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[ 研究背景] 妇科手术病人拔出留置导尿管后发生尿潴留,采用三阴交速尿封闭的方法解决术后尿潴留,并与三阴交新斯的明封闭作了比较.[ 病例报告] 自1997 年1 月至1999 年1 月,在我科住院病人术后出现尿潴留21 例,其中,子宫脱垂8 例,子宫肌瘤13 例.留置导尿管最短时间为8h,最长为72h . 患者取仰卧位,双下肢伸直,全身放松,在三阴交处常规消毒后,将已备用的一半药液( 实验组为10mg 速尿,对照组为0 .5mg 新斯的明) 迅速推注,另一半注入对侧肢体同样穴位.结果,实验组11 例封闭10min 后全部开始自行排尿,并且第1 次排尿量明显增多,平均480mL.10例对照组封闭20min 后开始有排尿感,4 例患者第1 次排尿量为平均280mL,患者仍自感排尿不通畅,6 例患者仍不能排尿.[ 结论] 三阴交速尿封闭排尿时间比新斯的明封闭的短,尿量多.
[Background] Gynecological surgery patients with urinary retention after removal of the catheter, the use of Sanyinjiao speed urine closed to resolve postoperative urinary retention, and with Sanyinjiao Nevski Ming closed for comparison. [Case Report] From January 1997 to January 1999, 21 cases of urinary retention occurred in our hospitalized patients, including 8 cases of uterine prolapse and 13 cases of uterine fibroids. Indwelling catheter minimum time of 8h, the longest 72h. Patients supine position, both lower extremities straight, relax the body, at Sanyinjiao routine disinfection, will have half the liquid preparation (experimental group was 10mg furosemide, 0.5mg neostigmine group) rapid bolus injection, The other half into the contralateral limb the same point. Results, the experimental group of 11 cases all closed after 10min self-urination, and the first urine output increased significantly, an average of 480mL. Ten patients in the control group started to have a sense of urination after 20 minutes of occlusion. The first episode of urine excretion in the four patients was 280 mL on average, and the patient was still not self-conscious with voiding and 6 patients were still unable to urinate. [Conclusion] Sanyinjiao speed urine closed urination time than neostigmine closed short, urine output.