电针八髎穴联合盆底肌训练预防无痛分娩初产妇产后尿潴留效果的临床研究

Clinical study on the effect of electro-acupuncture at the Bajiao point combined with pelvic floor muscle training in the prevention of postpartum urinary retention in primiparous women undergoing painless delivery

目的:观察电针八髎穴联合盆底肌训练预防无痛分娩初产妇产后尿潴留的临床效果。方法:将2020年8月~2023年10月在我院妇产科进行无痛分娩的120例初产妇采用随机法分为两组,单组60例。两组产后均鼓励产妇及时水分摄入,热敷下腹部和骶尾部,同时对照组产后30min给予盆底肌训练,观察组在盆底肌训练基础上联合电针八髎穴进行干预。记录两组产后首次排尿时间、初次泌乳时间、首次排尿量,检测两组尿动力学参数和泌乳素水平,统计两组产后尿潴留、尿失禁及尿路感染发生率,评估两组SF-36评分差异。结果:观察组首次排尿时间短于对照组,首次排尿量高于对照组,最大尿流率、最大膀胱容量高于对照组,膀胱残余尿量低于对照组,产后尿潴留发生率低于对照组,有差异(P<0.05)。观察组除躯体角色、社会功能、心理健康评分与对照组比较,无差异(P>0.05)外,其他评分高于对照组(P<0.05)。结论:电针八髎穴联合盆底肌训练可预防无痛分娩初产妇产后尿潴留的发生,并提高生活质量。

Objective Observation of the clinical effects of electroacupuncture at the Bajiao point combined with pelvic floor muscle training in preventing the effects of postpartum urinary retention in primiparous women giving birth without pain.Methods The 120cases of primigravid women who underwent painless delivery in the Department of Obstetrics and Gynaecology of our hospital from August 2020to October 2023were divided into two groups by random method,with 60cases in a single group.Both groups were encouraged to have timely water intake and hot compresses on the lower abdomen and sacrococcygeal area after delivery,while the control group was given pelvic floor muscle training for 30min after delivery,and the observation group was intervened on the basis of pelvic floor muscle training combined with electroacupuncture on the Bajiao point.The time of the first postpartum urination,the time of the first lactation,and the amount of the first urination were recorded in the two groups,the urodynamic parameters and prolactin levels were detected in the two groups,and the incidence of postpartum urinary retention,urinary incontinence,and urinary tract infections were counted in the two groups,and the differences in SF-36scores were assessed in the two groups.Results The observation group had a shorter time to first urination than the control group,a higher volume of first urination than the control group,a higher maximum urinary flow rate and maximum bladder capacity than the control group,a lower volume of residual urine in the bladder than the control group,and a lower incidence of postpartum urinary retention than the control group,which were different(P<0.05).The scores of the observation group were higher than those of the control group,except for the scores of somatic role,social function,and mental health,which were not different from those of the control group(P>0.05).Conclusion Electroacupuncture of the Baresha point combined with pelvic floor muscle training prevents postpartum urinary retention in primiparous women giving birth without pain and improves quality of life.