吴茱萸中药热奄包对剖宫产术后尿潴留的护理效果作者:黄宇燕鲁影影何海玲来源:《中外医学研究》第23期【摘要】目的:探究吳茱萸中药热奄包护理方略对剖宫产术后产妇尿潴留改善的效果。办法:纳入2月-2月在笔者所在医院产科接受剖宫产手术后发生尿潴留的产妇198例,随机分为热奄包护理组与常规护理组,热奄包护理组在普通护理基础上接受吴茱萸中药热奄包护理,常规护理组在普通护理基础上仅接受术后常规护理;评定两组第一次排尿时间、第一次排尿残存尿量、护理前后VAS疼痛评分及护理效果。成果:热奄包护理组第一次排尿时间早于常规护理组,第一次排尿残存尿量少于常规护理组,差别都有统计学意义(P<0.05),两组干预前及干预1d后VAS评分比较差别无统计学意义(P>0.05),干预3d后热奄包护理组VAS评分低于常规护理组,差别有统计学意义(P<0.05);热奄包护理组护理总有效率高于常规护理组,差别有统计学意义(P<0.001)。结论:吴茱萸中药热奄包护理对剖宫产后尿潴留症状有明显改善,含有较好的术后护理运用价值。【核心词】剖宫产术后尿潴留吴茱萸中药热奄包doi:10.14033/j.cnki.cfmr..23.033文献标记码B文章编号1674-6805()23-00-04NursingEffectofEvodiaChineseTraditionalMedicineFomentPackageinUrinaryRetentionafterCesareanSection/HUANGYuyan,LUYingying,HEHailing.//ChineseandForeignMedicalResearch,,18(23):-90[Abstract]Objective:ToinvestigatetheeffectofEvodiaChinesetraditionalmedicinefomentpackageonurinaryretentioninpuerperaaftercesareansection.Method:Atotalof198womenwithurinaryretentionaftercesareansectionintheobstetricsdepartmentoftheauthor'shospitalfromFebruarytoFebruarywereselected,thepatientswererandomlydividedintothefomentpackagenursinggroupandtheroutinenursinggroup.Onthebasisofgeneralnursing,thefomentpackagenursinggroupreceivedthefomentpackagenursingofEvodia,whiletheroutinenursinggrouponlyreceivedpostoperativeroutinenursingonthebasisofgeneralnursing.Thefirsturinationtime,residualurinationvolume,theVASpainscorebeforeandafternursingandnursingeffectwereevaluated.Result:Thefirsturinationtimeinthefomentpackagenursinggroupwasearlierthanthatintheroutinenursinggroup,andtheresidualurinevolumeofthefirsturinationwaslowerthanthatintheroutinenursinggroup,thedifferenceswerestatisticallysignificant(P<0.05).TherewasnostatisticallysignificantdifferenceinVASscoresbetweenthetwogroupsbeforeand1dayafterintervention(P>0.05),andtheVASscoreinthefomentpackagenursinggroupwaslowerthanthatintheroutinenursinggroupat3daysafterintervention,thedifferencewasstatisticallysignificant(P<0.05).Thetotalnursingefficiencyinthefomentpackagenursinggroupwashigherthanthatintheroutinenursinggroup,thedifferencewasstatisticallysignificant(P<0.001).Conclusion:EvodiaChinesetraditionalmedicinefomentpackagehasobviousimprovementinurinaryretentionaftercesareansectionandhasgoodclinicalapplicationvalue.[Keywords]Post-cesareansectionUrinaryretentionEvodiaChinesetraditionalmedicinefomentpackageFirst-author’saddress:ShenzhenLonggangDistrictMaternalandChildHealthHospital,Shenzhen518172,China产后尿潴留是指产后6~8h无法自行排出尿液或者排尿困难无法排空尿液,其是产后最常见的并发症之一[1]。产后尿潴留不仅对产后子宫收缩能力恢复造成不良影响,造成产后出血风险增加,并且增加导尿管留置率,增加产后泌尿系统感染的风险。产后尿潴留对产妇的身心健康造成不良影响,不利于乳汁分泌,减低母乳喂养的成功率[2-3]。因此,探索一种安全、简朴、有效的护理办法改善产后尿潴留症状含有重要的临床意义。吴茱萸中药性热,味苦、辛,含有温中断痛、理气燥湿之功效[4]。本研究采用吴茱萸中药热奄包外敷于神阙、气海及中极穴位区...