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[摘要] 目的 观察维生素B1三阴交穴位封闭促进盆腔脏器脱垂患者术后膀胱功能恢复的疗效。 方法 将112例盆腔脏器脱垂术后患者随机分为实验组60例和对照组52例，实验组用维生素B1双侧三阴交穴位封闭，并分别对两组进行常规治疗和护理，观察两组膀胱残余尿量。 结果 实验组有56例自主排尿后测膀胱残余尿量≤100 mL，对照组有32例自主排尿后测膀胱残余尿量≤100 mL，两组比较差异有统计学意义（P＜0.01）。 结论 维生素B1三阴交穴位封闭可以促进盆腔脏器脱垂术后患者膀胱功能的恢复。
[关键词] 维生素B2；三阴交；穴位封闭；盆腔脏器脱垂；术后；膀胱功能恢复
[中图分类号] R713???[文献标识码] B???[文章编号] 2095-0616（2012）12-148-02
Curative effect of Sanyinjiao point injection with vitamin B1 for promoting recovering function of urinary bladder of patients with prolapse of pelvic organ after surgical operation
ZHAO?Xiaoli
Department of Obstetrics and Gynecology, People's Hospital of Yexian, Yexian 467200,China
[Abstract] Objective To observe the curative effect of Sanyinjiao point injection with vitamin B1 for promoting recovering function of urinary bladder of patient with prolapse of pelvic organ after surgical operation. Methods A total of 112 patients with prolapse of pelvic organ were randomly divided into the study group (n=60) and the control group(n=52),the study group were given Sanyinjiao point injection with vitamin B1,and the two group was given conventional treatment and nursing, to observe the two groups of patient’s residual urine in the urinary bladder. Results There were 56 patients whose residual urine volume is less than or equal to 100 mL in the urinary bladder after autonomous urination in the study group, there were 32 patients whose residual urine volume is less than or equal to 100 mL in the urinary bladder after autonomous urination in the control group ,the difference between the two groups has statistical significance(P＜0.01). Conclusion Sanyinjiao point injection with vitamin B1 could promote recovering function of urinary bladder of patient with prolapse of pelvic organ after surgical operation.
[Key words] Vitamin B1; Sanyinjiao; Point injection; Prolapse of the pelvic organ; After surgical operation ; Recovering function of urinary bladder
盆腔脏器脱垂是盆底支持组织因退化、损伤等导致肌肉韧带松弛而引发的疾病[1]；是盆底支持结构缺陷、损伤与功能障碍所致。常见疾病有：子宫脱垂、阴道前后壁膨出。绝经后妇女的发生率为60%[2]，严重影响中老年妇女的健康和生活质量。笔者所在科室常采用阴式子宫切除加阴道前后壁修补术这一传统手术方式，手术中有可能伤及输尿管，术中分离粘连时牵拉膀胱、输尿管，严重影响了患者膀胱功能的恢复。为了避免术后尿潴留增加导尿次数，引起泌尿系感染，增加患者痛苦，笔者所在科室2008年1月~2011年12月选用维生素B1三阴交穴位封闭用于治疗盆腔脏器脱垂术后患者，实践证明对膀胱功能的恢复有一定的疗效，现报道如下。
[关键词] 维生素B2；三阴交；穴位封闭；盆腔脏器脱垂；术后；膀胱功能恢复
[中图分类号] R713???[文献标识码] B???[文章编号] 2095-0616（2012）12-148-02
Curative effect of Sanyinjiao point injection with vitamin B1 for promoting recovering function of urinary bladder of patients with prolapse of pelvic organ after surgical operation
ZHAO?Xiaoli
Department of Obstetrics and Gynecology, People's Hospital of Yexian, Yexian 467200,China
[Abstract] Objective To observe the curative effect of Sanyinjiao point injection with vitamin B1 for promoting recovering function of urinary bladder of patient with prolapse of pelvic organ after surgical operation. Methods A total of 112 patients with prolapse of pelvic organ were randomly divided into the study group (n=60) and the control group(n=52),the study group were given Sanyinjiao point injection with vitamin B1,and the two group was given conventional treatment and nursing, to observe the two groups of patient’s residual urine in the urinary bladder. Results There were 56 patients whose residual urine volume is less than or equal to 100 mL in the urinary bladder after autonomous urination in the study group, there were 32 patients whose residual urine volume is less than or equal to 100 mL in the urinary bladder after autonomous urination in the control group ,the difference between the two groups has statistical significance(P＜0.01). Conclusion Sanyinjiao point injection with vitamin B1 could promote recovering function of urinary bladder of patient with prolapse of pelvic organ after surgical operation.
[Key words] Vitamin B1; Sanyinjiao; Point injection; Prolapse of the pelvic organ; After surgical operation ; Recovering function of urinary bladder
盆腔脏器脱垂是盆底支持组织因退化、损伤等导致肌肉韧带松弛而引发的疾病[1]；是盆底支持结构缺陷、损伤与功能障碍所致。常见疾病有：子宫脱垂、阴道前后壁膨出。绝经后妇女的发生率为60%[2]，严重影响中老年妇女的健康和生活质量。笔者所在科室常采用阴式子宫切除加阴道前后壁修补术这一传统手术方式，手术中有可能伤及输尿管，术中分离粘连时牵拉膀胱、输尿管，严重影响了患者膀胱功能的恢复。为了避免术后尿潴留增加导尿次数，引起泌尿系感染，增加患者痛苦，笔者所在科室2008年1月~2011年12月选用维生素B1三阴交穴位封闭用于治疗盆腔脏器脱垂术后患者，实践证明对膀胱功能的恢复有一定的疗效，现报道如下。