食盐敷脐联合热疗法解除外科术后尿潴留的临床观察.docVIP

食盐敷脐联合热疗法解除外科术后尿潴留的临床观察 　　【摘要】目的观察食盐敷脐联合热疗法解除外科术后尿潴留的效果，降低再次置管率。 　　方法将80例手术后发生尿潴留的病人按发生尿潴留的先后顺序编号，其中编号为单数的设为观察组，编号为双数的设为对照组，两组均为40例。对照组采用诱导排尿法，观察组采用食盐敷脐联合热疗法，对比观察两组疗效。 　　结果观察组疗效显著优于对照组，比较差异有统计学意义（P0.001）。两组患者未发现明显毒副作用。 　　结论食盐敷脐联合热疗法解除外科术后尿潴留疗效显著优于传统的诱导排尿法，并且病人易接受、无痛苦、无不良反应，值得临床推广应用。 　　【关键词】食盐敷脐；热疗法；术后尿潴留 　　中图分类号：R694.55文献标识码：ADOI：10.3969/j.issn2017.02.008 　　【Abstract】ObjectiveTo observe the clinical effect of salt and umbilicus combined with thermotherapy，so as to reduce the rate of re catheterization. 　　Methods80 cases of postoperative urinary retention were numbered according to the sequence of urinary retention，patients with odd number were set as observation group，and those with even number were set as control group，with 40 cases in each group.The control group were given induced micturition，while the observation group were given salt and umbilicus combined with thermotherapy.And then，the efficacy of the two groups were compared. 　　ResultsThe efficacy of the observation group was significantly better than that of the control group，difference was statistically significant（P0.001）.No significant side effects were found between the two groups. 　　ConclusionSalt and umbilicus combined with thermotherapy for postoperative urinary retention has better clinical effect than traditional induced micturition，and it has the advantages of easy acceptance，no pain，no adverse reactions，and thus is worthy of clinical application. 　　【Key words】salt navel；thermotherapy；postoperative urinary retention 　　尿潴留是外科?g后最为常见的并发症之一[1]，特别是脊椎麻醉术后发生尿潴留的危险更大[2]。目前，临床上常采用听流水声、用温水冲洗会阴、热敷下腹部、按摩膀胱区等诱导排尿方法解除尿潴留，无效时也通过肌内注射新斯的明等，但成功率均较低，最终仍需导尿。而导尿既增加病人的痛苦和经济负担，也因侵入性操作而增加尿路感染的机会。鉴于此，我院外科于2015年1月～2016年12月，采用食盐敷脐联合热疗法解除外科术后尿潴留，取得了良好的效果，现报告如下。 　　1资料与方法 　　1.1临床资料 　　整群选取我院外科2015年1月至2016年12月术后发生尿潴留的病人80例为观察对象，并按发生尿潴留的先后顺序编号，其中编号为单数的设为观察组，编号为双数的设为对照组，两组均为40例。对照组采用传统的诱导排尿法， 观察组采用食盐敷脐联合热疗法。观察组男18例，女22例，年龄22～63岁，平均（43.2±6.7）岁；乳腺癌根治术3例，疝修补术9例，睾丸鞘膜积液6例，脾切除术3例，胫骨骨折内固定术4例，腰椎弓根固定术3例，股骨骨折内固定术5例