系统性护理干预对预防痔疮手术后并发尿潴留的效果分析

目的:探讨分析实施系统性护理干预对预防痔疮手术后并发尿潴留的效果。方法:选取2013年1月~2013年12月间我院收治的接受痔疮手术治疗的患者157例作为研究对象,采用随机数字表法将其分为对照组(81例)和观察组(76例),为对照组患者进行常规护理,为观察组患者在进行常规护理的基础上实施系统性护理干预,观察对比两组患者术后尿潴留的发生率,并将对比的结果及两组患者的临床资料进行回顾性的分析。结果:在观察组81例患者中,发生尿潴留的患者有4例,尿潴留的发生率为4.93%;在对照组76例患者中,发生尿潴留的患者有9例,尿潴留的发生率为11.84%。观察组患者的术后尿潴留发生率明显低于对照组患者,差异显著(P<0.05),具有统计学意义。结论:对接受痔疮手术治疗的患者实施系统性护理干预能明显降低其术后尿潴留的发生率,有利于患者的康复,值得在临床上推广应用。

温针灸治疗妇科术后并发尿潴留的临床疗效观察

目的探究温针灸于妇科术后并发尿潴留应用疗效。方法选取我院康复理疗科于2017年3月至2018年12月接收妇科术后并发尿潴留患40例为观察对象,采用计算机1:1分组方式,参考组20例予以常规治疗,试验组20例予以温针灸治疗。结果参考组最终疗效评估无效人次5例,有效率75.0%,试验组最终疗效评估无效人次1例,有效率95.0%,高于参考组(P<0.05);试验组患者于躯体职能、生理角色、社会功能、情感状态等维度满意评分高于参考组(P<0.05)。结论妇科术后并发尿潴留采用温针灸治疗,可有效提高自我排尿情况,提高患者生活质量,整体疗效显著。

Therapeutic observation of acupuncture plus navel acupuncture for urinary retention after radical hysterectomy for cervical cancer

Objective: To observe the clinical efficacy of acupuncture plus navel acupuncture for patients with urinary retention after radical hysterectomy for cervical cancer. Methods: A total of 64 patients with urinary retention after radical hysterectomy for cervical cancer was divided into a navel acupuncture group (22 cases), an acupuncture group (18 cases) and an acupuncture plus navel acupuncture group (24 cases). All three groups received bladder function training and neuromuscular electrical stimulation. In addition, navel points were combined in the navel acupuncture group. Electroacupuncture was conducted to Qihai (CV 6), Zhongji (CV 3), Dahe (KI 12), Shuidao (ST 28), Ciliao (BL 32) and Huiyang (BL 35) in the acupuncture group. The acupuncture plus navel acupuncture group received both treatments. The catheter was removed after 3 d of treatment. Spontaneous urination, residual urine volume, urinary catheter dependence and recurrence after 3 d, 6 d and 9 d of treatment in each group were observed, respectively. Results: In the acupuncture plus navel acupuncture group, the markedly effective rates after 3 d, 6 d and 9 d of treatment were significantly higher than those in the navel acupuncture group and the acupuncture group;the urinary catheter dependence was lower than that of the other two groups, and the differences were statistically significant (P<0.05, P<0.01);the spontaneous urination time was shorter than that of the navel acupuncture group and the acupuncture group, and the differences were statistically significant (P<0.05, P<0.01);the residual urine volume was significantly less than that of the navel acupuncture group and the acupuncture group, and the differences were statistically significant (both P<0.01). After the catheter was removed, recurrence was observed from the next day after spontaneous urination was resumed. There were 2 cases of recurrence in the navel acupuncture group, 2 cases in the acupuncture group and 1 case in the acupuncture plus navel acupuncture group. The recurrence rate of the acupuncture plus navel acupuncture group was significantly lower than that of the navel acupuncture group and the acupuncture group (both P<0.01). Conclusion: Acupuncture plus navel acupuncture has satisfactory efficacy for urinary retention after radical hysterectomy for cervical cancer. It can significantly shorten the urinary retention time, reduce the patient's dependence on urinary catheter, and reduce the residual urine volume.

Efficacy observation on acupuncture-moxibustion for urinary retention after surgery for cervical cancer

Objective：To observe the efficacy of acupuncture-moxibustion therapy in treating urinary retention after surgery for cervical cancer. Methods：Fifty eligible patients were randomized into a treatment group and a control group by their visiting sequence, 25 in each group. The control group was intervened by indwelling urethral catheter after gynecological surgery; while the treatment group started to receive acupuncture-moxibustion and cupping treatment at the 7th day after surgery, in addition to the intervention given to the control group. The residual urine volume and total effective rate of the two groups were detected. Results：After 7-day treatments, the total effective rate was 92.0% in the treatment group versus 72.0% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion：Acupuncture-moxibustion treatment plus cupping based on the conventional intervention is effective for urinary retention after surgery for cervical cancer, worth promoting in clinic.

Effect of acupuncture plus medium-frequency electric stimulation on bladder function after radical hysterectomy for cervical cancer

Objective： To observe the effect of acupuncture plus medium-frequency electric stimulation on bladder function after radical hysterectomy for cervical cancer. Methods： A total of 170 patients confirmed by biopsy and surgical pathology and treated with radical hysterectomy for cervical cancer were randomly divided into an acupuncture group, an observation group and a control group by random digital table. Fifty-six cases in the acupuncture group were treated with acupuncture after surgery, one session each day, till the extubation day; 58 cases in the observation group were treated with acupuncture plus medium-frequency electric stimulation after surgery, one session each day, till the extubation day; and 56 cases in the control group didn＇t receive any intervention, and the catheter was retained till the extubation day. On the postoperative day 14, all groups were dealt with catheterization to determine the residual urine volume, in order to observe the occurrence rate of urinary retention and the recovery of bladder function and to compare the differences of the therapeutic effects among the groups. Results： The occurrence rates of urinary retention were respectively 16.1%, 20.7% and 46.4% in the acupuncture group, observation group and control group, with significant differences （P〈0.05）. When comparing the acupuncture group and the observation group with the control group, there were significant differences （both P〈0.05）. In comparison between the acupuncture group and the observation group, there was no significant difference （P〉0.05）. The recovery rates of bladder function in the three group were respectively 42.9%, 60.3% and 41.1% without significant differences （P〉0.05）. Moreover, there were no significant between-group differences （P〉0.05）, but acupuncture plus medium-frequency electric stimulation showed a better tendency. Conclusion： The single application of acupuncture therapy is effective and able to prevent urinary retention after radical hysterectomy for cervical cancer. Acupuncture plus medium-frequency electric stimulation can effectively enhance the recovery of bladder function and reduce the residual urine volume in the bladder to the maximum.

Observations on Electroacupuncture Treatment of 60 Patients with Urine Retention Following Cervical Cancer Operation

Objective： To investigate the curative effect of electroacupuncture on urine retention following cervical cancer operation. Methods. A treatment group was treated with electroacupuncture according to classification based on syndrome differentiation and a control group, by a conventional method. One course of treatment consisted of 5 days. Results： The curative rate and cure rate were 96.67% and 76.67%, respectively, in the treatment group and 70% and 36. 67%, respectively, in the control group. There were significant differences in curative rate and cure rate between the two groups （P〈 0. 01）. Conclusion： Electroacupuncture is a good method for treating urine retention subsequent to cervical cancer operation.