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消痔散联合艾盐包预防吻合器痔上黏膜切除术后尿潴留的回顾性研究

潘建丹 陈春丽 胡阿丽 蔡丹凤 汪少艳 郑阿芬 郑晨果

潘建丹, 陈春丽, 胡阿丽, 蔡丹凤, 汪少艳, 郑阿芬, 郑晨果. 消痔散联合艾盐包预防吻合器痔上黏膜切除术后尿潴留的回顾性研究[J]. 中华全科医学, 2024, 22(1): 21-25. doi: 10.16766/j.cnki.issn.1674-4152.003322
引用本文: 潘建丹, 陈春丽, 胡阿丽, 蔡丹凤, 汪少艳, 郑阿芬, 郑晨果. 消痔散联合艾盐包预防吻合器痔上黏膜切除术后尿潴留的回顾性研究[J]. 中华全科医学, 2024, 22(1): 21-25. doi: 10.16766/j.cnki.issn.1674-4152.003322
PAN Jiandan, CHEN Chunli, HU Ali, CAI Danfeng, WANG Shaoyan, ZHENG Afen, ZHENG Chenguo. Retrospective study of Xiaozhi Powder combined with moxa salt bag to prevent urinary retention after procedure for prolapse and hemorrhoids[J]. Chinese Journal of General Practice, 2024, 22(1): 21-25. doi: 10.16766/j.cnki.issn.1674-4152.003322
Citation: PAN Jiandan, CHEN Chunli, HU Ali, CAI Danfeng, WANG Shaoyan, ZHENG Afen, ZHENG Chenguo. Retrospective study of Xiaozhi Powder combined with moxa salt bag to prevent urinary retention after procedure for prolapse and hemorrhoids[J]. Chinese Journal of General Practice, 2024, 22(1): 21-25. doi: 10.16766/j.cnki.issn.1674-4152.003322

消痔散联合艾盐包预防吻合器痔上黏膜切除术后尿潴留的回顾性研究

doi: 10.16766/j.cnki.issn.1674-4152.003322
基金项目: 

国家自然科学基金项目 81704076

浙江省温州市科技局项目 Y20220671

详细信息
    通讯作者:

    潘建丹,E-mail: pjd969696@163.com

  • 中图分类号: R657.18

Retrospective study of Xiaozhi Powder combined with moxa salt bag to prevent urinary retention after procedure for prolapse and hemorrhoids

  • 摘要:   目的  回顾性研究中医治疗技术在预防吻合器痔上黏膜切除术(PPH)后尿潴留中的作用。  方法  选择2020年1月—2022年1月温州医科大学附属第二医院育英儿童医院收治的100例行PPH治疗的混合痔患者,按照治疗方式不同分为对照组(50例)和观察组(50例)。对照组术后给予常规西医治疗,观察组术后给予消痔散联合艾盐包治疗,比较2组治疗后中医证候积分、排尿情况、视觉模拟评分法(VAS)、尿动力学指标变化情况,统计2组治疗总有效率,评价治疗安全性。  结果  2组治疗后各项中医证候积分、术后8 h膀胱残余尿量均低于治疗前(P<0.05),且观察组治疗后均低于对照组(P<0.05);2组治疗后最大尿流量、充盈期逼尿肌压力、最大膀胱容量均高于治疗前(P<0.05),且观察组均高于对照组(P<0.05);观察组术后首次排尿时间、小腹膨满感消失时间及术后8 h尿潴留发生率均短于或低于对照组(P<0.05),首次排尿量多于对照组(P<0.05);观察组术后36 h的VAS评分低于对照组(P<0.05);观察组治疗的总有效率(92.0%,46/50)高于对照组(72.0%,36/50,χ2=6.775,P=0.009);2组均未出现明显药物不良反应。  结论  消痔散联合艾盐包能够有效调节PPH术后患者尿动力学指标,缓解腹胀、腹痛等不适症状,促进术后排尿,降低术后尿潴留的发生风险。

     

  • 表  1  2组PPH术后患者中医证候积分比较(x±s,分)

