目的 观察揿针治疗下肢骨折术后镇痛泵相关性尿潴留的疗效.方法 选择2016年1月至2017年6月期间收治下肢骨折术后使用静脉给药式镇痛泵患者60例作为观察对象,根据随机数字表法分为揿针组和对照组,每组各30例.揿针组在术后1h内对健侧三阴交、阴陵泉、关元、中极四个穴位应用揿针治疗,对照组采用传统的情志护理、排尿训练、热敷膀胱区、听流水声等诱导排尿法,比较两组患者术后首次排尿时间、膀胱内残余尿量、尿潴留例数及护理服务满意度.结果 揿针组患者首次排尿时间短于对照组,膀胱内残余尿量少于对照组、尿潴留发生例数低于对照组,护理服务满意度优于对照组,差异均具有统计学意义(P<0.05).结论 揿针治疗下肢骨折术后镇痛泵相关性尿潴留的发生具有良好的疗效.%Objective To observe the therapeutic effect of the press needle on the prevention of urinary retention of the postoperative on analgesic pump of lower limb fracture. Methods 60 cases of urinary retention of the postoperative on analgesic pump of lower limb fracture in our hospital From January 2016 to June 2017 were selected in,who were divided into press needle group(30 cases)and control group(30 cases)with Random Numbers table method. The Press needle group were treated by press needle on the healthy side acupoint in San yin jiao,Yin ling quan,guan yuan,zhong ji, within one hour after surgery. Traditional method was used in the control group,such as Psychological care,urination training,hot compress bladder, listening to the sound of water. Postoperative micturition for the first time,residual urine in the bladder,urinary retention cases and nursing service satisfaction in two groups were compared. Results Micturition for the first time in the Press needle group was shorter than that control group; residual urine in the bladder is less than that in control group and urinary retention cases were lower than that in the control group; the nursing service satisfaction is better than that in control group. The difference was statistically significant(P<0.05). Conclusion The press needle has effect on preventing for the postoperative of urinary retention of the postoperative on analgesic pump of lower limb fracture.
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