第三产程耳穴按压预防产后尿潴留的临床观察

Clinical observation of ear acupressure in the third stage of labour for prevention of postpartum urinary retention

目的观察第三产程耳穴按压对产后尿潴留的预防效果。方法 120例单胎初产妇随机分为对照组和治疗组A、治疗组B,对照组无任何干预治疗,治疗组A采用单纯对应选穴(耳穴肾+膀胱+三焦按压)治疗,治疗组B采用整体辨证选穴(耳穴肾+膀胱+三焦+心+脾+肺按压)治疗。结果治疗组B产后6 h B超检测残余尿量≥100 m L者少于对照组和治疗组A(P<0.05),而治疗组A与对照组比较差异无统计学意义(P>0.05)。治疗组B产后6 h排尿情况优于治疗组A(P<0.05),但24 h后两组比较差异无统计学意义(P>0.05)。结论第三产程中应用整体辨证选穴行耳穴按压可减少产后尿潴留发生率。

Objective To observe the clinical effect of ear acupressure in the third stage of labour on the prevention of postpartum urinary retention. Methods A totat of 120 cases of singleton primipara were randomized to observation and A, B treatment groups. Observation group received no intervention, while A and B treatment groups respectively accepted the ear acupressure based on corresponding acupoint selection （kidney, bladder, and triple energizer） and intergrated syndrome differentiation selection （kidney, bladder, triple energizer, heart, spleen and lung）. Results The residual urine volume 〉1100 mL at 6 hours postpartum was less common in B treatment group than in observation and A treatment groups （P〈0.05）, but it was insignificant between observation and A treatment groups （P〉0.05）. The postpartum urination at 6 hours in B treatment group was superior to that in A treatment group （P〈0.05）, while it was comparable between both groups at 24 hours （P〉0.05）. Conclusion The ear acupressure based on intergrated syndrome differentiation selection in the third stage of labour can improve the postpartum urinary retention.