穴位贴敷联合中药热奄包热敷在肛肠病腰麻术后尿潴留的护理分析

Acupoint Application Combined with Hot Compress of Traditional Chinese Medicine Reyanbao in Nursing of Urinary Retention after Postoperative Lumbar Anesthesia in Anorectal Diseases

目的研究分析穴位贴敷联合中药热奄包热敷在肛肠科腰麻术后尿潴留护理中的应用效果。方法随机选取2023年1—6月如东县中医院肛肠科接受腰麻术的110例肛肠疾病患者作为研究对象,按照随机数表法分为对照组(n=50)与观察组(n=60)。对照组给予常规护理联合穴位贴敷,观察组在对照组基础上给予中药热奄包热敷。比较两组尿潴留发生率、导尿率、排尿成功率、首次排尿时间、排尿完全通畅时间、负面情绪评分、数字疼痛评分法(Numeric Rating Scales,NRS)评分、满意度评分。结果观察组尿潴留发生率(3.33%)、导尿率(3.33%),排尿成功率(70.00%)均优于对照组的18.00%,16.00%,50.00%,差异有统计学意义(χ^(2)=6.519,3.873,4.582,P均<0.05)。观察组首次排尿时间、排尿完全通畅时间均明显短于对照组,差异有统计学意义(P均<0.05)。与对照组相比,观察组焦虑、抑郁、疼痛评分更低、满意度评分更高,差异有统计学意义(P均<0.05)。结论肛肠科腰麻术患者应用穴位贴敷联合中药热奄包热敷,不仅有助于降低尿潴留发生率,加快自主排尿的恢复,提高排尿成功率,还可以缓解负面情绪及疼痛,提高满意度。

Objective To study and analyze the effect of acupoint application combined with Chinese medicine Remai Bao hot compress in nursing care of urinary retention after postoperative lumbar anesthesia in anorectal department.Methods A total of 110 patients with anorectal diseases who received lumbar anesthesia in the anorectal Department of Rudong County Hospital of Traditional Chinese Medicine from January to June 2023 were randomly selected as the study objects,and they were divided into control group(n=50)and observation group(n=60)according to random number table method.The control group was given routine nursing combined with acupoint application,and the observation group was given traditional Chinese medicine Rebao hot compress based on the control group.The incidence of urinary retention,urinary catheterization rate,successful rate of urination,time of first urination,time of complete patency of urination,negative mood scores,Numeric Rating Scales(NRS)score and satisfaction score were compared between the two groups.Results The incidence of urinary retention(3.33%),urinary catheterization rate(3.33%)and urinary success rate(70.00%)in the observation group were better than those in the control group(18.00%,16.00%,50.00%),and the differences were statistically significant(χ^(2)=6.519,3.873,4.582,all P<0.05).The time of first urination and complete patency of urination in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(both P<0.05).Compared with the control group,the scores of anxiety,depression,pain were lower,and satisfaction in the observation group was higher,and the differences were statistically significant(all P<0.05).Conclusion The application of acupoint application in combination with hot compress of Chinese medicine Remian bag can not only help to reduce the incidence of urinary retention,accelerate the recovery of spontaneous urination,improve the success rate of urination,but also alleviate negative emotions and pain,and improve satisfaction.