汤对妇科腹腔镜术后尿管留置状况有明显改善作用,可以充分发挥补肾益气、理气活血的作用,同时还能够改善膀胱功能,促进术后快速康复,值得临床推广。

Objective To explore the effect of add and subtract tonglin decoction on urinary catheter retention time and effect after gynecological laparoscopic surgery.Methods 60 patients receiving laparoscopic surgery were selected and divided into control group and experimental group according to random drawing method,with 30 cases in each group.The control group was treated with conventional postoperative treatment,and the experimental group was treated with add and subtract tonglin decoction.The clinical effect of the two groups was compared.Results The first postoperative urination time of experimental group(36.24±8.41)min was shorter than that of control group(59.41±10.28)min(P<0.05).The residual urine volume of experimental group was significantly lower than that of control group(P<0.05).The score of postoperative symptoms in experimental group was significantly lower than that in control group(P<0.05).All the patients showed no abnormality in blood,urine,stool and liver and kidney function before and after treatment.There were no symptoms of allergy or discomfort during the treatment.Conclusion Add and subtract jiajia tonglin decoction can improve the indentation of urinary duct after gynecological laparoscopic surgery,give full play to the role of tonifying kidney and qi,regulating qi and promoting blood circulation,and improve bladder function and promote rapid recovery after surgery,which is worthy of clinical promotion.