艾盐包穴位热熨联合盆底肌训练对初产妇无痛分娩产后尿潴留的预防效果

Preventive effect of acupoint hot ironing with Aiyanbao combined with pelvic floor muscle training on postpartum urinary retention in primiparas with painless labor

目的 分析无痛分娩初产妇采用艾盐包穴位热熨联合盆底肌训练对产后尿潴留的预防效果。方法 选取2021年4月至2022年1月温州医科大学附属第二医院120例无痛分娩初产妇为研究对象,按照随机数字表法将其分为A组(40例)、B组(40例)与C组(40例)。A组采用艾盐包穴位热熨,B组采用盆底肌训练,C组采用艾盐包穴位热熨联合盆底肌训练。比较各组临床疗效、产后首次自行排尿时间、产后首次尿量、膀胱残余尿量、产后出血量及排尿等待时间;统计各组产后尿潴留发生情况。结果 C组临床总有效率高于A、B组(P<0.05)。C组产后首次自行排尿时间、排尿等待时间短于A、B组;产后首次尿量多于A、B组;膀胱残余尿量、产后出血量少于A、B组(P<0.05)。C组尿潴留发生率低于A、B组(P<0.05)。结论 艾盐包穴位热熨联合盆底肌训练可改善无痛分娩初产妇首次自行排尿时间、产后首次尿量、膀胱残余尿量、产后出血量,缩短排尿等待时间,降低产后尿潴留的发生率,提高临床干预效果。

Objective To analyze the preventive effect of acupoint hot ironing with Aiyanbao combined with pelvic floor muscle training on postpartum urinary retention in primiparas with painless labor.Methods A total of 120 primiparas with painless labor in the Second Affiliated Hospital of Wenzhou Medical University from April 2021 to January 2022 were selected as the research subjects.They were divided into group A(40 cases),group B(40 cases),and group C(40 cases) by randon number table method.Group A was treated with acupoint hot ironing with Aiyanbao,group B was treated with pelvic floor muscle training,and group C was treated with acupoint hot ironing with Aiyanbao combined with pelvic floor muscle training.The clinical efficacy,the first spontaneous urination time after delivery,the first urine volume after delivery,the residual urine volume of bladder,the amount of postpartum hemorrhage,and waiting time for urination were compared in each group,and the incidence of postpartum urinary retention were recorded in each group.Results The total effective rate of group C was higher than that of group A and group B(P<0.05).The first spontaneous urination time after delivery and waiting time for urination were shorter than those in group A and group B;the first urine volume after delivery was more than that in group A and group B,the residual urine volume of bladder and the amount of postpartum hemorrhage were less than those in group A and group B(P<0.05).The incidence of postpartum urinary retention was lower than that in group A and group B(P<0.05).Conclusion Acupoint hot ironing with Aiyanbao combined with pelvic floor muscle training can improve the first spontaneous urination time after delivery,the first urine volume after delivery,the residual urine volume of bladder,the amount of postpartum hemorrhage,shorten the waiting time for urination,reduce the incidence of postpartum urine retention,and improve the clinical intervention effect.