低频脉冲电刺激与新斯的明对产后尿潴留的疗效

Efficacy of Low-Frequency Pulsed Electrical Stimulation and Neostigmine on Postpartum Urinary Retention

目的:探究低频脉冲电刺激结合新斯的明对产后尿潴留的临床疗效。方法:选取2016年4月至2021年10月收治的80例产后尿潴留患者为研究对象,采用简单随机法分为对照组和观察组,两组各40例。对照组采用新斯的明肌肉注射诱导排尿及盆底肌肉功能锻炼法,研究组在对照组基础上结合低频脉冲电刺激治疗。观察两组患者临床疗效,并对患者排尿情况、尿潴留程度分级指标、性功能进行对比。结果:观察组总有效率为92.50%,明显高于对照组的75.00%,差异具有统计学意义(P<0.05)。观察组首次排尿时间短于对照组,残余尿量少于对照组,两组组间差异具有统计学意义(P<0.05)。观察组在治疗后1h内排尿率(52.50%)明显高于对照组(17.50%),差异具有统计学意义(P<0.05)。治疗6周后,观察组60.00%无尿潴留,明显多于对照组的30.00%,组间差异具有统计学意义(P<0.05)。治疗6周后,观察组患者各项性功能评分均高于对照组,组间差异具有统计学意义(P<0.05)。结论:低频脉冲电刺激结合新斯的明治疗产后尿潴留可帮助患者加快排尿,有效提高尿潴留治疗率,有利于恢复尿动力学功能,提高性生活质量,在临床上取得良好疗效。

Objective:To explore the clinical effects of low-frequency pulse electrical stimulation combined with neostigmine on postpartum urinary retention.Methods:A total of 80 patients with postpartum urinary retention admitted from April 2016 to October 2021 were selected as the research objects,and they were divided into the control group and the observation group by simple random method,with 40 cases in each group.The control group used neostigmine intramuscular injection to induce urination and pelvic floor muscle function exercise,and the study group combined low-frequency pulse electrical stimulation on the basis of the control group.Observe the clinical efficacy of the two groups of patients,and compare the urinary status,grading of urinary retention and sexual function of the patients.Results:The total effective treatment rate in the observation group was 92.50%,which was significantly higher than 75.00%in the control group.The difference was statistically significant(P<0.05).The first urination time in the observation group was shorter than that in the control group,and the residual urine volume was less than that in the control group,with statistically significant difference between the two groups(P<0.05).The urination rate of the observation group(52.50%)was significantly higher than control group(17.50%)within 1 hour after treatment,.and the difference was statistically significant(P<0.05).After 6 weeks of treatment,there was no urinary retention in the observation group(60.00%),which was significantly higher than in the control group(30.00%),and the difference between the groups was statistically significant(P<0.05).After 6 weeks of treatment,all sexual function scores were higher in the observation group than in the control group,and the difference between the groups was statistically significant(p<0.05)Conclusion:The combination of low-frequency pulse electrical stimulation and neostigmine in the treatment of postpartum urinary retention can help patients to speed up urination,effectively improve the treatment rate of urinary retention,help restore urodynamic function,improve the sexual quality of life,and achieve good clinical effects.