摘要
目的:探究温通刮痧在神经外科尿潴留患者中的临床疗效。方法:选取2023年2月—2023年12月在佛山市中医院住院的60例需留置尿管患者作为研究对象,采用随机数表法分为对照组和研究组,每组各30例。研究组在尿管插管导尿后予以温通刮痧治疗基础上拔出导尿管,对照组尿管插管导尿后直接拔除导尿管,两组尿管留置时间均≤14 d。比较两组患者治疗后临床疗效、排尿情况(拔管后首次排尿时间、拔管后12 h排尿次数与均次尿量),比较治疗前后中医证候评分、排尿症状量表(USS)评分,比较治疗后尿潴留复发情况(3 d内尿潴留发生率、重置导管率),比较治疗前后两组生活质量[脑卒中专用生活质量量表(SS-QOL)]评分情况。结果:治疗后,研究组患者临床疗效显著高于对照组,差异有统计学意义(P<0.05);研究组首次排尿时间较对照组提前且拔管后12 h内排尿次数、排尿量均高于对照组,差异有统计学意义(P<0.05);两组中医证候评分、USS评分均显著降低,且低于同一时间对照组,差异有统计学意义(P<0.05);研究组3 d内尿潴留发生率、重置导管率均低于对照组,差异有统计学意义(P<0.05);两组SS-QOL评分较治疗前有显著升高,且研究组显著高于同一时间对照组,差异有统计学意义(P<0.05)。结论:温通刮痧在神经外科尿潴留患者中能取得良好疗效,有助于改善患者排尿情况、避免尿潴留复发,对缓解临床症状、提高患者生活质量有积极意义。
Objective:To explore the clinical efficacy of Wentong Guasha in patients with urinary retention in neurosurgery.Method:Sixty patients who were hospitalized in the neurosurgery Department of Foshan Hospital of Traditional Chinese Medicine from February 2023 to December 2023 were selected as the study objects,and were divided into a control group and a study group by random number table method,with 30 cases in each group.The urinary catheter was removed in the study group on the basis of Wentong Guasha treatment after catheter catheterization,and the catheter was removed directly after catheter catheterization in the control group.The indentation time of urinary catheter in both groups was less than 14 days.After treatment,the clinical efficacy and urination(the first urination time after extubation,the number of urinations and average urine volume in 12 hours after extubation)of the two groups,the scores of TCM syndromes and urination symptom scale(USS)before and after treatment,the recurrence of urinary retention after treatment(the incidence of urinary pond within three days and the rate of catheter replacement).The quality of life(SS-QOL)scores of two groups of patients were compared before and after treatment.Result:After treatment,the clinical efficacy of the study group patients was significantly higher than that of the control group(P<0.05).The first urination time of the study group patients was earlier than that of the control group,and the frequency and volume of urination within 12 hours after extubation were higher than those of the control group(P<0.05).The traditional Chinese medicine syndrome score and USS score of both groups of patients significantly decreased,and they were lower than those of control group at the same time(P<0.05).The incidence of urinary retention and the rate of catheter replacement in the study group within 3 days were lower than those in the control group(P<0.05).The SS-QOL scores of the two groups of patients showed a significant increase compared with those before treatment,and the study group was significantly higher than the control group at the same time(P<0.05).Conclusion:Wentong Guasha has a good effect on patients with urinary retention in neurosurgery,which is helpful to improve their urination,avoid recurrence of urinary retention,alleviate clinical symptoms and improve their quality of life.
作者
邓玉婷
钟文婷
李志章
DENG Yuting;ZHONG Wenting;LI Zhizhang(Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,China;不详)
出处
《中外医学研究》
2024年第24期124-127,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
佛山市卫生健康局医学科研课题项目(20230108)。
关键词
温通刮痧
尿管插管
尿潴留
出血性脑卒中
Wentong Guasha
Urinary catheterization
Urinary retention
Hemorrhagic stroke
