孕产妇尿潴留时膀胱容积压力变化规律  

Clinical study on regulars of Changes of bladder volume pressure during maternal urinary retention

作　　者：欧有良[1] 周春兰[2] 张军[1] 段重阳 罗香平 姚婉真 杨慧明 周燕莉[1] 吴瑜瑜[1] 陈静[1] 都萍萍[1] 洪爱宜 OU Youliang;ZHOU Chunlan;ZHANG Jun;DUAN Chongyang;LUO Xiangping;YAO Wanzhen;YANG Huiming;ZHOU Yanli;WU Yuyu;CHEN Jing;DU Pingping;HONG Aiyi(Department of Obstetrics and Gynecology,Nan fang Hospital,Southern Medical University,Guangzhou 510515,China;不详)

机构地区：[1]南方医科大学南方医院妇产科,广州510515 [2]南方医科大学南方医院护理部,广州510515 [3]南方医科大学公共卫生学院生物统计学系,广州510515

出　　处：《实用医学杂志》2020年第9期1223-1227,共5页The Journal of Practical Medicine

基　　金：广东省卫健委适宜技术推广项目(编号:SYWSJSTG006)。

摘　　要：目的探讨孕产妇尿潴留时膀胱容积压力变化规律。方法选取2017年1月至2019年1月在研究医院住院分娩发生尿潴留的孕产妇476例。产前尿潴留依阴道分娩时是否行椎管内麻醉及产程进展分为:非镇痛潜伏期组、非镇痛活跃期组、镇痛潜伏期组、镇痛活跃期组。产后尿潴留依分娩方式分为:阴道分娩组、计划性剖宫产组。阴道分娩组依分娩时是否行椎管内麻醉或产后是否使用强效宫缩剂分为:非镇痛组、镇痛组、强效子宫收缩药物组。采用逆式简易膀胱测压法观察分析其膀胱容积压力变化规律。结果产前尿潴留时阴道分娩:非镇痛潜伏期组、非镇痛活跃期组、镇痛潜伏期组、镇痛活跃期组膀胱容积压力的比较差异有统计学意义(P <0.05);非镇痛组同容积压力波动幅度大,镇痛组同容积压力波动幅度甚微。产后尿潴留容积值越大压力值越低;阴道分娩非镇痛组、阴道分娩镇痛组、计划性剖宫产组、强效子宫收缩药物组膀胱容积压力的比较差异有统计学意义(P <0.05)。结论不同分娩方式、经阴道分娩不同时间段尿潴留膀胱容积压力呈现不同规律,了解其变化规律,能为孕产妇排尿管理提供参考。Objective This research aimed to explore the change rule of bladder volume pressure duringmaternal urinary retention.Methods A total of 476 pregnant women who had urinary retention during hospitaliza-tion in January 2017-2019 January were enrolled. Prenatal urine retention according to receive spinal anesthesiaduring delivery or not and the parturient processes,four groupswere divided:non-analgesia incubation periodgroup,non-analgesia active period group,analgesia incubation period group and analgesia active period group.According to the mode of delivery of subjects,postpartum urinary retention is divided into vaginal delivery groupand planned cesarean section group. The vaginal delivery group was furtherly divided into three groups according towhether intraspinal anesthesia was performed during delivery or whether strong uterine contraction drugs were usedafter delivery:non analgesia group,analgesia group and strong uterine contraction drug group. The rule of changeof bladder volume and pressure were observed and analyzed by inverse simple bladder manometry.Results Therewere significant differences in bladder volume pressure of vaginal delivery between four groups:non-analgesia incu-bation period group,non-analgesia active period group,analgesia incubation period group and analgesia activeperiod group during the antenatal urinary retention(P < 0.05). The fluctuation range of bladder pressure with thesame volume in non-analgesia group of vaginal delivery was larger than that in the analgesia group of vaginal deliv-ery. The larger the volume of postpartum urinary retention,the lower the pressure showed.There was a significantdifference in bladder volume pressure between vaginal delivery non analgesia group,vaginal delivery analgesiagroup,planned cesarean section group and effective uterine contraction drug group(P < 0.05).Conclusions Thebladder volume pressure of different delivery modes and different time periods of vaginal delivery showed differentrules. Understanding the change rules could provide reference for

关 键 词：尿潴留 膀胱容积 膀胱压力 规律 

分 类 号：R473.71[医药卫生—护理学]