加味五苓散防治产后尿潴留的临床疗效观察  

Clinical Observation of Modified Wuling Powder in Preventing and Treating Postpartum Urinary Retention

作　　者：刘玉玲[1] 李艳芳[1] 左学洁 LIU Yu-Ling;LI Yan-Fang;ZUO Xue-Jie(The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学第一附属医院,广东广州510405 [2]广州中医药大学,广东广州510405

出　　处：《广州中医药大学学报》2021年第4期712-716,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广州中医药大学第一附属医院“创新强院工程”科研系列项目(编号:2019HL02)。

摘　　要：【目的】探讨加味五苓散防治产后尿潴留的临床效果。【方法】将218例自然分娩后的初产妇随机分为试验组和对照组,每组各109例。对照组给予产后常规处理,试验组在产后常规处理基础上于产后2 h给予口服加味五苓散治疗,比较2组产妇产后6 h和产后8 h排尿情况积分以及产后6 h尿潴留发生率。【结果】(1)治疗后,试验组在同一时间段,即产后6 h和产后8 h的排尿情况积分均明显低于对照组,差异均有统计学意义(P<0.01)。(2)治疗后,试验组患者产后6 h尿潴留发生率为0.0%(0/109),低于对照组的7.3%(8/109),差异有统计学意义(P<0.01)。【结论】在产后常规护理基础上配合口服加味五苓散,可有效降低产后尿潴留发生率,对产后膀胱功能的改善及自主排尿功能的恢复有明显促进作用。Objective To explore the clinical effect of Modified Wuling Powder on preventing and treating postpartum urinary retention.Methods A total of 218 primipara after natural childbirth were randomly divided into the trial group and the control group,and each group had 109 cases.The control group was given routine postpartum nursing,and the trial group was given oral use of Modified Wuling Powder 2 hours after delivery on the basis of routine postpartum nursing.The scores of urination were observed 6 hours and 8 hours after delivery and the incidence of urinary retention 6 hours after delivery in the two groups were compared.Results(1)After treatment,the scores of urination 6 hours and 8 hours after delivery in the trial group were lower than those in the control group,and the difference was statistically significant(P<0.01).(2)After treatment,the incidence of urinary retention 6 hours after delivery in the trial group was 0.0%(0/109),and was lower than that in the control group(7.3%,8/109),the difference being statistically significant(P<0.01).Conclusion Postpartum oral use of Modified Wuling Powder combined with routine postpartum nursing can effectively reduce the incidence of postpartum urinary retention,and promote the improvement of postpartum bladder function and the recovery of spontaneous urination of the primipara.

关 键 词：产后尿潴留 加味五苓散 膀胱功能 自主排尿功能 

分 类 号：R271.43[医药卫生—中医妇科学]