穴位按摩配合艾盐包热敷预防阴道分娩产妇尿潴留临床研究  

Clinical Study on Point Massage Combined with Hot Compress of Moxa Salt Packagefor Prevention of Urinary Retention in Vaginal-Delivery Puerpera

作　　者：许亚芳 史薛红 桑晓云 XU Yafang;SHI Xuehong;SANG Xiaoyun

机构地区：[1]余姚市人民医院产科二病区,浙江余姚315400

出　　处：《新中医》2022年第10期188-190,共3页New Chinese Medicine

基　　金：余姚市人民医院课题(2018YA14)。

摘　　要：目的:观察穴位按摩配合艾盐包热敷预防阴道分娩产妇尿潴留的临床效果。方法:选取经阴道分娩初产妇200例,依据随机数字表法分为对照组和观察组各100例。对照组给予听流水声诱导尿意进行干预,观察组采用穴位按摩联合艾盐包热敷进行干预。比较2组临床疗效及尿潴留发生率、首次排尿时间、首次排尿后膀胱残余尿量。结果:观察组尿潴留临床疗效优于对照组,经秩和检验,差异有统计学意义(P<0.05)。观察组尿潴留发生率为7.00%,对照组为17.00%,2组比较,差异有统计学意义(P<0.05)。治疗后,观察组首次排尿时间短于对照组、首次排尿后膀胱残余尿量少于对照组,2组比较,差异均有统计学意义(P<0.05)。结论:对经阴道分娩的初产妇应用穴位按摩配合艾盐包热敷进行干预,能够有效降低尿潴留发生率,缩短产后排尿时间,减少首次排尿后膀胱残余尿量。Objective:To observe the clinical effect of the intervention of point massage combined with hot compress of moxa salt package on the prevention of urinary retention in vaginal-delivery puerpera.Methods:A total of 200 puerpera were selected and divided into the control group and the observation group according to random number table method,with 100cases in each group.The control group was intervened by making them listen to the sound of water to induce urine.The observation group was intervened with point massage combined with hot compress of moxa salt package.The clinical effect,incidence of urinary retention,time of first urination and residual urine volume of bladder after first urination were compared between the two groups.Results:The clinical effect of urinary retention in the observation group was better than that in the control group,the difference being significant(P<0.05).The incidence of urinary retention was 7.00%in the observation group and 17.00%in the control group,the difference being significant(P<0.05).After treatment,the first urination time of the observation group was shorter than that of the control group,and the residual urine volume of the bladder after the first urination in the observation group was less than that in the control group,the differences being significant(P<0.05).Conclusion:The intervention of point massage combined with hot compress of moxa salt package can effectively reduce the incidence of urinary retention,shorten postpartum urination time and reduce residual urine volume after urination.

关 键 词：产后尿潴留 阴道分娩 穴位按摩 艾盐包 热敷 

分 类 号：R714.64[医药卫生—妇产科学]