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

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题名	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
其他题名	Retrospective study of Xiaozhi Powder combined with moxa salt bag to prevent urinary retention after procedure for prolapse and hemorrhoids
作者	潘建丹; 陈春丽; 胡阿丽; 蔡丹凤; 汪少艳; 郑阿芬; 郑晨果
发表日期	2024-01-08
发表期刊	中华全科医学影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	吻合器痔上黏膜环切术混合痔尿潴留消痔散艾盐包尿动力学
其他关键词	Procedure for prolapse and hemorrhoids ; Mixed hemorrhoids ; Urinary retention ; Xiaozhi Powder ; Moxa salt bag ; Urodynamics
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。
其他摘要	Objective To retrospectively investigate the role of traditional Chinese medicine(TCM)treatment technique in preventing urinary retention after procedure for prolapse and hemorrhoids(PPH)surgery.Methods A total of 100 patients with mixed hemorrhoids treated with PPH from the Second Affiliated Hospital of Wenzhou Medical University,Yuying Children's Hospital from January 2020 to January 2022,were divided into two groups according to different treat-ment methods.The control group was treated with routine western medicine after surgery,while the observation group was treated with Xiaozhi Powder combined with moxa salt bag after surgery,compare the traditional Chinese medicine syn-drome scores,urinary status,visual analogue scale(VAS)and changes in urodynamic indicators between the two groups after treatment,calculate the overall efficacy rate of two treatment groups and evaluate the safety of treatment.Results The scores of various traditional Chinese medicine syndromes in both groups showed that the residual urine volume in the bladder at 8 hours after surgery was lower than before treatment(P＜0.05),and the observation group was lower than the control group after treatment(P＜0.05);After treatment,the maximum urine flow,detrusor pressure during filling,and maximum bladder volume in both groups were higher than before treatment(P＜0.05),and the observation group was higher than the control group(P＜0.05);The time of first urination,the time of disappearance of abdominal sensation and the incidence of urinary retention at 8 hours after surgery in the observation group were shorter or lower than those in the control group(P＜0.05),and the amount of first urination was more than that in the control group(P＜0.05);The VAS scores of the observation group at 36 hours after surgery were lower than those of the control group(P＜0.05);The overall treatment efficacy rate in the observation group(92.0％,46/50)was higher than that in the control group(72.0％,36/50,x2=6.775,P=0.009);No significant adverse drug reactions were observed in either group.Conclusion Xiaozhi Powder in combination with moxa salt bag can effectively adjust the urodynamic indicators of pa-tients after PPH,alleviate abdominal distension,abdominal pain and other uncomfortable symptoms,promote postopera-tive urination,reduce the risk of postoperative urinary retention,and is worthy of clinical promotion.
资助项目	国家自然科学基金项目(81704076);浙江省温州市科技局项目(Y20220671);
ISSN	1674-4152
卷号	22 期号:01 页码:21-25
DOI	10.16766/j.cnki.issn.1674-4152.003322
页数	5
收录类别	CNKI ; 万方 ; 维普
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引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/208719
专题	第二临床医学院、附属第二医院、育英儿童医院附属第二医院附属第二医院_外科
通讯作者	潘建丹
作者单位	温州医科大学附属第二医院育英儿童医院肛肠外科
第一作者单位	附属第二医院; 第二临床医学院，附属第二医院、育英儿童医院; 外科
第一作者的第一单位	附属第二医院
推荐引用方式 GB/T 7714	潘建丹,陈春丽,胡阿丽,等. 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(01):21-25.
APA	潘建丹., 陈春丽., 胡阿丽., 蔡丹凤., 汪少艳., ... & 郑晨果. (2024). 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. 中华全科医学, 22(01), 21-25.
MLA	潘建丹,et al."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".中华全科医学 22.01(2024):21-25.