低频脉冲电刺激穴位联合坦索罗辛治疗产后顽固性尿潴留的疗效分析  

Effect analysis of low frequency pulse electrical stimulation combined with Tamsulosin in the treatment of intractable postpartum urinary retention

作　　者：梁洁[1] 刘梅[1] 黄如甸 Liang Jie;Liu Mei;Huang Rudian(Department of Obstetrics,The First People's Hospital of Qinzhou,Qinzhou 535000,China)

机构地区：[1]钦州市第一人民医院产科,广西钦州535000

出　　处：《实用妇科内分泌电子杂志》2023年第13期46-49,共4页Electronic Journal of Practical Gynecological Endocrinology

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(编号Z20180259)。

摘　　要：目的探讨低频脉冲电刺激穴位联合坦索罗辛治疗产后顽固性尿潴留的临床效果。方法选取90例产后顽固性尿潴留患者,根据随机数字表法分为基础组、研究组与对照组,每组30例。基础组采用低频脉冲电刺激,在骶部脊髓排尿中枢处及腹部膀胱区给予一组电疗;对照组在基础组基础上将另一组电极贴在患者左右两侧的足三里穴位进行电刺激治疗;研究组在对照组基础上采用坦索罗辛治疗。比较三组临床疗效。结果研究组的临床总有效率100%高于对照组的86.67%,对照组总有效率86.67%高于基础组的63.33%,差异均有统计学意义(P<0.05)。与对照组、基础组相比,研究组首次排尿后及出院前的膀胱残余尿量显著减少,首次排尿时间和住院时间缩短,差异均有统计学意义(P<0.05)。结论低频脉冲电刺激穴位联合坦索罗辛治疗产后顽固性尿潴留能够显著减少患者的膀胱残余尿量,可有效改善尿失禁症状,缩短插尿管时间及住院时间,值得临床推广与应用。Objective To investigate the clinical effect of low frequency pulse electrical stimulation combined with tamsulosin in the treatment of intractable postpartum urinary retention.Methods 90 patients with intractable postpartum urinary retention were selected and divided into basic group,study group and control group according to random number table method,with 30 cases in each group.In the basic group,low frequency pulse electrical stimulation was applied to the sacral spinal cord urination center and the abdominal bladder area.In the control group,on the basis of the basic group,another group of electrodes was affixed to the Zusanli acupoints on both sides of the patient for electrical stimulation treatment;The study group was treated with tamsulosin on the basis of control group.The clinical effects of the three groups were compared.ResultsThe total clinical effective rate of the study group was 100%higher than that of the control group(86.67%),and the total effective rate of the control group(86.67%)was higher than that of the basic group(63.33%),the differences were statistically significant(P<0.05).Compared with the control group and the basic group,the residual urinary volume of the study group was significantly reduced after the first urination and before discharge,and the time of the first urination and the length of hospital stay were shortened,with statistical significance(P<0.05).Conclusion Low frequency pulse electrical stimulation combined with tamsulosin in the treatment of postpartum intractable urinary retention can significantly reduce the residual urinary volume of patients,effectively improve the symptoms of urinary incontinence,shorten the time of catheter insertion and hospital stay,and is worthy of clinical promotion and application.

关 键 词：顽固性尿潴留 低频脉冲电刺激 坦索罗辛 临床疗效 

分 类 号：R714.64[医药卫生—妇产科学]