利多卡因涂抹尿道外口加穴位按压治疗产后尿潴留  

The new methods for treating postpartum urinary retention

作　　者：单瑞芹[1] 张素霞[1] 高亚莉[1] 刘翠英[1] 王冰[1] 

机构地区：[1]山东省济南市妇幼保健院,250001

出　　处：《中国妇幼保健》2006年第23期3328-3329,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨利多卡因涂抹尿道外口+膀胱穴位按压治疗产后尿潴留的疗效。方法:产后尿潴留患者65例,随机分为A(22例)、B(22例)、C(21例)3组。A组采用持续按摩膀胱及按压膀胱穴位,并于尿道外口涂用2%利多卡因;B组采用持续按摩膀胱及按压膀胱穴位;C组导尿并放置导尿管,持续24 h去除尿管。结果:A、B、C三组,6 h内治愈率分别为81.82%、50%、0%(两两相比P<0.05);12 h内治愈率分别为100%、68.19%、0%(两两相比P<0.01);24 h内治愈率分别为100%、86.36%、57.14%(A与B比较P>0.05;A与C比较P<0.001;B与C比较P<0.05)。治疗后伴有并发症,C组与A组、B组比较P<0.05。结论:采用利多卡因涂抹尿道外口+持续膀胱按摩+穴位按压治疗产后尿潴留,方法简单、有效,值得临床应用。Objective： To study the efficacy of Lidocaine in treating postpartum urinary retention. Methods： 65 patients with postpartum urinary retention were classified as A, B, C groups, A group （ n = 22） were treated with massage the area of bladder and the huiyang point slightly and smear the urethra with 2% Lidocaine. B group （ n = 22） only with massage the area of bladder and the huiyang point. C group （ n = 21 ） were used an indwelling catheter within 24 hours. Results： Of A, B, C groups, the cure rate is 81.82%, 50%, 0% within 6 hours （P〈0.05） and 100%, 68. 19%, 0% within 12 hours （P〈0.01） and 100%, 86.36%, 57. 14% within 24 hours （A and B, P〉0. 05; A and C, P 〈 0. 001 ; B and C, P 〈 0. 05 ）, respectively. The difference is significantly. Conclusion： Massaging bladder and huiyang point slightly and continually with smear Lidocaine on the urethra is effectively in treating postpartum urinary retention.

关 键 词：产后 尿潴留 治疗方法 

分 类 号：R714.69[医药卫生—妇产科学]