Impacts of acupuncture combined with neostigmine on urination,bladder residual urine volume and pelvic floor muscle tension in patients with postpartum urinary retention
Objective To explore the impacts of acupuncture combined with neostigmine on urination,bladder residual urine volume and pelvic floor muscle tension in patients with postpartum urinary retention(PUR).Methods A total of 88 PUR patients were randomly assigned in a1∶1 ratio to neostigmine(control group)or acupuncture combined with neostigmine(study group)for 2 days.The clinical efficacy,urination,bladder residual urine volume,urethral pain score and pelvic floor muscle tension of the two groups were compared.Results The total effective rate of the study group was obviously increased compared with the control group(97.73%[43/44]vs 81.82%[36/44],P<0.05).After treatment,the first urination time in the study group was obviously shorter than that of the control group,but the first urine volume was obviously more(P<0.05).After treatment,significantly decreased bladder residual urine volume and urethral pain score,and increased vaginal resting pressure,vaginal systolic pressure and vaginal contraction duration were detected in both groups(all P<0.05),and the improvements in the study group were more obvious relative to the control group(all P<0.05).Conclusion Acupuncture combined with neostigmine is effective in the treatment of PUR patients,which can obviously reduce the bladder residual urine volume and urethral pain score,improve the pelvic floor muscle tension.It is helpful to the recovery of bladder function in patients.