摘要
目的:观察耳穴压豆联合穴位按摩预防分娩镇痛后产后尿潴留的效果。方法:选择2023年1—12月于温州医科大学附属第二医院分娩镇痛后的产妇150例,按随机数字表法分为联合组、耳穴压豆组与穴位按摩组各50例。耳穴压豆组采用耳穴压豆治疗,穴位按摩组采用穴位按摩治疗,联合组采用耳穴压豆联合穴位按摩治疗,3组均治疗2周。比较3组自行排尿时间、产后首次尿量、膀胱残余尿量、产后尿潴留发生率、导尿和产后留置尿管占比值、产后出血量及满意度。结果:联合组自行排尿时间均短于耳穴压豆组和穴位按摩组,产后首次尿量均多于耳穴压豆组和穴位按摩组,膀胱残余尿量均少于耳穴压豆组和穴位按摩组,差异均有统计学意义(P<0.05);耳穴压豆组自行排尿时间、产后首次尿量和膀胱残余尿量与穴位按摩组比较,差异均无统计学意义(P>0.05)。联合组产后尿潴留发生率均低于耳穴压豆组和穴位按摩组(P<0.05);耳穴压豆组产后尿潴留发生率与穴位按摩组比较,差异无统计学意义(P>0.05)。联合组导尿和产后留置尿管占比值均低于耳穴压豆组和穴位按摩组(P<0.05);耳穴压豆组导尿和产后留置尿管占比值与穴位按摩组比较,差异均无统计学意义(P>0.05)。产后2 h、24 h,联合组产后出血量均少于同期耳穴压豆组和穴位按摩组(P<0.05);耳穴压豆组产后出血量与穴位按摩组同期比较,差异无统计学意义(P>0.05)。联合组满意度(98.00%,49/50)均高于耳穴压豆组(84.00%, 42/50)和穴位按摩组(82.00%, 41/50)(P<0.05);耳穴压豆组满意度(84.00%,42/50),与穴位按摩组(82.00%,41/50)比较,差异无统计学意义(P>0.05)。结论:分娩镇痛后应用耳穴压豆联合穴位按摩可减少产后尿潴留发生率和促进子宫恢复,提高产妇满意度。
Objective:To observe the curative effect of the combination use of auricular point seed-pressing and acupoints massage on preventing postpartum urine retention after labor analgesia.Methods:A total of 150 lying-in women receiving labor analgesia in the 2nd Affiliated Hospital of Wenzhou Medical University from January 2023 to December 2023 were selected and divided into the combination group,the auricular point seed-pressing group and the acupoint massage group according to the random number table method,with 50 cases in each group.The auricular point seed-pressing group was treated with auricular point seed-pressing,the acupoint massage group was treated with acupoint massage,and the combination group was treated with auricular point seed-pressing combined with acupoint massage.The three groups were treated for two weeks.The autonomic micturation time,first urine volume after delivery,residual urine volume in bladder,incidence of postpartum urine retention,ratio of catheterization to postpartum indwelling catheter,postpartum amount of bleeding and satisfaction degree of lying-in women were compared among the three groups.Results:The autonomic micturation time in the combination group was shorter than that in the auricular point seed-pressing group and the acupoint massage group,the first urine volume after delivery was more than that in the auricular point seed-pressing group and the acupoint massage group,and the residual urine volume in the bladder was less than that in the auricular point seed-pressing group and the acupoint massage group(P<0.05);there were no significant differences being found in the comparisons of autonomic micturation time,first urine volume after delivery and residual volume in the bladder between the auricular point seed-pressing group and the acupoint massage group(P>0.05).The incidence of postpartum urine retention in the combination group was lower than that in the auricular point seed-pressing group and the acupoint massage group(P<0.05);there was no significant difference being found in the comparison of incidence of postpartum urine retention between the auricular point seed-pressing group and the acupoint massage group(P>0.05).The ratio of catheterization to postpartum indwelling catheter in the combination group was lower than that in the auricular point seed-pressing group and the acupoint massage group(P<0.05);there was no significant difference being found in the comparison of ratio of catheterization to postpartum indwelling catheter between the auricular point seed-pressing group and the acupoint massage group(P>0.05).Two and twenty-four hours after delivery,the postpartum amount of bleeding in the combination group was less than that in the auricular point seed-pressing group and the acupoint massage group at the same time(P<0.05);there were no significant differences being found in the comparison of postpartum amount of bleeding at the same time between the auricular point seed-pressing group and the acupoint massage group(P>0.05).The satisfaction degree of lying-in women was 98.00%(49/50)in the combination group,higher than that of 84.00%(42/50)in the auricular point seed-pressing group(P<0.05);and that of 82.00%(41/50)in the acupoint massage group,there being no significance in the difference between the satisfaction degree of living-in women in the auricular point seed pressing group and accupoint massage group(P>0.05).Conclusion:The combination use of auricular point seed-pressing and acupoints massage can reduce the incidence of postpartum urine retention and restore uterine fuction and improve the satisfaction degree of lying-in women.
作者
厉晨洁
陈洁琼
蒋婷婷
王小梅
LI Chenjie;CHEN Jieqiong;JIANG Tingting;WANG Xiaomei(Department of Obstetrics,the 2^(nd)Affiliated Hospital of Wenzhou Medical University,Wenzhou Zhengjiang 325000,China)
出处
《新中医》
2025年第3期186-190,共5页
New Chinese Medicine
基金
浙江省温州市科研项目(Y2023603)。
关键词
产后尿潴留
分娩镇痛
耳穴压豆
穴位按摩
Postpartum urine retention
Labor analgesia
Auricular point seed-pressing
Acupoint massage
