盆底肌训练、尾骶部热敷联合开塞露干预对高龄初产妇产后尿潴留的效果

Effect of pelvic floor muscle training,caudosacral heat compress combined with kaicerlu intervention on postpartum urinary retention in elderly primiparas

目的研究盆底肌训练、尾骶部热敷联合开塞露干预对高龄初产妇产后尿潴留的效果。方法选取2018年1月至2019年12月石家庄市妇幼保健院诊治的120例产后尿潴留的高龄初产妇作为研究对象。随机分为观察组(n=60)和对照组(n=60)。对照组初产妇采取传统的一般疗法,观察组初产妇在一般疗法的基础上,进行盆底肌训练、尾骶部热敷并联合使用开塞露。比较两组初产妇的基线资料、治疗效果、不良反应发生率及有效率,随访并统计两组初产妇出院后尿潴留的复发率。结果两组初产妇的基线资料,如年龄、孕周数、新生儿体重等比较,差异均无统计学意义(均P>0.05),B超检测治疗前两组初产妇膀胱内残余尿量差异均无统计学意义(均P>0.05),具有可比性。治疗后,观察组初产妇首次排尿时间、住院时间均明显短于对照组初产妇,差异均具有统计学意义(均P<0.05),膀胱内残余尿量明显低于对照组,差异具有统计学意义(P<0.05);观察组初产妇的总有效率明显高于对照组初产妇,差异具有统计学意义(P<0.05)。随访治疗显效、有效的初产妇发现,出院后尿潴留的复发率观察组初产妇明显低于对照组初产妇,差异具有统计学意义(P<0.05)。结论盆底肌训练、尾骶部热敷联合开塞露干预对产后尿潴留的高龄初产妇具有明显的治疗作用,值得临床推广。

Objective To study the effect of pelvic floor muscle training,caudosacral heat compress combined with kaiceru intervention on postpartum urinary retention in elderly primiparas.Methods A total of 120 elderly women with postpartum urinary retention hospitalized in our hospital from January 2018 to December 2019 were selected for the study.They were randomly divided into observation group and control group,with 60 cases in each group.The control group took the traditional therapy,on the basis of which the observation group received pelvic floor muscle training,caudosacral heat compress and combined use of kaicerlu.The general data,therapeutic effect,incidence and effective rate of adverse reactions were compared between the two groups.All the patients were followed up to collect the recurrence rate.Results There was no significant difference between the two groups in general data,such as age,gestational weeks and neonatal weight(all P>0.05).There was no statistically significant difference in the residual urine volume in the bladder between the two groups before treatment(all P>0.05).After treatment,the time of first urination,time of hospital stay in the observation group were significantly shorter than those in the control group,with statistically significant differences(all P<0.05);the residual urine in the bladder was significantly lower than that in the control group,with statistically significant differences(all P<0.05).The total effective rate in the observation group was significantly higher than that in the control group,with statistically significant differences(P<0.05).In the follow-up,the recurrence rate of urinary retention after discharge was significantly lower in the observation group than that in the control group,with statistically significant differences(P<0.05).Conclusions Pelvic floor muscle training,caudosacral heat compress combined with kaicerlu intervention has obvious therapeutic effect on postpartum urinary retention in elderly primiparas,which is worthy of clinical promotion.