| 摘要: |
| 目的:探讨益气行水汤治疗肛肠术后尿潴留患者的有效性及对患者膀胱残存尿量、自行排尿时间的影响。方法:选取2019 年1 月—2020 年6 月因肛肠术后尿潴留来我院接受治疗的60 例患者，随机分为研究组与对照组，各30 例。对照组采用常规治疗，研究组采用常规治疗联合益气行水汤治疗，比较两组疗效、临床指标及治疗前后疼痛评分。结果:研究组总有效率为93%，对照组为77%，研究组治疗总有效率高于对照组，差异有统计学意义(P ＜ 0.05)；研究组的膀胱残存尿量(119.0±18.2) mL、自行排尿时间(38.4±17.3) min、排便时间(34.0±8.4) h 及住院时间(4.6±2.1)d 均少于对照组的(168.0±22.9) mL、(54.2±18.8) min、(75.1±6.0) h 及(8.5±3.0) d，差异有统计学意义(P ＜ 0.05)；研究组治疗后3 d 与7 d 的视觉疼痛模拟量表(VAS)评分分别为(3.1±0.4)分、(1.9±0.3)分，均低于对照组的(4.3±1.0)分、(3.0±0.5)分，差异有统计学意义(P ＜ 0.05)。结论:对肛肠术后尿潴留患者采用益气行水汤治疗，效果较好，能有效减少患者膀胱残存尿量，缩短其自行排尿时间，疼痛情况得到显著改善，缩短其病情恢复时间。 |
| 关键词: 尿潴留 益气行水汤 膀胱残存尿量 自行排尿时间 |
| DOI：10.3969/j.issn.1007-6948.2021.06.017 |
| 投稿时间：2021-01-24 |
| 基金项目: |
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| Clinical Controlled Observation of Yiqi Xingshui Decoction in Treating Urinary Retention after Anorectal Surgery |
| SHI Xing-feng,DENG Lu-xi |
| Anorectal Department, Chongqing Ninth People' s Hospital, Chongqing(400700), China |
| Abstract: |
| Objective To investigate the effectiveness of Yiqi Xingshui Decoction for patients with urinary retention after anorectal surgery and the effect on the residual urine volume as well as the time of spontaneous urination in patients. Methods Sixty patients with urinary retention after anorectal surgery were selected as the research object. The study group and the control group were set according to the random number table method, with 30 cases in each group. The control group were used conventional treatment and the study group were used conventional treatment combined with Yiqi Xingshui Decoction.The efficacy, clinical indicators and pain scores before and after treatment between the two groups were compared. Results The total effective rate of the study group was 93% and that of the control group was 77%. The total effective rate of treatment in the study group was higher than that of the control group (P <0.05).The residual urine volume in the bladder (119.0±18.2) mL, self-urination time (38.4±17.3) min, defecation time (34.0±8.4) h and hospitalization time (4.6±2.1) d are all less than those of the control group (168.0±22.9) mL, (54.2±18.8) min, (75.1±6.0) h and (8.5±3.0) d. The clinical indicators of the study group were better than those of the control group (P <0.05).The VAS scores of the study group were (3.1±0.4, 1.9±0.3) on the 3rd and 7thd after treatment and were lower than those of the control group. The scores of the group were (4.3±1.0, 3.0±0.5) and the pain scores of the study group were lower than those of the control group (P <0.05). Conclusion The treatment of urinary retention after anorectal surgery with Yiqi Xingshui Decoction has a good effect. It can effectively reduce the residual urine volume of the patient’s bladder, shorten the time of self-urination, significantly improve the pain and shorten the recovery time. |
| Key words: Urinary retention Yiqi Xingshui Decoction residu |
