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中频脉冲电联合穴位注射新斯的明治疗肛肠病患者术后尿潴留临床观察▲
Clinical observation of intermediate frequency pulse electricity combined with acupoint injection of neostigmine therapy on urinary retention in patients after anorectal surgery

内科 201914卷01期 页码:27-29

作者机构:1 广东省深圳市宝安区石岩人民医院康复理疗科,深圳市518108;2 广东省深圳市龙岗区第二人民医院肛肠科,深圳市518112

基金信息:▲基金项目:深圳市龙岗区科技发展专项资金医疗卫生(非扶持类)项目(20170405125843510)

DOI:10.16121/j.cnki.cn45-1347/r.2019.01.08

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  • 参考文献
目的探讨中频脉冲电联合穴位注射新斯的明治疗肛肠病患者术后尿潴留的临床效果及治疗安全性。方法将2017年1月至2018年4月龙岗区第二人民医院肛肠科收治的80例肛肠病术后尿潴留患者随机分为两组,每组40例。对照组患者肌注新斯的明治疗,观察组患者给予中频脉冲电联合穴位注射新斯的明治疗。比较两组患者的临床疗效、治疗后首次排尿时间、首次排尿后膀胱残余尿量、排尽尿液所用时间、尿潴留症状评分及不良反应发生情况。结果治疗3 d,观察组患者的治疗总有效率(95.0%)显著高于对照组(75.0%);观察组患者治疗后首次排尿时间、排尽尿液所用时间短于对照组,首次排尿后膀胱残余尿量少于对照组;观察组患者尿潴留症状评分显著低于对照组,差异有统计学意义(P<0.05)。住院治疗期间,两组患者的不良反应发生率比较差异无统计学意义(P>0.05)。结论采用中频脉冲电联合穴位注射新斯的明治疗肛肠病患者术后尿潴留临床疗效确切,可有效促进患者排尿,改善患者尿潴留症状,治疗安全性高,值得在临床推广应用。
ObjectiveTo investigate the clinical effect and safety of intermediate frequency pulse electricity combined with acupoint injection of neostigmine on postoperative urinary retention in patients with anorectal disease. Methods80 patients with postoperative urinary retention admitted to the department of anorectal Surgery, Longgang Second People′s Hospital from January 2017 to April 2018 were randomly divided into two groups, with 40 cases in each group. The patients in control group were treated with intramuscular neostigmine, and the patients in observation group were given intermediate frequency pulse electricity combined with acupoint injection of neostigmine. The clinical efficacy, first urination time after treatment, urine residue of bladder after first urination, time taken to drain the urine, urinary retention symptoms scores and adverse reactions between the two groups were compared. ResultsAfter treatment for 3 days, the total effective rate of treatment in observation group (95.0%) was significantly superior than that in the control group (75.0%). The first urination time and time taken to drain the urine in observation group were shorter than those in control group, the urine residue of bladder after first urination was less than that in control group; the urinary retention symptoms scores in observation group were significantly lower than those in control group, and the difference was statistically significant (P<0.05). There was no significant difference in adverse reactions incidence between two groups during hospitalization (P>0.05). ConclusionIntermediate frequency pulse electricity combined with acupoint injection of neostigmine on postoperative urinary retention in patients with anorectal disease is effective and safe, it can effectively promote micturition and improve urinary retention symptoms, which is worth for clinical application.

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