维生素B1穴位注射配合按摩导引治疗痔疮术后尿潴留的效果观察

目的探讨穴位注射维生素B1配合按摩导引治疗痔疮术后尿潴留的临床疗效。方法将150例痔疮术后尿潴留的患者随机分成实验组和对照组各75例。实验组采用2ml一次性无菌注射器抽吸维生素B1100mg，注入两侧三阴交穴，在下腹部膀胱底部按摩与导引；对照组采用传统诱导排导方法，如改变体位，流水声诱导及热水袋热敷解除尿潴留。比较2组患者尿潴留的改善情况。结果实验组显效44例，有效26例，总有效率93％；对照组显效17例，有效23例，总有效率53％。2组比较差异有统计学意义，χ^2=31．7，P＜0．01。2组患者在术后排尿时间上比较，实验组显著优于对照组，P＜0．01。结论维生素B，穴位注射配合按摩导引是解除痔疮术后尿潴留的安全有效的护理措施。

Clinical effects of vitamin B1 point injection combined with Chinese manipulation and Qi Gong therapy on the postoperative urinary retention after hemorrhoid operation

Objective In order to know the clinical effects of vitamin B1 point injection combined with Chinese manipulation and Qi Gong therapy on the postoperative urinary retention after hemorrhoid operation. Methods Totally 150 patients with postoperative urinary retention after hemorrhoid operation were divided into the experimental group and the control group with 75 cases in each group randomly. The experimental group were ＇treated with vitamin B1 injection at San Yin Jiao point by disposable asceptic syringe, at the same＇time Chinese manipulation and Qi Gong therapy were used to massage the bladder in the lower abdomen. The traditional nursing cares, such as changes of body position,induction by bicker and foment by hot water bag, were used in the control group. The improving conditions of postoperative urinary retention was compared between them. Results The total effective rate was 93%（44 cases with marked effect,26 cases with effect） in the experimental group and 53%（ 17 cases with marked effect,23 cases with effect） in the control group respectively, with a very significant difference between the two groups, X2=31.7,P 〈 0.01. The experimental group was signif-icantly better than that of control group in the time of uresis after surgery, P 〈 0.01. Conclusions Vitamin B1 point injection combined with Chinese manipulation and Qi Gong therapy is an effective nursing measure to alleviate urinary retention after hemorrhoid operation.