|
|
Study on the preventive effect of Guanyuan acupoint massage combined with traditional Chinese medicine package therapy on the recovery of bladder micturition function and the prevention of urinary retention in parturients with analgesia delivery |
CHENG Xianying1 ZENG Shume1 LI Shuhui2 HU Yin1 JIANG Shenglin1 ZHOU Jinhong1 |
1.Department of Obstetrics and Gynecology, Zhejiang Hospital, Zhejiang Province, Hangzhou 310023, China;
2.Department of Preventive Medicine, Zhejiang University of Traditional Chinese Medicine, Zhejiang Province, Hangzhou 310053, China |
|
|
Abstract Objective To explore the preventive effect of Guanyuan acupoint massage combined with traditional Chinese medicine package therapy on the recovery of bladder micturition function and the prevention of urinary retention in parturients with analgesia delivery. Methods From September 2017 to September 2019, 100 parturients with analgesia delivery in Zhejiang Hospital were selected and divided into study group and control group, 50 cases in each group. Routine treatment was carried out postpartum, such as postpartum health education, dietary care and urination guidance. The study group was treated with Guanyuan acupoint massage and traditional Chinese medicine package on the routine treatment basis. The spontaneous micturition, induced micturition and urinary retention of the two groups were observed, and the first postpartum micturition interval, micturition volume and bladder residual urine volume were recorded among autonomous urinator. Results The difference of urination mode between the two groups was statistically significant (P < 0.05). The incidence of postpartum urinary retention in the study group was significantly lower than that in the control group (P < 0.05). The interval of first urination was lower in the study group than that in the control group, the residual urine volume in the bladder was lower than that in the control group, the average urine flow rate was higher than that in the control group, the micturition score index was lower than that in the control group, and the micturition duration was shorter than that in the control group, all the differences were statistically significant (all P < 0.05). There was no significant difference in micturition volume between the two groups(P > 0.05). Conclusion Guanyuan acupoint massage combined with traditional Chinese medicine package can effectively promote the recovery of postpartum bladder micturition function and prevent the occurrence of urinary retention in parturients with analgesia delivery.
|
|
|
|
|
Cite this article: |
CHENG Xianying1 ZENG Shume1 LI Shuhui2 HU Yin1 JIANG Shenglin1 ZHOU Jinhong1. Study on the preventive effect of Guanyuan acupoint massage combined with traditional Chinese medicine package therapy on the recovery of bladder micturition function and the prevention of urinary retention in parturients with analgesia delivery[J]. 中国医药导报, 2020, 17(22): 160-162,170.
|
|
|
|
URL: |
http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I22/160 |
[1] 濮玉群,李海燕.按摩关元穴配合热敷对镇痛分娩孕妇尿潴留的预防[J].中外健康文摘,2013,10(26):114-115.
[2] 余冬梅,骆晓芳,赵丽君,等.无痛分娩对母胎影响的临床分析[J].中国实用医药,2017,12(1):50-53.
[3] Stephansson O,Sandstrom A,Petersson G,et al. Prolonged second stag e of labour,maternal in fectious disease,urinary retention and other complications in the early postpartum period [J]. BJOG:An Int J Obstet Gynaecol,2015, 122(20):20.
[4] Lewis JM,Yallasv,Stanitski KE,et al. Spectrum of urodynamic abnormalities and renal function changes in adults men with nonneurogenic urinary retention [J]. Neurourol Urodyn,2012,31(4):544-548.
[5] 周水金,郭剑影.产后尿潴留的现状分析及护理研究进展[J].当代护士:中旬刊,2018,25(7):6-8.
[6] 任青.产后尿潴留的危险因素及防治研究进展[J].中国临床医生杂志,2015,43(9):18-20.
[7] 史军彩,蓬勃,王春,等.产后尿潴留护理新进展[J].世界最新医学信息文摘,2019,19(36):35-36.
[8] 毕媛,张文,娜浅.谈产后尿潴留的预防及护理措施[J].当代护士:上旬刊,2019,26(22):88-90.
[9] 萧桂冰,张翠琼,陈健飞,等.早期护理干预联合早期饮水疗法预防产后尿潴留效果观察[J].齐鲁护理杂志,2019, 25(2):44-46.
[10] 周丽珠,朱志琴.低频电刺激联合中药封包对产后尿潴留的疗效[J].全科护理,2018,16(12):1474-1475.
[11] Pifarotti P,Gargasole C,Folcin C,et al. Acute post-partum urinaryretention:analysis of risk factors,a case-control study [J]. Arch Gynecol Obstet,2014,289(6):1249-1253.
[12] 钟雪.热敏灸防治根治性子宫切除术后尿潴留的临床研究[D].广州:广州中医药大学,2015.
[13] Leach S. “Have you had a wee yet?” Postpartum urinary retention [J]. Pract midwife,2011,14(1):23-25.
[14] 刘振生.调气化瘀利水方联合艾灸治疗肛肠术后尿潴留的临床观察[J].湖南中医药大学学报,2017,37(1):75-78.
[15] 王俊华,陈邦国,尹晶,等.电针关元穴对脊髓损伤后尿潴留大鼠逼尿肌兴奋性及BDNF、TrkB在脊髓中表达的影响[J].中华物理医学与康复杂志,2009,31(4):232-235.
[16] 李海燕,叶俊花.热敷配合穴位敷贴预防镇痛分娩孕妇尿潴留[J].现代中西医结合杂志,2011,20(23):2965-2966.
[17] 程国华,叶春媚,沈秀青,等.穴位温灸法对分娩镇痛产妇尿潴留的预防作用[J].中国妇幼健康研究,2017,28(1):503-504.
[18] 孔金芳.导乐分娩镇痛仪对产后尿潴留的影响[J].中国妇幼保健,2015,30(25):4390-4391.
[19] 仲艳敏,胡玉芹,薛玉珍.中药封包治疗产后尿潴留疗效观察[J].安徽医药,2015,19(11):2217-2219.
[20] 陈芳.临床护理干预对无痛分娩产妇产后尿潴留的影响[J].中国医药指南,2019,17(13):275-276. |
|
|
|