    Table  1.   Comparison of Traditional Chinese Medicine Syndrome Scores between Two Groups of Postoperative PPH Patients(x±s, points)

    组别 例数 小便滴沥不畅 腹胀 腹痛 每日小便量少
    治疗前 治疗后 治疗前 治疗后 治疗前 治疗后 治疗前 治疗后
    观察组 50 2.33±0.39 0.87±0.15a 2.29±0.37 0.83±0.13a 2.18±0.41 0.78±0.09a 2.11±0.39 0.73±0.10a
    对照组 50 2.31±0.40 1.28±0.31a 2.25±0.43 1.25±0.28a 2.16±0.39 1.22±0.25a 2.08±0.37 1.18±0.23a
    t 0.253 8.418 0.499 9.620 0.250 11.709 0.395 12.687
    P 0.801 <0.001 0.619 <0.001 0.803 <0.001 0.694 <0.001
    注:与同组治疗前比较,aP<0.05。
    下载: 导出CSV

    表  2  2组PPH术后患者基本临床指标比较

    Table  2.   Comparison of basic clinical indicators between two groups of PPH postoperative patients

    组别 例数 术后首次排尿时间(x±s,h) 首次排尿量(x±s,mL) 小腹膨满感消失时间(x±s,h) 术后8 h尿潴留发生[例(%)]
    对照组 50 4.95±0.61 189.92±27.71 4.31±0.45 11(22.0)
    观察组 50 2.45±0.35 243.55±30.08 2.98±0.50 2(4.0)
    统计量 25.136a 9.272a 13.987a 7.162b
    P <0.001 <0.001 <0.001 0.007
    注: at值,b为χ2值。
    下载: 导出CSV

    表  3  2组PPH术后患者VAS评分比较(x±s,分)

    Table  3.   Comparison of VAS scores between two groups of PPH postoperative patients(x±s, points)

    组别 例数 术后6 h 术后36 h
    对照组 50 6.52±0.55 2.05±0.31a
    观察组 50 6.55±0.57 0.82±0.19a
    t 0.335 21.149
    P 0.739 <0.001
    注:与同组术后6 h比较,aP<0.001。
    下载: 导出CSV

    表  4  2组PPH术后患者尿动力学指标比较(x±s)

    Table  4.   Comparison of urodynamic indicators between two groups of PPH postoperative patients(x±s)

    组别 例数 最大尿流量(mL/s) 充盈期逼尿肌压力(mmH2O) 最大膀胱容量(mL) 术后8 h膀胱残余尿量(mL)
    治疗前 治疗后 治疗前 治疗后 治疗前 治疗后 治疗前 治疗后
    观察组 50 6.52±1.30 13.67±1.56a 9.95±1.25 28.91±1.58a 230.81±26.45 455.65±30.71a 251.62±35.76 68.83±8.41a
    对照组 50 6.54±1.25 8.99±1.33a 9.93±1.22 17.79±1.38a 227.57±25.07 335.62±28.81a 247.71±34.41 125.56±19.91a
    t 0.078 16.143 0.081 37.482 0.629 20.156 0.557 18.560
    P 0.938 <0.001 0.936 <0.001 0.531 <0.001 0.579 <0.001
    注:与同组治疗前比较,aP<0.05;1 mmH2O=0.009 8 kPa。
    下载: 导出CSV

    表  5  2组PPH术后患者临床疗效比较[例(%)]

    Table  5.   Comparison of clinical efficacy between two groups of PPH postoperative patients[cases (%)]

    组别 例数 临床控制 显效 有效 无效 总有效
    对照组 50 12(24.0) 11(22.0) 13(26.0) 14(28.0) 36(72.0)
    观察组 50 17(34.0) 17(34.0) 12(24.0) 4(8.0) 46(92.0)
    注: 2组疗效比较,Z=-2.317,P=0.021。2组总有效率比较,χ2=6.775,P=0.009。
    下载: 导出CSV
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  • 收稿日期:  2023-09-11
  • 网络出版日期:  2024-03-09

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