上下配穴法针刺预防产后尿潴留

Acupuncture of upper-lower point combination for prevention of postpartum urinary retention

目的 :探寻预防产后尿潴留的最佳针灸处方。方法 :将 16 2例住院分娩的产妇随机分为预防Ⅰ组 5 4例 ,取合谷、阴陵泉、三阴交穴 ;预防Ⅱ组 5 4例 ,取气海、关元、血海穴 ,分别于产后 1小时给予针刺治疗 ;对照组 5 4例 ,不给予任何干预措施。 结果 :预防Ⅰ组无尿潴留发生 ,预防Ⅱ组尿潴留发生率 2 2 2 % ,对照组为 4 6 3%。经统计学处理 ,3组间尿潴留发生率差异有显著性意义 (P <0 0 5 )。结论 :上下配穴法针刺对产后尿潴留有良好的预防作用。

Objective To search for the best acupuncture and moxibustion prescription for prevention of postpartum urinary retention. Methods One hundred and sixty-two parturients were randomly divided into prevention group Ⅰ (n=54) treated with acupuncture at Hegu (LI 4), Yinlingquan (SP 9) and Sanyinjiao (SP 6), and prevention group Ⅱ (n=54) treated with acupuncture at Qihai (CV 6), Guanyuan (CV 4) and Xuehai (SP 10). They were treated one hour after delivery; 54 cases who did not receive any treatment were used as controls. Results The urinary retention incidence rate was 0% in the prevention group Ⅰ, 22.2% in the prevention group Ⅱ and 46.3% in the control group, with a significant difference among the 3 groups (P<0.05). Conclusion The acupuncture of upper-lower point combination has a good preventive action on postpartum urinary retention.