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雷火灸加电刺激对产后尿潴留的疗效观察

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目的 分析产后尿潴留产妇采取雷火灸加电刺激联合治疗的疗效。方法 100 例平产产后或术后拔除尿管后有尿潴留症状或倾向的产妇,遵循随机原则分为对照组(原始操作诱导排尿及新斯的明注射,50 例)与观察组(在原始操作的同时增加雷火灸加电刺激治疗,50 例)。比较两组产妇治疗效果(有自解小便、无使用留置导尿、排尿通畅情况)、产后膀胱残余尿量、尿路感染情况、首次排尿时间以及满意度。结果 观察组产妇有自解小便、无使用留置导尿、排尿通畅发生率分别为 84。00%、82。00%、80。00%,均高于对照组的 64。00%、60。00%、58。00%,数据经统计学计算后有显著性的差异(P<0。05)。观察组产妇产后膀胱残余尿量为(64。32±4。45)ml,少于对照组的(104。68±5。78)ml;观察组产妇首次排尿时间为(5。43±1。87)min,短于对照组的(16。81±2。33)min;观察组产妇尿路感染发生率为 0,低于对照组的 18。00%,数据经统计学计算后有显著性的差异(P<0。05)。与对照组产妇总满意度的 74。00%比较,观察组产妇总满意度 96。00%更高,数据经统计学计算后有显著性的差异(P<0。05)。结论 产后尿潴留产妇采取雷火灸加电刺激联合治疗方式具有良好的治疗效果,可减少产后使用留置导尿、出现排尿不畅现象,提高产妇的舒适度及满意度。
Efficacy observation of thunder-fire moxibustion combined with electric stimulation on postpartum urinary retention
Objective To analyze the therapeutic effect of thunder-fire moxibustion combined with electric stimulation in patients with postpartum urinary retention.Methods 100 parturients who had urinary retention symptoms or tendency after removal of urinary tube after normal delivery or after surgery were selected.Following the principle of randomization,parturients were divided into a control group(original operation induced urination and neostigmine injection,50 cases)and an observation group(thunder-fire moxibustion plus electrical stimulation along with the original operation,50 cases).The therapeutic effect(self-urination,indwelling catheterization,patency of urination),postpartum residual urinary volume,urinary tract infection,time of first urination and satisfaction of parturient parturients after extraction of urinary tube were compared.Results The incidence of spontaneous urination,no indwelling catheterization and patency of urination in the observation group were 84.00%,82.00%and 80.00%,which were higher than 64.00%,60.00%and 58.00%in the control group,and the data had a statistically significant difference(P<0.05).The postpartum residual urine volume of the observation group was(64.32±4.45)ml,which was less than(104.68±5.78)ml of the control group;the first urination time of the observation group was(5.43±1.87)min,which was shorter than(16.81±2.33)min of the control group;the incidence of urinary tract infection of the observation group was 0,which was lower than 18.00%of the control group;the data had a statistically significant difference(P<0.05).Compared with 74.00%of patients in the control group,the total satisfaction of patients in the observation group was higher at 96.00%,and the data had a statistically significant difference(P<0.05).Conclusion Thunder-fire moxibustion combined with electric stimulation has a good therapeutic effect on patients with postpartum urinary retention,and can reduce the phenomenon of urinary obstruction after postpartum indwelling catheterization,and improve the comfort and satisfaction of parturients.

Postpartum urinary retentionThunder-fire moxibustionElectric stimulationUrinary tract infection

朱秀梅

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342399 于都县妇幼保健院产科

产后尿潴留 雷火灸 电刺激 尿路感染

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(11)