低频脉冲电穴位刺激对腰椎术后患者自主排尿的影响

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Abstract Objective To investigate the effect of low-frequency pulse stimulation at the acupoints on autonomic urination in patients after lumbar spine surgery. Methods From May 2015 to December 2016, a total of 100 patients were recruited in this study after 2-segment lumbar spine surgery was performed. According to the hospitalized order, the patients were divided into the observation group (n = 50) and control group (n = 50). All patients were received routine nursing care before the surgery. In the control group, after pulling out the urine tube, the patients were received routine nursing care for induced urination, while in the observation group, the patients were received the low-frequency pulse acupoint stimulation therapy beyond the nursing care of the control group. The urine tube indwelling time, the number of urethral catheterization, residual urine, psychological status before and after nursing intervention were measured, respectively. Results In the observation group, the urinary tube indwelling time, the number of urethral catheterization, residual urine were (28.8±3.5) h, (0.3±0.1) times, (52.4±12.4) mL, and respectively, which were lower than those of control group (88.2±24.7) h, (0.5±0.2) times and (86.6±25.0) mL, and the differences were statistically significant (P < 0.01). In the observation group, the SAS and SDS scores after nursing intervention were (23.8±5.1) points and (19.2±3.4) points respectively, which were lower than those of control group with the value of (32.4±6.0) points, (30.4±4.5) points, and the differences were statistically significant (P < 0.01). The patients′ satisfaction in observation group was 92.00%, which was higher than that of the control group 76.00%, and the difference was statistically significant (P < 0.05). The SF-36 scores of physical function, physiological function, physical pain, social function, energy, emotional function, mental health and overall health after nursing intervention of the patients in the observation group were significantly higher than those of the control group, and the differences were statistically significant (P < 0.01). Conclusion The low-frequency pulse stimulation at the acupoints was enhanced the micturition prognosis of the dysuria patients after lumbar spine surgery, and it was helpful to improve the psychological status and the satisfaction and quality of life.

Key words： Lumbar surgery Micturition Low-frequency pulse Acupoint stimulation Quality of life

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	SUN Yongmei WANG Ling▲ PENG Lijuan BAO Ruizhi SHI Yan

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SUN Yongmei WANG Ling▲ PENG Lijuan BAO Ruizhi SHI Yan. Effect of low-frequency pulse electric stimulation at the acupoints on autonomic urination in patients after lumbar spine surgery[J]. 中国医药导报, 2018, 15(19): 96-99.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I19/96

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