本文選題：PPH術(shù)后　切入點：坦索羅辛　出處：《廣州中醫(yī)藥大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：痔是一個古老的常見病,隨著人們對痔本質(zhì)的研究和探討,“肛墊學(xué)說”應(yīng)運而生,并在此基礎(chǔ)上形成PPH術(shù),由于其簡單、安全、有效而被廣泛應(yīng)用。但隨之而來的術(shù)后尿潴留也成為不得不面對的問題,如何有效的防治PPH術(shù)后尿潴留已經(jīng)成為一個研究熱點。本研究旨在評價坦索羅辛聯(lián)合中醫(yī)療法在女性PPH術(shù)后尿潴留的療效觀察。方法：隨機選擇符合本實驗的研究對象50例,采用隨機的、對照的方法,將研究對象分為2組(實驗組25人、對照組25人),對照組采用常規(guī)熱敷膀胱區(qū)、穴位貼敷、耳穴壓豆。實驗組患者在此基礎(chǔ)上于手術(shù)前一天晚上及手術(shù)后3天加服坦索羅辛1粒(0.2mg/粒),P.0, QD。觀察術(shù)后8h內(nèi)2組患者首次排尿時間、排尿量、導(dǎo)尿人數(shù),運用SPSS 21.0進(jìn)行統(tǒng)計分析。結(jié)果：本研究納入的全部病例均完成治療,2組的年齡、術(shù)程進(jìn)行比較,差異均無統(tǒng)計學(xué)意義(P0.05),提示2組具有可比性。兩組患者術(shù)后首次排尿時間、導(dǎo)尿率比較均有統(tǒng)計學(xué)意義,提示實驗組優(yōu)于對照組；但二者排尿量無明顯統(tǒng)計學(xué)意義。說明坦索羅辛聯(lián)合中醫(yī)療法可縮短患者術(shù)后排尿時間,減少導(dǎo)尿。結(jié)論：中醫(yī)療法簡單、安全、經(jīng)濟(jì)有效,口服藥物容易被接受,患者依從性好,兩種方法聯(lián)合使用可降低尿潴留的發(fā)生。中醫(yī)療法基礎(chǔ)上口服坦索羅辛對防治女性PPH術(shù)后尿潴留有一定的療效,值得臨床推廣。
[Abstract]:Objective: hemorrhoids is an ancient common disease. With the study and discussion of the essence of hemorrhoids, "anal cushion theory" came into being, and on this basis, PPH procedure was formed, because of its simplicity and safety, Effective and widely used, but the subsequent postoperative urinary retention has become a problem that has to be faced. How to effectively prevent and treat urinary retention after PPH has become a hot research topic. This study was designed to evaluate the efficacy of tansoroxine combined with traditional Chinese medicine in the treatment of urinary retention after PPH in women. The subjects were randomly divided into two groups (25 in the experimental group, 25 in the control group and 25 in the control group). On the basis of this, the patients in the experimental group were treated with tamsoloxin 0.2mg / L, QD on the night before operation and 3 days after operation. The first time of urination, the quantity of urination and the number of catheterization were observed in the two groups within 8 hours after operation. SPSS 21.0 was used for statistical analysis. Results: the age and procedure of the two groups were all completed in this study. The difference was not statistically significant (P 0.05), indicating that the two groups were comparable. The first time of urination after operation between the two groups was comparable. The comparison of urinary catheterization rates was statistically significant, suggesting that the experimental group was superior to the control group, but there was no significant difference in the amount of urine excretion between the two groups. The results showed that the combination of tansoroxin and traditional Chinese medicine therapy could shorten the time of urination after operation. Conclusion: traditional Chinese medicine therapy is simple, safe, economical and effective, oral medicine is easy to accept, patient compliance is good, The combination of the two methods can reduce the occurrence of urinary retention. Oral tamsoloxine on the basis of traditional Chinese medicine therapy has a certain curative effect on preventing and treating female urinary retention after PPH, and it is worth popularizing in clinic.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R657.18

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 任東林;PPH手術(shù)治療痔病的適應(yīng)證及應(yīng)用注意事項[J];大腸肛門病外科雜志;2003年S1期

2 蔣峰;史仁杰;;保留齒線術(shù)治療混合痔的現(xiàn)狀[J];結(jié)直腸肛門外科;2010年01期

3 何超雄;計勇;;特拉唑嗪對女性肛腸疾病術(shù)后尿潴留恢復(fù)排尿時間的影響[J];當(dāng)代醫(yī)學(xué);2012年05期

4 孟麗君;任玉錄;;赤小豆貼敷按摩水道穴預(yù)防肛腸病術(shù)后尿潴留的臨床觀察與護(hù)理[J];護(hù)士進(jìn)修雜志;2010年17期

5 蔡北源;任東林;秦有;李愛霞;陳經(jīng)寶;;吻合器痔上黏膜環(huán)切釘合術(shù)后并發(fā)急性尿潴留42例分析[J];廣東醫(yī)學(xué);2007年09期

6 楊南生;耳穴敷貼治療尿潴留28例[J];貴陽中醫(yī)學(xué)院學(xué)報;1996年02期

7 楊峰;陳小嵐;劉民生;盛光;馬翔;孫軍;;坦索羅辛預(yù)防肛腸術(shù)后尿潴留的效果觀察[J];海南醫(yī)學(xué);2012年19期

8 張玲;宣肺益腎利尿湯預(yù)防痔術(shù)后尿潴留臨床觀察[J];山西中醫(yī);2002年01期

9 孫鋒;陳傳偉;鄭晉東;鄧賓;唐佩瓊;;針灸治療肛腸疾病硬膜外麻醉術(shù)后尿潴留的療效觀察[J];實用醫(yī)學(xué)雜志;2008年06期

10 印紅梅;王金南;丁妍;李新州;董麗麗;;酚妥拉明治療尿潴留26例(摘要)[J];沈陽部隊醫(yī)藥;2001年05期

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