【作者】 赵伟；

【导师】 廖行忠；

【作者基本信息】 成都中医药大学 ， 中医外科， 2012， 硕士

【摘要】 目的：通过塔纱压迫与敷贴覆盖两种包扎方式的对比分析,探讨其对术后排尿情况的影响,从而为临床减少术后尿潴留的发生提供依据。方法：选取成都中医药大学附属医院肛肠科30例混合痔术后患者作为塔纱组,其伤口采用塔纱覆盖,宽胶布加压固定；选取石家庄市中医院肛肠科30例混合痔术后患者作为敷贴组,伤口采用可粘贴敷料覆盖固定。详细观察并记录两组患者术后首次排尿时间、排尿通畅时间、尿潴留发生率、导尿率、首次排尿情况、腹部症状、肛门堵塞感以及肛门疼痛、出血、水肿情况。结果：塔纱组在术后首次排尿时间、排尿通畅时间、尿潴留发生率、导尿率、首次排尿情况、腹部症状、肛门堵塞感以及肛门疼痛方面与敷贴组比较,差异有显著性(P<0.05)；而在术后出血、水肿方面与敷贴组比较,差异无显著性(P>0.05)。结论：塔纱压迫与敷贴覆盖两种伤口包扎方式相比：前者对术后首次排尿情况的负面影响较大,明显延长了术后首次排尿时间、排尿通畅时间,增加了术后尿潴留的发生率及导尿率；同时,前者使患者的肛门堵塞感、腹胀感明显加重,且在一定程度上可引起或加重术后肛门疼痛。更多还原

【Abstract】 Objective:Through both the tower yarn oppression and apply stick cover bandage way of comparative analysis, this paper discusses the influence of the situ-ation of postoperative micturition, It provides the basis for the reduce occur of the postoperative urine retention on clinical.Methods:We had selected30cases of mixed hemorrhoid patients as the tower yarn group from Gang Chang Ke of Chengdu University of Traditional Chinese Medicine Affiliated Hospital. The wound was covered by tower yarn, and fixed by wide tape with prressure; Another30cases of mixed hemorrhoid surgery was chosed from Shijiazhuang City Hospital Gang Chang Ke as the control group, whose wound were fixed by paste dressing. After the surgery, we have observed and recorded the follows of two groups in detail:the time of first postoperative voiding and unobstruct-ed voiding, the incidence rate of urinary retention, catheterization rate, the situation of first voiding, abdominal symptoms, anal blockage flu, anal pain, bleeding and edema.Results:By comparing the applicater group, the tower yarn group for the first time in the postoperative voiding time, voiding time, the incidence of urinary retention, catheterization rate, for the first time urination, abdominal symptoms, a sense of anal blockage and anal pain, there was significant difference(P<0.05); postoperative hemorrhage, edema, applicator group,there was no significant difference (P>0.05).Conclusion:The Tower yarn oppression compared with the applicator cover:the former had significantly prolonged the time of the first postoperative voiding and unobstructed voiding, increased the incidence rate of urinary retentionand catheterization rate.; At the same time,the former had significantly increased the sense of anal blockage and abdominal distension of the patients,add to some extent, it had caused or aggrvated the postoperative pain of anal.更多还原