揿针联合艾盐包热熨治疗产后尿潴留临床研究

Clinical Study on Thumb-Tack Needling Combined with Hot Compress with Moxa-Salt Package for Puerperal Urinary Retention

目的:观察揿针联合艾盐包热熨治疗产后尿潴留的疗效。方法:选取120例阴道分娩后出现产后尿潴留的产妇,按随机数字表法分为西医组、揿针组、中医组各40例。西医组采用西药治疗,揿针组采用揿针治疗,中医组采用揿针联合艾盐包热熨治疗。比较3组临床疗效、不良反应发生情况以及首次排尿恢复时间、住院天数,比较3组治疗前后残余尿量、抑郁评分、焦虑评分、症状评分的变化。结果:中医组临床疗效总有效率为97.50%,高于西医组与揿针组,差异有统计学意义(P<0.05)。中医组首次排尿恢复时间以及住院天数均短于西医组和揿针组(P<0.05)。治疗后,3组残余尿量均较治疗前下降(P<0.05),中医组残余尿量小于西医组、揿针组(P<0.05)。治疗后,3组抑郁、焦虑评分均较治疗前下降(P<0.05),中医组抑郁、焦虑评分均低于西医组、揿针组(P<0.05)。治疗后,3组排尿情况、小腹症状评分均较治疗前下降(P<0.05),中医组排尿情况、小腹症状评分均低于西医组、揿针组(P<0.05)。3组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:揿针联合艾盐包热熨治疗产后尿潴留能增强协同疗效,缩短产妇的首次排尿时间和住院周期,降低膀胱残余尿量,缓解抑郁、焦虑心理,改善临床症状,安全性较高。

Objective:To observe the curative effect of thumb-tack needling combined with hot compress with moxa-salt package on puerperal urinary retention.Methods:A total of 120 cases of women with puerperal urinary retention after vaginal delivery were selected and divided into the western medicine group,the thumb-tack needling group and the Chinese medicine group according to the random number table method,with 40 cases in each group.The western medicine group was treated with western medicine,the thumb-tack needling group was treated with thumb-tack needling for subcutaneous embedding,and the Chinese medicine group was treated with thumb-tack needling combined with hot compress with moxa-salt package.The clinical effects,the occurrence of adverse reactions,the first urination recovery time,and length of hospital stay were compared among the three groups;the changes in residual urine volume,depression scores,anxiety scores and symptom scores before and after treatment were compared among the three groups.Results:The total effective rate was 97.50%in the Chinese medicine group,higher than those in the other two groups,the difference being significant(P<0.05). The first urination recovery time and the length of hospital stay in the Chinese medicine group wereshorter than those in the other two groups (P<0.05). After treatment,the residual urine volume in the threegroups were reduced when compared with those before treatment, and the residual urine volume in theChinese medicine group was lower than those in the other two groups (P<0.05). After treatment, thescores of depression and anxiety in the three groups were decreased when compared with those beforetreatment (P<0.05),and the scores of depression and anxiety in the Chinese medicine group were lowerthan those in the other two groups (P<0.05). After treatment, the urinary status and lower abdominalsymptom scores in the three groups were decreased when compared with those before treatment,and theurinary status and lower abdominal symptom score in the Chinese medicine group were lower than those inthe other two groups (P<0.05). There was no significant difference in the comparison of the incidence ofadverse reactions among the three groups (P>0.05). Conclusion:The application of thumb-tack needlingcombined with hot compress with moxa-salt package for puerperal urinary retention can enhance thesynergistic effect, shorten the first urination time and hospitalization period, reduce the bladder residualurine volume,relieve depression and anxiety and improve clinical symptoms,with high safety.