耳穴压丸配合神经肌肉电刺激对产后排尿困难疗效观察  

Therapeutic Effect of Auricular Plaster Therapy Combined with Neuromuscular Electrical Stimulation for Postpartum Dysuria

作　　者：赵春丽 陈文香 周赵 ZHAO Chunli;CHEN Wenxiang;ZHOU Zhao(Department of Obstetrics,Jiaozhou Central Hospital,Qingdao Shandong 266300,China)

机构地区：[1]青岛市胶州中心医院产科,山东青岛266300

出　　处：《四川中医》2020年第11期206-209,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：青岛市卫生和计划生育委员会(编号:2018-WJZD085)。

摘　　要：目的:观察耳穴压丸配合神经肌肉电刺激对产后排尿困难的疗效。方法:选取2017年12月至2109年12月在我院分娩且存在产后排尿困难产妇400例为研究对象,根据病情及自愿原则,随机分为对照组(n=183)及实验组(n=217),对照组给予综合性护理干预及单纯神经肌肉电刺激干预、治疗,实验组在对照组治疗基础上配合耳穴贴丸治疗,比较两组疗效。结果:两组治疗有效率比较有统计学差异(98.62%VS 91.26%,P<0.05);实验组治疗一次后自行排尿患者占比情况82.03%显著优于对照组40.98%,且实验组二次治疗后自行排尿占比情况17.97%显著低于对照组60.11%(P<0.05);实验组尿管留置时间、拔管后到正常排尿时间、住院时间均显著短于对照组(P<0.05);治疗后两组在静息状态、Valsalva状态下盆底裂孔面积、膀胱颈角度均显著降低,膀胱颈与耻骨联合下缘距离均显著升高,且实验组在静息状态、Valsalva状态下盆底裂孔面积、膀胱颈角度明显低于对照组,膀胱颈与耻骨联合下缘距离明显高于对照组(P<0.05);治疗后实验组盆底肌电压值显著高于对照组,残余尿量明显低于对照组(P<0.05);治疗后两组盆底肌力较治疗前有显著改善,且实验组治疗后盆底肌力改善情况显著优于对照组(P<0.05)。结论:耳穴压丸配合神经肌肉电刺激在产后排尿困难产妇中应用较佳,可显著改善盆底肌力,促进排尿,缩短导尿时间及住院时间,值得在临床推广应用。Objective:To explore the therapeutic effect of auricular plaster therapy combined with neuromuscular electrical stimulation for postpartum dysuria.Methods:A total of 400 puerperae who delivered in the hospital between December 2017 and December 2019 and had postpartum dysuriawere selected as the research subjects.According to their condition and the voluntary principle,they were randomized into a controlled group(n=183)and an experimental group(n=217).The controlled group was given comprehensive nursing and pure neuromuscular electrical stimulation.The experimental group was given auricular plaster therapy on the basis of the controlled group.Therapeutic effects of the two groups were compared.Results:There was a statistically significant difference in the response rate between the two groups(98.62%vs 91.26%,P<0.05).The proportion of patients with voluntary urination in the experimental group(82.03%)was significantly better than the controlled group(40.98%)after one-time treatment,and the proportion after two-time treatment(17.97%)was significantly lower than that in the controlled group(60.11%)(P<0.05).The urinary catheter in dwelling time,time to normal urination after extubation and hospital stay of the experimental group were significantly shorter than those of the controlled group(P<0.05).After treatment,areas of pelvic floor hiatus and bladder neck angles of the experimental group in resting state and Valsalva state were significantly smaller than those of the controlled group,and distance between the bladder neck and lower edge of the pubic symphysis was significantly larger than the controlled group(P<0.05).The pelvic floor muscle voltage value of the experimental group was significantly higher than that of the controlled group,and the residual urine volume was significantly smaller than the controlled group(P<0.05).Pelvic floor muscle strength of the two groups was significantly improved after treatment,and improvement of the experimental group was significantly better than that of the controlled group(P

关 键 词：耳穴压丸 神经肌肉电刺激 产后 排尿困难 

分 类 号：R248.3[医药卫生—中医临床基础]