耳穴贴压配合足三里穴位注射新斯的明治疗产后尿潴留的疗效观察及护理体会

Therapeutic Effect of Auricular Point Plastering-pressing Combined with Neostigmine Injection Into Bilateral Zusanli Acupoint for Postpartum Urinary Retention

【目的】探讨耳穴贴压配合双侧足三里穴位注射新斯的明治疗产后尿潴留的临床疗效及护理体会。【方法】将60例产后尿潴留患者随机分为治疗组和对照组各30例。对照组在传统诱导排尿基础上给予新斯的明0.5 mg双侧足三里穴位注射,治疗组在对照组基础上给予王不留行籽耳穴贴压刺激相应穴位。比较2组患者尿潴留的改善情况。【结果】治疗组治疗尿潴留的总有效率为76.67%,对照组为46.67%,治疗组疗效显著优于对照组,2组比较差异有统计学意义(P<0.05)。【结论】耳穴贴压配合足三里穴位注射新斯的明治疗产后尿潴留的疗效确切,能有效缩短患者自解小便的时间,减轻患者痛苦,其操作简便,便于临床应用。

Objective To investigate the therapeutic effect and nursing experience of auricular point plastering- pressing combined with neostigmine injection into bilateral Zusanli acupoint for postpartum urinary retention. Methods Sixty patients of postpartum urinary retention were equally randomized into experimental group and control group. The control group was treated with 0.5 mg of Neostigmine injection into bilateral Zusanli acupoint based on the the traditional treatment for inducing miction. The experimental group was given auricular point plastering-pressing with Cowherb seed based on the treatment for the control group. After treatment, the relief of urinary retention in the two groups was observed. Results The overall effective rate of the experimental group was 76.67% and that of the control group was 46.67%, the difference being significant between the two groups （P〈 0.05） . Conclusion Auricular point plastering-pressing combined with neostigmine injection into bilateral Zusanli acupoint is effective and practical for the treatment of postpartum urinary retention by shortening the time for self-miction and relieving the pain.