低频电刺激治疗阴道分娩后尿潴留效果分析

The effect analysis of low frequency pulse electrical therapy in the patient with postpartum urinary retention

目的探讨低频电刺激治疗阴道分娩后尿潴留的临床特点及疗效。方法选取2010年1月至2013月6月阴道分娩并确诊产后尿潴留(PUR)患者285例,留置开放尿管并给予低频电刺激治疗的142例产妇作为电刺激组,143例仅留置开放尿管产妇作为对照组。比较两组患者尿潴留相关临床数据。结果电刺激组PUR确诊>24h者16例(11.27%,16/142),对照组无>24h确诊;电刺激组潴留尿液总量>700ml者83例(58.45%),对照组仅59例(41.26%)。电刺激组治愈+显效例数134例(94.37%),无效8例(5.63%),对照组治愈+显效例数138例(96.50%),无效5例(3.50%),两组比较,差异均无统计学意义(P>0.05)。两组留置尿管时间、住院天数和尿路感染率等比较,差异均无统计学意义(P>0.05)。结论低频电刺激治疗产后尿潴留疗效确切,操作简单、安全,为临床治疗尿潴留提供了新方法,值得临床推广应用。

Objective To investigate the clinical features and curative effect-of low frequency pulse electrical therapy in postpartum urinary retention（PUR）.Methods 285 cases of maternal diagnosed as postpartum urinary retention in our hospital from January 2010 to June 2013 recruited in this study.Among them,142 cases received indwelling urethral catheter and low frequency pulse electrical therapy（electrical stimulation group）,the other 143 cases only with urethral catheter were selected as control group.Results 16 cases diagnosed as postpartum urinary retention for more than 24 hours were all in the electrical stimulation group（11.27%,16/142）.The number of postpartum urinary retention with total urine volume more than 700 ml was 83 cases in the electrical stimulation group,59 cases in control group.The cure and significant effect number was 134 cases in the electrical stimulation group and 38 cases in control group（P〈0.05）.There was no trauma or complications in both groups.Conclusions The curative effect of the low frequency pulse electrical therapy was significant in postpartum urinary retention.The methods was simple and safe,providing a new way for clinical treatment of postpartum urinary retention.The low frequency stimulation was worthy of popularization and application in clinic.