止痛利尿艾盐包热熨联合通泉散穴位贴敷预防初产妇产后尿潴留临床研究OA
Clinical Study on Pain-Relieving and Diuretic Moxa Salt Pack Hot Compress Combined with Tongquan Powder Acupoint Application for Preventing Postpartum Urinary Retention in Primiparas
目的:观察在常规产后干预措施基础上采用止痛利尿艾盐包热熨联合通泉散穴位贴敷预防初产妇产后尿潴留的临床效果.方法:纳入2022年3月—2024年11月在嵊州市妇幼保健院行阴道分娩的98例初产妇为研究对象,采用随机信封法分为对照组和观察组各49例.2组均采取常规产后护理及对症用药,对照组采用通泉散穴位贴敷干预,观察组采用通泉散穴位贴敷联合止痛利尿艾盐包热熨干预.2组均干预3天.比较2组的临床疗效、尿潴留发生率与不良反应发生率,记录首次排尿时间、恶露量,测量排尿后的膀胱残余尿量、子宫底高度,检测膀胱功能指标(膀胱初感容积、最大尿流量、最大尿流量时的逼尿肌压力),评估宫缩疼痛评分[数字疼痛评分法(NRS)评分].结果:干预后,观察组总有效率高于对照组(P＜0.05).观察组首次排尿时间早于对照组,膀胱残余尿量少于对照组,尿潴留发生率低于对照组,差异均有统计学意义(P＜0.05).观察组的膀胱初感容积、最大尿流量、最大尿流量时逼尿肌压力值均高于对照组(P＜0.05).2组产后第3天的恶露量均较产后第1天减少,NRS评分均较产后第1天下降,差异均有统计学意义(P＜0.05).观察组产后第3天的恶露量少于对照组,NRS评分低于对照组,子宫底下降高度值大于对照组,差异均有统计学意义(P＜0.05).2组不良反应发生率比较,差异无统计学意义(P＞0.05).结论:在常规产后干预措施基础上采用止痛利尿艾盐包热熨联合通泉散穴位贴敷,可改善初产妇的膀胱功能,促进子宫复旧,有效预防产后尿潴留.
Objective:To observe the clinical efficacy of pain-relieving and diuretic moxa salt pack hot compress combined with Tongquan powder acupoint application on the basis of routine postpartum interventions for preventing postpartum urinary retention in primiparas.Methods:A total of 98 primiparas who underwent vaginal delivery at Shengzhou Maternity and Child Healthcare Hospital from March 2022 to November 2024 were enrolled and randomly divided into a control group and an observation group using a random envelope method,with 49 cases in each group.Both groups received routine postpartum care and symptomatic medication.The control group was treated with Tongquan powder acupoint application,while the observation group was treated with Tongquan powder acupoint application combined with pain-relieving and diuretic moxa salt pack hot compress.Both groups received intervention for three days.The clinical efficacy,incidence of urinary retention,and incidence of adverse reactions were compared between the two groups.The time to first voiding,lochia volume,post-void residual bladder volume,uterine fundal height,bladder function indicators(bladder first sensation volume,maximum urinary flow rate,detrusor pressure at maximum urinary flow rate),and uterine contraction pain score[Numerical Rating Scale(NRS)score]were recorded and measured.Results:After intervention,the total effective rate in the observation group was higher than that in the control group(P＜0.05).The observation group showed earlier time to first voiding,less post-void residual bladder volume,and lower incidence of urinary retention compared to the control group,with differences being significant(P＜0.05).The observation group had higher bladder first sensation volume,maximum urinary flow rate,and detrusor pressure at maximum urinary flow rate than the control group(P＜0.05).Both groups showed decreased lochia volume and NRS scores on the 3rd day postpartum compared to the 1st day postpartum(P＜0.05).On the 3rd day postpartum,the observation group had less lochia volume,lower NRS scores,and greater reduction in uterine fundal height compared to the control group,with differences being significant(P＜0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P＞0.05).Conclusion:The application of pain-relieving and diuretic moxa salt pack hot compress combined with Tongquan powder acupoint application on the basis of routine postpartum care and symptomatic medication can improve bladder function in primiparas,promote uterine involution,and effectively prevent postpartum urinary retention.
章莉莉;夏力劲;李婷;沈佳玲
嵊州市妇幼保健院产科,浙江 嵊州 312400嵊州市妇幼保健院护理部,浙江 嵊州 312400嵊州市妇幼保健院妇科,浙江 嵊州 312400嵊州市妇幼保健院中医科,浙江 嵊州 312400
医药卫生
初产妇产后尿潴留止痛利尿艾盐包通泉散穴位贴敷膀胱功能膀胱残余尿量
PrimiparaPostpartum urinary retentionPain-relieving and diuretic moxa salt packTongquan powderAcupoint applicationBladder functionPost-void residual bladder volume
《新中医》 2026 (7)
33-38,6
嵊州市科技计划项目(2023004086)
评论