耳穴压豆联合穴位贴敷预防产妇产后尿潴留的疗效观察  

Effects of auricular plaster therapy combined with acupoint application on preventing postpartum retention of urine

作　　者：张乐燕[1] 王璐璐[1] 胡莉娜[1] 刘晓霞[2] Zhang Leyan;Wang Lulu;Hu Li＇na;Liu Xiaoxia(Department of Gynaecology and Obstetrics, Hangzhou Red Cross Hospital, Hangzhou 310003, China;Department of Reproductive Medicine, Hangzhou Red Cross Hospital, Hangzhou 310003, Chin)

机构地区：[1]杭州市红十字会医院妇产科,310003 [2]杭州市红十字会医院生殖医学科,310003

出　　处：《中华现代护理杂志》2018年第10期1204-1207,共4页Chinese Journal of Modern Nursing

摘　　要：目的 观察耳穴压豆联合穴位贴敷预防产妇产后尿潴留的临床疗效.方法 采用随机抽样方法选取2016年6 —10月杭州市红十字会医院妇产科收治的足月妊娠产妇240例,按照随机数字表法随机分为4组,每组60例.常规组行常规产后护理,耳穴压豆组在常规组的基础上行耳穴压豆治疗,穴位贴敷组在常规组的基础上行穴位贴敷治疗,耳穴压豆＋穴位贴敷组在常规组的基础上使用耳穴压豆联合穴位贴敷,比较4组产妇的首次排尿时间、膀胱残余尿量及临床疗效.结果 耳穴压豆＋穴位贴敷组的首次排尿时间为（2.45±0.51） h,耳穴压豆组首次排尿时间为（4.28±1.23） h,穴位贴敷组首次排尿时间为（4.25±1.15） h,常规组首次排尿时间为（5.60±1.75） h,4组比较差异有统计学意义（F=65.207, P〈0.001）;耳穴压豆＋穴位贴敷组的膀胱残余尿量（52.10±12.51） ml,少于其他3组;总有效率为100.00%,高于其他3组,4组比较差异有统计学意义（χ2=179.770,P〈0.001）;耳穴压豆和穴位贴敷分别与常规组比较,首次排尿时间均短于常规组,膀胱残余尿量均少于常规组,总有效率均高于常规组,差异均有统计学意义（P〈0.05）;耳穴压豆组和穴位贴敷组之间比较差异无统计学意义（P〉0.05）.结论 耳穴压豆联合穴位贴敷预防产后尿潴留的效果明显,值得推广. Objective To observe the clinical effects of auricular plaster therapy combined with acupoint application on preventing postpartum retention of urine. Methods From June 2016 to October 2016, we selected 240 puerpera with full-term pregnancy of Department of Gynaecology and Obstetrics in Hangzhou Red Cross Hospital by random sampling. All of the patients were divided into four groups by the random number table, 60 cases in each group. Patients in control group were treated with routine postpartum care. In this basis, patients in auricular plaster therapy group accepted auricular plaster therapy, patients in acupoint application group accepted acupoint application therapy, patients in auricular plaster therapy ＆ acupoint application group were treated with auricular plaster therapy and acupoint application therapy. Finally, the time of the first micturition, bladder residual urine volume （RUV） and clinical effects of puerpera were compared in four groups. Results The time of the first micturition in auricular plaster therapy ＆ acupoint application group （combined group）, auricular plaster therapy group, acupoint application group and control group was （2.45±0.51）, （4.28±1.23）, （4.25±1.15） and （5.60±1.75） h respectively with significant differences （F= 65.207, P〈0.001）. The bladder RUV of auricular plaster therapy ＆ acupoint application group was （52.10±12.51） ml less than those of other three groups. The total effective rate of auricular plaster therapy ＆ acupoint application group was 100.00% high than that of other three groups with a significant difference （χ2=179.770, P〈0.001）. Compared with control group, the time of the first micturition in auricular plaster therapy ＆ acupoint application group was shorter, the bladder RUV was all less, the total effective rate was higher with significant differences （P〈0.05）. There was no statistically significant difference between auricular plaster therapy group and acupoint application group （P〉0.05�

关 键 词：耳穴压豆 穴位贴敷 产后尿潴留 

分 类 号：R248.3[医药卫生—中医临床基础]