康复综合治疗仪脉冲电刺激穴位治疗产后尿潴留的疗效分析(1)
摘 要：目的 分析应用康复综合治疗仪脉冲电刺激穴位治疗产后尿潴留的疗效。方法 选取我院在2014年3月～2017年3月收治的60例经阴道分娩后4～6 h不能自解小便患者，随机分为实验组和参照组，每组30例。参照组采取传统诱导排尿方法治疗，实验组采取康复综合治疗仪脉冲电刺激穴位治疗结合新斯地明肌肉注射，对比两组患者的临床效果和并发症发生率。结果 实验组总有效率为96.67%，高于参照组的80.00%，差异有统计学意义(P<0.05)。实验组并发症发生率为3.33%，明显低于参照组的26.67%，差异有统计学意义(P<0.05)。结论 对经阴道分娩后4～6 h不能自解小便患者采取康复综合治疗仪脉冲电刺激穴位治疗，提高了治疗效果，降低了并发症的发生，有效促进子宫恢复正常，值得临床上借鉴以及进一步普及。
关键词：康复综合治疗仪；脉冲电刺激穴位；产后尿潴留；并发症
中图分类号：R714.64 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.04.039
, http://www.100md.com
文章编号：1006-1959(2018)04-0113-02
Abstract：Objective To analyze the therapeutic effect of pulse electric stimulation on postpartum urinary retention by comprehensive rehabilitation therapy instrument.Methods From March 2014 to March 2017，60 patients who could not defecate themselves 4～6 h after vaginal delivery were selected.The patients were randomly divided into experimental group and reference group with 30 cases in each group.The reference group was treated with the traditional method of induced urination，and the experimental group was treated with pulse electrical stimulation combined with neostigmine intramuscular injection.The clinical effect and complication rate were compared between the two groups.Results The total effective rate of the experimental group was 96.67%，which was higher than that of the control group 80.00%，the difference was statistically significant(P<0.05).The incidence of complications in the experimental group was 3.33%.It was significantly lower than that of the control group(26.67%)，the difference was statistically significant(P<0.05).Conclusion The treatment of acupoint stimulation by pulse electric stimulation of rehabilitation comprehensive therapy instrument can improve the therapeutic effect for the patients who can not relieve their own urine 4～6 h after vaginal delivery. the incidence of complications was reduced as well as promote the recovery of normal uterus effectively，clinical reference and further popularization.
, 百拇医药
Key words：Comprehensive rehabilitation therapy instrument；Pulse electric stimulation acupoint；Postpartum urinary retention； Complications
產后尿潴留(postpartum urinary retention)是产科常见并发症。产妇在分娩时，大多数都会进行导尿处理，导致产后伤口疼痛、会阴部水肿等，由于女性的尿道宽、短、直，极易发生泌尿系统感染[1]。以往常采取留置尿管，此种方式造成了膀胱黏膜和尿道的损伤，进而极易发生细菌性感染，对产妇造成了较大的困扰，感染严重可导致排尿障碍[2]。产后尿潴留如不能妥善处理，对产妇子宫收缩影响极大，严重者可发生大出血现象[3]。为减少产后尿潴留的发生，选取我院收治的60例经阴道分娩后4～6 h不能自解小便患者进行研究，现报道如下。
1资料与方法
1.1一般资料 选取2014年3月～2017年3月我院收治的经阴道分娩后4～6 h不能自解小便患者60例，按照随机数字表法分为实验组和参照组，每组30例。实验组中，年龄23～38岁，平均年龄(31.23±4.23)岁；参照组中，年龄22～39岁，平均年龄(31.68±4.52)岁。两组患者一般资料相比，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(苏成鹏)
关键词：康复综合治疗仪；脉冲电刺激穴位；产后尿潴留；并发症
中图分类号：R714.64 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.04.039
, http://www.100md.com
文章编号：1006-1959(2018)04-0113-02
Abstract：Objective To analyze the therapeutic effect of pulse electric stimulation on postpartum urinary retention by comprehensive rehabilitation therapy instrument.Methods From March 2014 to March 2017，60 patients who could not defecate themselves 4～6 h after vaginal delivery were selected.The patients were randomly divided into experimental group and reference group with 30 cases in each group.The reference group was treated with the traditional method of induced urination，and the experimental group was treated with pulse electrical stimulation combined with neostigmine intramuscular injection.The clinical effect and complication rate were compared between the two groups.Results The total effective rate of the experimental group was 96.67%，which was higher than that of the control group 80.00%，the difference was statistically significant(P<0.05).The incidence of complications in the experimental group was 3.33%.It was significantly lower than that of the control group(26.67%)，the difference was statistically significant(P<0.05).Conclusion The treatment of acupoint stimulation by pulse electric stimulation of rehabilitation comprehensive therapy instrument can improve the therapeutic effect for the patients who can not relieve their own urine 4～6 h after vaginal delivery. the incidence of complications was reduced as well as promote the recovery of normal uterus effectively，clinical reference and further popularization.
, 百拇医药
Key words：Comprehensive rehabilitation therapy instrument；Pulse electric stimulation acupoint；Postpartum urinary retention； Complications
產后尿潴留(postpartum urinary retention)是产科常见并发症。产妇在分娩时，大多数都会进行导尿处理，导致产后伤口疼痛、会阴部水肿等，由于女性的尿道宽、短、直，极易发生泌尿系统感染[1]。以往常采取留置尿管，此种方式造成了膀胱黏膜和尿道的损伤，进而极易发生细菌性感染，对产妇造成了较大的困扰，感染严重可导致排尿障碍[2]。产后尿潴留如不能妥善处理，对产妇子宫收缩影响极大，严重者可发生大出血现象[3]。为减少产后尿潴留的发生，选取我院收治的60例经阴道分娩后4～6 h不能自解小便患者进行研究，现报道如下。
1资料与方法
1.1一般资料 选取2014年3月～2017年3月我院收治的经阴道分娩后4～6 h不能自解小便患者60例，按照随机数字表法分为实验组和参照组，每组30例。实验组中，年龄23～38岁，平均年龄(31.23±4.23)岁；参照组中，年龄22～39岁，平均年龄(31.68±4.52)岁。两组患者一般资料相比，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(苏成鹏)