摘要
目的探讨循经通络按摩配合个性化膀胱功能锻炼在子宫切除术后护理中的应用效果。方法选择2022年1月—2022年12月于江西省妇幼保健院妇科行子宫切除术的80例患者为研究对象,采用随机数字表法将患者分为对照组与观察组各40例,对照组患者术后仅接受常规护理,观察组患者术后在对照组基础上给予循经通络按摩配合个性化膀胱功能锻炼,比较2组患者的中医证候积分、排尿情况、尿潴留、二次置管发生率以及膀胱功能恢复效果。结果观察组患者干预后的癃闭证候积分低于对照组,术后首次自主排尿时间短于对照组,首次排尿量多于对照组,术后尿潴留发生率17.50%(7/40)低于对照组的5.00%(2/40),二次置管发生率10.00%(4/40)低于对照组的2.50%(1/40),且术后膀胱功能恢复率95.00%(38/40)高于对照组的75.00%(30/40),差异均有统计学意义(P<0.05)。结论在子宫切除术后护理中采取循经通络按摩配合个性化膀胱功能锻炼可有效抑制患者症状、改善术后排尿状况、预防尿潴留与二次置管,并促进膀胱功能良好恢复。
Objective To explore the application effect of circulating meridian and collateralizing massage combined with individualized bladder function exercise in post-hysterectomy care.Methods A total of 80 patients who underwent hysterectomy in Jiangxi Maternal and Child Health Hospital from January to December 2022 were selected as the study objects,and the patients were divided into control group and observation group by random number table method,with 40 patients in each group.Patients in the control group only received routine care after surgery,and patients in the observation group were given massage combined with personalized bladder function exercise after surgery on the basis of the control group.The scores of TCM syndrome,urination,urinary retention,incidence of secondary catheterization and the effect of bladder function recovery of the two groups were compared.Results After intervention,the retention of urine syndrome score of observation group was lower than that of control group,the first postoperative spontaneous urination time was shorter than that of control group,and the first postoperative urine volume was higher than that of control group.The incidence of postoperative urinary retention was 17.50%(7/40),which was lower than that of control group(5.00%,2/40),the incidence of secondary catheterization was 10.00%(4/40),which was lower than that of control group(2.50%,0),the recovery rate of bladder function after operation was 95.00%(38/40),which was higher than that of control group(75.00%,30/40),and the difference was statistical significance(P<0.05).Conclusion In the post-hysterectomy care,the use of circulating meridian and collateralizing massage combined with personalized bladder function exercise can effectively inhibit the symptoms of patients,improve postoperative urination status,prevent urinary retention and secondary catheterization,and promote good recovery of bladder function.
作者
肖莹
XIAO Ying(Department of Gynecology,Jiangxi Maternal and Child Health Care Hospital,Jiangxi Province,Nanchang 330006,China)
出处
《中国中医药现代远程教育》
2023年第23期139-142,共4页
Chinese Medicine Modern Distance Education of China
基金
江西省中医药管理局科技计划项目【No.2021A065】。
关键词
癃闭
尿潴留
子宫切除术
术后护理
循经通络按摩
个性化膀胱功能锻炼
retention of urine
urinary retention
hysterectomy
postoperative care
circulation and collaterals massage
personalized bladder function exercise
