摘要
目的探讨温针灸联合甲硫酸新斯的明治疗妇科腹部手术后尿潴留的临床效果。方法选取2022年1月至2023年8月江西省妇幼保健院妇科行妇科腹部手术治疗后发生尿潴留的80例患者作为研究对象,按照随机数字表法将其分为对照组(40例)与研究组(40例)。对照组行甲硫酸新斯的明治疗,研究组在对照组基础上行温针灸治疗。比较两组患者的临床治疗效果、首次排尿时间、胀痛程度、膀胱残余尿量、导尿管重置率,以及不良反应的发生率。结果研究组的尿潴留治疗总有效率高于对照组,差异有统计学意义(P<0.05)。研究组的首次排尿时间短于对照组,差异有统计学意义(P<0.05)。研究组治疗后的胀痛程度评分、膀胱残余尿量均低于对照组,差异有统计学意义(P<0.05)。研究组的导尿管重置率低于对照组,差异有统计学意义(P<0.05)。两组患者的不良反应总发生率比较,差异无统计学意义(P>0.05)。结论温针灸联合甲硫酸新斯的明治疗妇科腹部手术后尿潴留具有显著效果,能够改善胀痛程度,减少膀胱残余尿量,降低导尿管重置率,且不良反应较少,值得临床推荐。
Objective To explore the clinical effect of warming acupuncture and moxibustion combined with Neostigmine Methylsulfate on urinary retention after gynecological abdominal surgery.Methods A total of 80 patients with urinary retention after gynecological abdominal surgery in Department of Gynecology,Jiangxi Maternal and Child Health Hospital from January 2022 to August 2023 were selected as research objects.They were divided into a control group(40 cases)and a study group(40 cases)according to the random number table method.The control group was treated with Neostigmine Methylsulfate,and the study group was treated with warming acupuncture and moxibustion on the basis of the control group.The clinical treatment effect,first urination time,distending pain degree,bladder residual urine volume,catheter replacement rate and incidence of adverse reactions were compared between the two groups.Results The total effective rate of urinary retention treatment in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The first urination time of the study group was shorter than that of the control group,and the difference was statistically significant(P<0.05).The distension degree score and bladder residual urine volume of the study group after treatment were lower than those of the control group,and the differences were statistically significant(P<0.05).The catheter replacement rate of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Warming acupuncture and moxibustion combined with Neostigmine Methylsulfate has a significant effect on urinary retention after gynecological abdominal surgery,which can improve the degree of pain,reduce the residual urine volume of bladder,reduce the rate of catheter replacement,and has fewer adverse reactions,which is worthy of clinical promotion.
作者
周爱龙
万玉珍
ZHOU Ailong;WAN Yuzhen(Department of Gynaecology,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang330006,China)
出处
《中国当代医药》
CAS
2024年第20期82-85,共4页
China Modern Medicine
基金
江西省中医药管理局科技计划项目(2023A0323)。
关键词
妇科腹部手术
尿潴留
温针灸
甲硫酸新斯的明
导尿管重置率
Gynecological abdominal surgery
Urinary retention
Warming acupuncture and moxibustion
Neostigmine Methylsulfate
Catheter reset rate