The author treated 66 cases of uroschesis by adopting deep insertion of needle atDaheng (SP 15) acupoint. Results showed that 64 cases were cured and 2 ineffective, with the totaleffective rate of 96. 15 %.
BACKGROUND Anesthetic drugs used in labor analgesia also paralyze the bladder muscle by blocking the sacral plexus,thereby affecting maternal postpartum spontaneous urination and increasing the risk of postpartum urin...BACKGROUND Anesthetic drugs used in labor analgesia also paralyze the bladder muscle by blocking the sacral plexus,thereby affecting maternal postpartum spontaneous urination and increasing the risk of postpartum urinary retention(PUR).AIM To analyze the effect of percutaneous electrical stimulation at the Baliao point combined with biofeedback therapy for PUR prevention.METHODS We selected 182 pregnant women who received labor analgesia in obstetrics between June 2022 and December 2023.They were divided into the combined therapy group(transcutaneous electrical stimulation of the Baliao point combined with biofeedback therapy)and the control group(biofeedback therapy alone).The first spontaneous urination time,first postpartum urine volume,bladder residual urine volume,postpartum hemorrhage volume,pre-urination waiting time,PUR incidence,adverse reactions,and the intervention’s clinical efficacy were compared between the two groups.RESULTS The first spontaneous urination time after delivery was more delayed(2.92±1.04 h vs 3.61±1.13 h,P<0.001),with fewer initial postpartum urine(163.54±24.67 mL vs 143.72±23.95 mL,P<0.001),more residual bladder urine(54.81±10.78 mL vs 65.25±13.52 mL,P<0.001),more postpartum bleeding(323.15±46.95 mL vs 348.12±45.03 mL,P=0.001),and longer waiting time for urination(0.94±0.31 min vs 1.29±0.42 min,P<0.001),in the control group than in the combined therapy group.The control group also had higher PUR incidence(4.65%vs 15.85%,P=0.016).Both groups had no adverse reactions,but the clinical total efficacy rate of the intervention was significantly higher in the combined therapy group than in the control group(95.35%vs 84.15%,P=0.016).CONCLUSION Percutaneous electrical stimulation of the Baliao point combined with biofeedback can significantly promote postpartum micturition of parturients with labor analgesia,thereby effectively preventing PUR occurrence.展开更多
目的:探究当归芍药消癃散联合坦索罗辛对良性前列腺增生患者排尿功能、性激素的影响。方法:选取良性前列腺增生患者90例,随机分为对照组和观察组,各45例。对照组使用坦索罗辛治疗,观察组使用当归芍药消癃散联合坦索罗辛治疗。对比两组...目的:探究当归芍药消癃散联合坦索罗辛对良性前列腺增生患者排尿功能、性激素的影响。方法:选取良性前列腺增生患者90例,随机分为对照组和观察组,各45例。对照组使用坦索罗辛治疗,观察组使用当归芍药消癃散联合坦索罗辛治疗。对比两组治疗前后中医证候评分、国际前列腺症状评分表(International Prostate Symptom Score,IPSS)评分、性生活质量调查表(Sexual Life Quality Questionnaire-Quality of Life,SLQQ-QOL)评分、前列腺体积,比较两组尿动力学指标、前列腺特异抗原(Prostate specific antigen,PSA)、性激素水平,以及临床疗效和不良反应发生情况。结果:两组治疗前症状评分、尿动力学指标、IPSS、SLQQ-QOL评分、性激素水平、前列腺体积、PSA水平差异均无统计学意义(P>0.05)。治疗后观察组中医证候评分、IPSS评分、前列腺体积、PSA水平、残余尿量、雌二醇水平低于对照组,SLQQ-QOL评分、平均尿流率、最大尿流率、睾酮水平高于对照组,差异有统计学意义(P<0.05);观察组总有效率[93.3%(42/45)]高于对照组[77.8%(35/45)](P<0.05);两组不良反应发生率无明显差异(P>0.05)。结论:使用当归芍药消癃散联合坦索罗辛对良性前列腺增生患者进行治疗,能够减轻患者中医证候、前列腺症状,改善患者排尿功能、性生活质量,调节性激素水平。展开更多
文摘The author treated 66 cases of uroschesis by adopting deep insertion of needle atDaheng (SP 15) acupoint. Results showed that 64 cases were cured and 2 ineffective, with the totaleffective rate of 96. 15 %.
