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:系统评价快速按摩水道穴预防产后癃闭的应用效果。方法:计算机检索PubMed、Web of Science、Embase等数据库中有关产后尿潴留文献,检索截止日期为2022年6月。由2名研究人员独立进行文献筛选、数据提取及文献质量评价,采用RevMan 5....目的:系统评价快速按摩水道穴预防产后癃闭的应用效果。方法:计算机检索PubMed、Web of Science、Embase等数据库中有关产后尿潴留文献,检索截止日期为2022年6月。由2名研究人员独立进行文献筛选、数据提取及文献质量评价,采用RevMan 5.3软件对符合要求的文献进行结果分析。结果:共纳入文献8篇,涉及干预组2492例、对照组2572例。Meta分析结果显示:快速按摩水道穴能够缩短产妇产后首次排尿时间[SMD=-1.5,95%CI(-1.88,-1.13),P<0.001];减少尿潴留的发生率[OR=0.13,95%CI(0.08,0.22),P<0.001];促进产妇产后首次排尿量[MD=74.34,95%CI(57.46,91.22),P<0.001];减少膀胱残余尿量[MD=-32.59,95%CI(-52.79,-12.4),P<0.001]及尿不尽的发生率[OR=0.23,95%CI(0.12,0.42),P<0.001],与对照组的差异具有统计学意义。结论:快速按摩水道穴预防产后癃闭具有一定的效果。但所纳入的文献有局限性,仍期待后续高质量试验加以补充。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:系统评价快速按摩水道穴预防产后癃闭的应用效果。方法:计算机检索PubMed、Web of Science、Embase等数据库中有关产后尿潴留文献,检索截止日期为2022年6月。由2名研究人员独立进行文献筛选、数据提取及文献质量评价,采用RevMan 5.3软件对符合要求的文献进行结果分析。结果:共纳入文献8篇,涉及干预组2492例、对照组2572例。Meta分析结果显示:快速按摩水道穴能够缩短产妇产后首次排尿时间[SMD=-1.5,95%CI(-1.88,-1.13),P<0.001];减少尿潴留的发生率[OR=0.13,95%CI(0.08,0.22),P<0.001];促进产妇产后首次排尿量[MD=74.34,95%CI(57.46,91.22),P<0.001];减少膀胱残余尿量[MD=-32.59,95%CI(-52.79,-12.4),P<0.001]及尿不尽的发生率[OR=0.23,95%CI(0.12,0.42),P<0.001],与对照组的差异具有统计学意义。结论:快速按摩水道穴预防产后癃闭具有一定的效果。但所纳入的文献有局限性,仍期待后续高质量试验加以补充。
