关元穴穴位按摩联合中药封包对镇痛分娩后膀胱排尿功能恢复和尿潴留预防作用研究

Study on the preventive effect of Guanyuan acupoint massage combined with traditional Chinese medicine package therapy on the recovery of bladder micturition function and the prevention of urinary retention in parturients with analgesia delivery

目的探讨关元穴穴位按摩联合中药封包治疗对镇痛分娩产妇产后膀胱排尿功能恢复及尿潴留的预防作用。方法选取2017年9月—2019年9月在浙江医院镇痛分娩的100名初产妇,根据随机数字表法分为研究组和对照组,每组50例。产后均实施常规处理,如产后健康宣教、饮食照料及排尿指导。研究组在常规处理基础上采取关元穴位按摩和中药封包治疗。观察两组产妇自主排尿、诱导排尿及尿潴留情况,记录自主排尿者首次排尿间隔、排尿量、膀胱残余尿量。结果两组排尿方式比较,差异有统计学意义(P<0.05),研究组产后尿潴留发生率低于对照组(P<0.05)。研究组自主排尿产妇首次排尿间隔低于对照组,膀胱残留尿量少于对照组,平均尿流率高于对照组,排尿积分指标低于对照组,排尿持续时间短于对照组,差异均有统计学意义(均P<0.05)。两组排尿量比较,差异无统计学意义(P>0.05)。结论关元穴穴位按摩联合中药封包治疗可有效促进镇痛分娩产妇产后膀胱排尿功能恢复,预防尿潴留的发生。

Objective To explore the preventive effect of Guanyuan acupoint massage combined with traditional Chinese medicine package therapy on the recovery of bladder micturition function and the prevention of urinary retention in parturients with analgesia delivery.Methods From September 2017 to September 2019,100 parturients with analgesia delivery in Zhejiang Hospital were selected and divided into study group and control group,50 cases in each group.Routine treatment was carried out postpartum,such as postpartum health education,dietary care and urination guidance.The study group was treated with Guanyuan acupoint massage and traditional Chinese medicine package on the routine treatment basis.The spontaneous micturition,induced micturition and urinary retention of the two groups were observed,and the first postpartum micturition interval,micturition volume and bladder residual urine volume were recorded among autonomous urinator.Results The difference of urination mode between the two groups was statistically significant(P<0.05).The incidence of postpartum urinary retention in the study group was significantly lower than that in the control group(P<0.05).The interval of first urination was lower in the study group than that in the control group,the residual urine volume in the bladder was lower than that in the control group,the average urine flow rate was higher than that in the control group,the micturition score index was lower than that in the control group,and the micturition duration was shorter than that in the control group,all the differences were statistically significant(all P<0.05).There was no significant difference in micturition volume between the two groups(P>0.05).Conclusion Guanyuan acupoint massage combined with traditional Chinese medicine package can effectively promote the recovery of postpartum bladder micturition function and prevent the occurrence of urinary retention in parturients with analgesia delivery.