魏桂花 黄健 郑圆媛

    【摘要】 目的：探讨生姜外敷穴位联合新斯的明预防腰麻术后尿潴留的临床效果。方法：将2020年1月-2021年9月本院收治的80例腰麻术后患者随机分为观察组(生姜外敷穴位联合新斯的明)和对照组(热敷、听流水声、定时排尿)。比较两组术后首次排尿时间、膀胱残余尿量、导尿率、腰麻后平面消退達胸10时输液量、术后首次排尿量，记录两组下腹坠胀、排尿不尽感等不适反应发生率。结果：观察组术后首次排尿时间早于对照组，膀胱残余尿量少于对照组，首次排尿量多于对照组，差异均有统计学意义(P<0.05)。两组腰麻后平面消退达胸10时输液量比较，差异无统计学意义(P>0.05)。观察组导尿率为5.00%，低于对照组的30.00%(P<0.05)。观察组下腹坠胀发生率、排尿不尽感发生率分别为5.00%、10.00%，均低于对照组的22.50%、35.00%，差异均有统计学意义(P<0.05)。结论：生姜外敷穴位联合新斯的明可缩短腰麻术后首次排尿时间，减轻术后不适感，能有效预防尿潴留，减少术后导尿率。

    【关键词】 生姜 外敷穴位 腰麻 尿潴留

    Study on Ginger External Application Combined with Neostigmine on Preventing Urinary Retention after Lumbar Anesthesia/WEI Guihua， HUANG Jian， ZHENG Yuanyuan. //Medical Innovation of China， 2021， 18(35)： 0-089

    [Abstract] Objective： To explore the curative effect of ginger external application combined with Neostigmine on preventing urinary retention after lumbar anesthesia. Method： A total of 80 patients undergoing lumbar anesthesia in our hospital from January 2020 to September 2021 were randomly divided into the observation group (ginger external application combined with Neostigmine) and the control group (hot compress ......