摘要
目的 探究肛周脓肿患者行手术治疗后采用耳穴压豆配合中药热奄包干预对于尿潴留等并发症发生率和排尿情况产生的影响。方法 筛选2022年1月至2022年12月五邑中医院肛肠科收治的147例肛周脓肿患者作为研究对象,选用随机数字表法将入组对象划分为对照组(74例)和观察组(73例)。对照组应用常规护理,观察组以常规护理为基础联合应用耳穴压豆与中药热奄包,观察2组的干预效果。结果 观察组的尿潴留等并发症总发生率低于对照组(P<0.05)。2组在术后24 h、术后48 h及出院时的排尿所需时间评分和尿等待时间评分均低于同组术前(P均<0.05),2组在术后12 h、24 h、48 h及72 h的排尿通畅情况评分均低于同组术前(P均<0.05);与同期对照组相比,观察组在不同时间点的评分均较低(P均<0.05)。结论 耳穴压豆联合中药热奄包干预可有效预防肛周脓肿患者术后尿潴留等并发症的发生,对于改善其排尿障碍以及缩短排尿时间也均具有积极意义。
Objective To explore the effect of auricular acupoint pressing with beans combined with traditional Chinese medicine Reyan pack intervention on the incidences of urinary retention and other complications and the urination in patients with perianal abscess after surgical treatment.Methods A total of 147 patients with perianal abscess admitted to the Department of Proctology at Wuyi Hospital of Traditional Chinese Medicine from January 2022 to December 2022 were selected as the study subjects.The enrolled subjects were divided into a control group(74 cases)and an observation group(73 cases)using a random number table.The control group received routine care,while the observation group combined auricular acupoint pressing with beans and traditional Chinese medicine Reyan pack intervention with routine care.The intervention effect of the two groups was observed.Results The total incidence of urinary retention and other complications in the observation group was lower than that in the control group(P<0.05).In both groups,the scores of urination duration and waiting time at 24 h and 48 h after surgery and at discharge were lower than those before surgery(all P<0.05),and the scores of urinary patency at 12 h,24 h,48 h,and 72 h after surgery were lower than those before surgery(all P<0.05).Compared with the control group,the observation group had lower scores at different time points(all P<0.05).Conclusion Auricular acupoint pressing with beans combined with traditional Chinese medicine Reyan pack intervention can effectively prevent the postoperative urinary retention and other complications in patients after perianal abscess surgery.It is also of positive significance to improve the urination disorders and shorten the urination time.
作者
黎艳芳
张小容
黄杰霞
LI Yanfang;ZHANG Xiaorong;HUANG Jiexia(Wuyi Hospital of Traditional Chinese Medicine,Jiangmen,Guangdong,529000,China)
出处
《中西医结合护理（中英文）》
2023年第12期53-56,共4页
Journal of Clinical Nursing in Practice
关键词
肛周脓肿
耳穴压豆
中药热奄包
尿潴留
排尿情况
perianal abscess
auricular acupoint pressing with beans
traditional Chinese medicine Reyan pack
urinary retention
urination