文摘BACKGROUND Anesthetic drugs used in labor analgesia also paralyze the bladder muscle by blocking the sacral plexus,thereby affecting maternal postpartum spontaneous urination and increasing the risk of postpartum urinary retention(PUR).AIM To analyze the effect of percutaneous electrical stimulation at the Baliao point combined with biofeedback therapy for PUR prevention.METHODS We selected 182 pregnant women who received labor analgesia in obstetrics between June 2022 and December 2023.They were divided into the combined therapy group(transcutaneous electrical stimulation of the Baliao point combined with biofeedback therapy)and the control group(biofeedback therapy alone).The first spontaneous urination time,first postpartum urine volume,bladder residual urine volume,postpartum hemorrhage volume,pre-urination waiting time,PUR incidence,adverse reactions,and the intervention’s clinical efficacy were compared between the two groups.RESULTS The first spontaneous urination time after delivery was more delayed(2.92±1.04 h vs 3.61±1.13 h,P<0.001),with fewer initial postpartum urine(163.54±24.67 mL vs 143.72±23.95 mL,P<0.001),more residual bladder urine(54.81±10.78 mL vs 65.25±13.52 mL,P<0.001),more postpartum bleeding(323.15±46.95 mL vs 348.12±45.03 mL,P=0.001),and longer waiting time for urination(0.94±0.31 min vs 1.29±0.42 min,P<0.001),in the control group than in the combined therapy group.The control group also had higher PUR incidence(4.65%vs 15.85%,P=0.016).Both groups had no adverse reactions,but the clinical total efficacy rate of the intervention was significantly higher in the combined therapy group than in the control group(95.35%vs 84.15%,P=0.016).CONCLUSION Percutaneous electrical stimulation of the Baliao point combined with biofeedback can significantly promote postpartum micturition of parturients with labor analgesia,thereby effectively preventing PUR occurrence.
文摘目的:探究当归芍药消癃散联合坦索罗辛对良性前列腺增生患者排尿功能、性激素的影响。方法:选取良性前列腺增生患者90例,随机分为对照组和观察组,各45例。对照组使用坦索罗辛治疗,观察组使用当归芍药消癃散联合坦索罗辛治疗。对比两组治疗前后中医证候评分、国际前列腺症状评分表(International Prostate Symptom Score,IPSS)评分、性生活质量调查表(Sexual Life Quality Questionnaire-Quality of Life,SLQQ-QOL)评分、前列腺体积,比较两组尿动力学指标、前列腺特异抗原(Prostate specific antigen,PSA)、性激素水平,以及临床疗效和不良反应发生情况。结果:两组治疗前症状评分、尿动力学指标、IPSS、SLQQ-QOL评分、性激素水平、前列腺体积、PSA水平差异均无统计学意义(P>0.05)。治疗后观察组中医证候评分、IPSS评分、前列腺体积、PSA水平、残余尿量、雌二醇水平低于对照组,SLQQ-QOL评分、平均尿流率、最大尿流率、睾酮水平高于对照组,差异有统计学意义(P<0.05);观察组总有效率[93.3%(42/45)]高于对照组[77.8%(35/45)](P<0.05);两组不良反应发生率无明显差异(P>0.05)。结论:使用当归芍药消癃散联合坦索罗辛对良性前列腺增生患者进行治疗,能够减轻患者中医证候、前列腺症状,改善患者排尿功能、性生活质量,调节性激素水平。
