多功能艾灸仪联合中药热奄包对经股动脉介入术后尿潴留病人疗效、膀胱残余尿量及生活质量的影响

目的 探究多功能艾灸仪联合中药热奄包对经股动脉介入术后尿潴留病人疗效、膀胱残余尿量及生活质量的影响.方法 选取河南中医药大学第一附属医院2018年1月至2019年12月收治的80例经股动脉介入术后尿潴留病人,按照随机数字表法分为治疗组和对照组,各40例.对照组给予常规护理,治疗组给予多功能艾灸仪配合中药热奄包治疗经股动脉介入术后尿潴留病人.比较两组临床疗效,尿潴留发生率、首次排尿时间、首次排尿残余量,病人依从性及护理满意度,生活质量简表.结果 治疗后,治疗组总有效率、总体满意度分别为92.50％、95.00％明显高于对照组62.50％、65.00％(P<0.05);治疗组尿潴留发生率10.00％明显低于对照组40.00％(P<0.05);治疗组首次排尿时间(41.83±5.94)min、首次排尿残余量(23.46±3.24)mL明显低于对照组首次排尿时间(71.79±4.52)min、首次排尿残余量(39.12±3.49)mL](P<0.05);两组病人治疗后WHO-QOL-BREF简表评分较治疗前均明显升高(P<0.05),且治疗组明显高于对照组(P<0.05).结论 多功能艾灸仪联合中药热奄包用于经股动脉介入术后尿潴留病人疗效显著,可有效减少首次排尿时间、首次排尿膀胱残余量,提高病人满意度,降低尿潴留发生率,改善病人生活质量.

The effects of moxibustion combined with traditional Chinese medicine on the urinary retention, the residual urine volume and the quality of life of patients with urinary retention after femoral artery intervention

Objective To explore the effects of moxibustion combined with traditional Chinese medicine on the urinary retention,the residual urine volume and the quality of life of patients with urinary retention after femoral artery intervention.Methods A total of 80 patients with urinary retention after femoral artery intervention were selected in the First Affiliated Hospital of Henan University ofTCM from January 2018 to December 2019. According to the random number table method, they were divided into treatment group andcontrol group, with 40 cases in each group. The control group was given routine nursing, while the treatment group was given moxibus-tion combined with Chinese Medicine hot bag. The clinical efficacy, the incidence of urinary retention, the first voiding time, the firstvoiding residual volume, the compliance and satisfaction of patients, and the WHO-QOL-BREF score were compared between the two groups.Results After treatment, the total effective rate and overall satisfaction of the treatment group were 92.50% and 95.00%,which were significantly higher than 62.50% and 65.00% in the control group (P < 0.05); the incidence of urinary retention in the treat-ment group was 10.00%, which was significantly lower than 40.00% in the control group (P<0.05). The first urination time (41.83±5.94)min and the first urination residual volume (23.46±3.24) mL in the treatment group were significantly lower than the control group firsturination time (71.79±4.52) min, the first urination residual volume (39.12±3.49) mL] ( P<0.05); in addition, the short form score of WHO-QOL-BREF in both groups after treatment was significantly higher than that before treatment (P < 0.05), and that in the treat-ment group was significantly higher than that in the control group (P < 0.05).Conclusions Moxibustion combined with Chinese Medi-cine hot bag has significant effect on patients with urinary retention after femoral artery intervention. It can effectively reduce the firstvoiding time and the first voiding bladder residual volume, improve patient satisfaction, reduce the incidence of urinary retention, andimprove the quality of life of patients.