18例术后癃闭病人的辨证施护

目的：探讨解除术后癃闭病人的有效护理方法。方法：18例术后癃闭病人进行辨证分型，并对实邪郁滞型采用热旋磁治疗及艾条灸，下焦虚寒型采用隔姜灸及黄芪水煎服。结果：实邪郁滞型12例中8例治疗后1次排尿，4例2次排尿，下焦虚寒型6例中治疗2周后分别于3，6个月随访，小便由原10－20次／d减少至4－6次／d，结论：采用中医辨证分型施护，是解除癃闭的有效方法。

Selection of Nursing Based on Differential Diagnosis to 18 Postoperative Dysuria Patients

Objective To investigate the effects of planning of nursing based on differential diagnosis of TCM on postoperative dysuria patients. Methods Eighteen patients with postoperative dysuria were divided into two groups: Excess evil stagnation type group receiving the treatment of hot whirl magnetic instrument and moxa stick moxibustion; lower energizer asthenia cold type group receiving the treatment of ginger partition moxibustion and drinking astragalus root water. Results The effects were satisfactory. In the excell evil stagnation type group, 8 out of 12 cases recovered urinary function after treatment one time and 4 after treatment two times. In the lower energizer asthenia cold type group, 3 months or 6 months follow up showed that the times of urination were decreased from 10 20 times/day to 4 to 6 times/day in 6 cases after treatment for 2 weeks. Conclusion Nusing care of the paitents with postoperative dysuria must be based on the differential diagnosis of TCM.