长强穴按摩联合盆底肌肉康复训练治疗无痛分娩产后尿潴留临床探讨

Clinical Study on Changqiang Point Massage Combined with Pelvic Muscle Rehabilitation Training to Treat Painless Delivery and Postpartum Urinary Retention

目的研究长强穴按摩联合盆底肌肉康复训练治疗无痛分娩产后尿潴留临床探讨。方法选取2019年6月—2020年5月收治94例无痛分娩产妇为对象,数字表法划分为两组,每组47例。患者均采取常规诱导排尿方法,对照组采取长强穴按摩,研究组联合盆底肌肉康复训练治疗,观察产妇治疗效果。结果研究组产后尿潴留发生率为4.2%,低于对照组19.1%,差异有统计学意义(χ^(2)=5.044,P=0.025);研究组排尿时间与残余尿量均低于对照组,SAS评分、SDS评分优于对照组,差异有统计学意义(P<0.05)。结论无痛分娩产妇采取长强穴按摩与盆底肌肉康复训练联合治疗效果理想,可以降低产后尿潴留发生率,缓解产妇不良情绪,同时促进产妇自主排尿。

Objective To study the clinical study of Changqiang acupoint massage combined with pelvic floor muscle rehabilitation training to treat painless postpartum urinary retention.Methods Selected 94 cases of painless childbirth from June 2019 to May 2020 as subjects,and divided them into two groups,with 47 cases in each group.The patients all adopted conventional methods of inducing urination,the control group adopted Changqiang acupoint massage,and the study group combined with pelvic floor muscle rehabilitation training to observe the therapeutic effect of lying-in women.Results The incidence of postpartum urinary retention in the study group was 4.2%,which was lower than 19.1%in the control group.The difference was statistically significant(χ^(2)=5.044,P=0.025);the urination time and residual urine volume in the study group were lower than those in the control group,SAS score,SDS score was better than the control group,the difference was statistically significant(P<0.05).Conclusion The combination therapy of Changqiang acupoint massage and pelvic floor muscle rehabilitation training for parturients who give birth without pain can reduce the incidence of postpartum urinary retention,relieve the unhealthy mood of the parturient,and promote the voluntary urination of the parturient.