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目的观察和验证急性非梗阻性尿潴留应用开塞露保留灌肠诱导排尿效果并探讨其机理。方法将42例患儿随机分为对照组8例、实验组34例;对照组用传统诱导排尿法,实验组用开塞露保留灌肠法。结果两组排尿效果差异非常显著(t=4.19,P<0.01);传统诱导法失败后,开塞露保留灌肠法乃呈显效。结论开塞露保留灌肠诱导急性非梗阻性尿潴留排尿效果显著,其机制可能是高渗的开塞露液直接刺激直肠前壁逼尿肌和兴奋低级脊髓中枢诱发排尿所致。
Objective To observe and verify the acute non-obstructive urinary retention with ketoconazole-induced enema to induce urination and to explore its mechanism. Methods Forty-two children were randomly divided into control group (n = 8) and experimental group (n = 34). The control group was given traditional induction urination method and the experimental group was treated with the open enema enema. Results The difference of urinary excretion between the two groups was significant (t = 4.19, P <0.01). After the traditional induction method failed, the open enema retention enema was significantly improved. CONCLUSION: Kaixailu retention enema can induce acute non-obstructive urinary retention. The mechanism may be that hypertonic caesalide directly stimulates the detrusor anterior rectum and excites the inferior spinal cord to induce urination.