酚妥拉明联合暖宫贴解除产后顽固性尿潴留的应用效果评价

Clinical studies of phentolamine warm uterus paste used in postpartum refractory urinary retention

目的探讨解除产妇产后顽固性尿潴留更加有效的治疗护理措施。方法选取2011年1月至2012年12月在我院产科住院分娩的单胎头位分娩顺产会阴侧切后尿潴留的产妇312例，随机分为A、B、C3组，每组104例。A组给予酚妥拉明联合暖宫贴贴于气海穴治疗；B组给予酚妥拉明治疗；C组给予暖宫贴贴于气海穴治疗。观察3种不同治疗方法对解除产妇尿潴留时间及效果的影响，并比较3组产妇临床结局及医疗资源利用的相关指标。结果对3组尿潴留产妇进行干预治疗后，A组解除产妇尿潴留的时间及效果明显优于B组、C组，差异有统计学意义，而尿潴留引起的产后出血、尿路感染的发生率和住院时间及住院费用均低于B组、C组，差异有统计学意义。结论酚妥拉明联合暖宫贴穴位治疗产后顽固性尿潴留，起效时间快，方法简单、经济、安全，且疗效显著，可以明显减少并发症及减少总住院时间和住院费用。

Objective To study more effective treatment and care measures to release postpartum refractory urinary retention. Methods From January 2011 to December 2012,312 cases hospitalized single head delivery of perineum after episiotomy with maternal urinary retention were selected and divided into Group A, B and C stochastically, each group contained 104 cases. Group A was given phentolamine warm uterus paste on Qihai acupuncture point, Group B was given phentolamine treatment, Group C as control group was given warm uterus paste on Qihai acupuncture point. The treatment effects and treatment time were observed in three groups. The clinical outcomes and related indexes of medical resources consumption among 3 groups were compared. Results After intervention treatment on urinary retention of the 3 groups, the treatment time and effects on Group A was significantly better than Group B and C to relieve maternal urinary retention. The comparison among 3 groups had significant differences. While the postpartum hemorrhage, urinary tract infection caused by retention of urine and length of hospital stay and hospital costs were lower than Group B and C, the differences had statistical significance. Conclusions Phentolamine warm uterus paste on Qihai acupuncture point in treatment of postpartum refractory urinary retention is quick to work, simple, economic and safe, it has significant effects, and can significantly reduce complications, hospitalization time and cost of hospitalization.