无痛分娩对产后尿潴留的影响研究

Effect of Painless Labor on Postpartum Urinary Retention

目的:探究无痛分娩对产后尿潴留的影响。方法:选60例产妇为研究对象,据分娩方式不同分为观察组和对照组,每组30例,观察组应用腰麻-硬膜外联合镇痛(CSEA)和病人自控镇痛(PCEA)的无痛分娩,对照组产妇常规分娩。分娩完成后观察是否出现尿潴留现象,并向产妇及家属发放调查问卷进行满意度评价。结果:观察组产妇分娩后尿潴留发生率显著低于对照组,产妇及家属的满意度显著高于对照组,差异显著,P<0.05。结论:应用无痛分娩的方式不会增加孕产妇产后尿潴留的现象,可以减轻孕产妇疼痛,产妇满意度较高。

Objective： To explore the influences of painless childbirth on postpartum urinary retention. Methods： 60 cases of pregnant women were selected as the research object, according to the different modes of delivery,they were divided into observation group and control group, 30 cases in each group. The observation group was applied with lumbar anesthesia combined with epidural anesthesia （CSEA） and patient-controlled analgesia （PCEA） in the painless childbirth, the control group was treated with conventional delivery. After delivery, observed whether urinary retention occured, and questionnaires were also distributed to the mothers and their families to assess their satisfaction. Results： The incidence of urinary retention after childbirth of the observation group was significantly lower than the control group, maternal and family＇s satisfaction degree was significantly higher than the control group, the difference was significant（ P 〈0.5）. Conclusion： The application of painless childbirth will not increase the phenomenon of postpartum urinary retention,it can reduce maternal pain, maternal satisfaction is high.