Observation on the effect of traditional Chinese medicine hot package on relieving bladder spasm after operation of urinary calculi
中药热奄包在缓解泌尿系结石术后膀胱痉挛效果观察

摘要

目的 探究中药热奄包在缓解泌尿系结石术后膀胱痉挛效果。方法 选取我院2022年1月～2023年4月收治的78例泌尿系结石术患者作为研究对象，按照随机综合平衡法分组方分为对照组（39例）与观察组（39例），对照组采用解痉药物干预方法，观察组在对照组基础上采用中药热奄包干预方法。比较两组患者临床疗效、膀胱痉挛发生率、膀胱痉挛持续时间、疼痛程度及满意度。结果 对两组患者临床疗效比较，观察组患者显著高于对照组，差异有统计学意义（P＜0.05）；对两组患者膀胱痉挛发生率比较，观察组患者显著低于对照组，差异有统计学意义（P＜0.05）；对两组患者膀胱痉挛持续时间比较，术后当天观察组VS对照组=（3.12±1.25）minVS（3.15±1.11）min，两组膀胱痉挛持续时间无明显差异（t=0.112，P=0.911＞0.05）；术后第1d：观察组VS对照组=（0.52±0.35）minVS（2.45±0.11）min；术后第2d：观察组VS对照组=（0.44±0.34）minVS（1.25±0.24）min；术后第3d：观察组VS对照组=（0.10±0.05）minVS（0.45±0.12）min，观察组患者显著短于对照组，差异有统计学意义（t=32.852、12.155、16.813，P＜0.05）。结论 在泌尿系结石术后膀胱痉挛护理中采用中药热奄包干预可提高缓解效果，减少膀胱痉挛发生率，并缩短膀胱痉挛持续时间，进而降低患者疼痛程度，值得推广实施。

Abstract

Objective To explore the effect of the traditional Chinese medicine hot package on relieving bladder spasm after operation of urinary calculus.
Methods 78 patients with urolithiasis admitted to our hospital from January 2022 to April 2023 were selected as the study subjects. They were divided into the control group (39 cases) and the observation group (39 cases) according to the randomized comprehensive balance method. The control group was treated with antispasmodic drugs, and the observation group was treated with traditional Chinese medicine hot package on the basis of the control group. The clinical efficacy, incidence of bladder spasm, duration of bladder spasm, degree of pain and satisfaction were compared between the two groups.
Results The clinical efficacy of the two groups was significantly higher in the observation group than in the control group (P<0.05); The incidence of bladder spasm in the observation group was significantly lower than that in the control group (P<0.05); Compared the duration of bladder spasm between the two groups, the observation group vs the control group=(3.12 ± 1.25) min vs (3.15 ± 1.11) min on the day after operation, and there was no significant difference in the duration of bladder spasm between the two groups (t=0.112, P=0.911>0.05); The first day after operation: the observation group vs the control group=(0.52 ± 0.35) min vs (2.45 ± 0.11) min; The 2nd day after operation: the observation group vs the control group=(0.44 ± 0.34) min vs (1.25 ± 0.24) min; On the third day after operation: the observation group vs the control group=(0.10 ± 0.05) min vs (0.45 ± 0.12) min, the patients in the observation group were significantly shorter than those in the control group, and the difference was statistically significant (t=32.852, 12.155, 16.813, P<0.05).
Conclusion   In the nursing of bladder spasm after operation of urinary calculi, the use of traditional Chinese medicine hot package can improve the relief effect, reduce the incidence of bladder spasm, shorten the duration of bladder spasm, and then reduce the degree of pain in patients. It is worth popularizing and implementing.