摘要
目的探讨神经肌肉电刺激在产后排尿困难中的应用效果。方法选取2016年9月至2018年9月于青岛市胶州中心医院产科住院分娩并发生排尿困难的200例产妇为研究对象,根据计算机生成随机化表分为观察组(100例)和对照组(100例)。对照组给予传统诱导排尿法干预,观察组在对照组基础上进行神经肌肉电刺激干预。比较两组干预总有效率、干预后第1次排尿时间、首次排尿后残余尿量、最终持续导尿例数、干预前后小腹胀满程度及排尿通畅度评分、干预后生存质量评分及总满意度。结果观察组干预总有效率(80.00%)高于对照组(61.00%),差异有统计学意义(P<0.05);观察组干预后第1次排尿时间短于对照组,残余尿量少于对照组,最终持续导尿例数少于对照组,小腹胀满评分及排尿通畅度评分均低于对照组,在心理功能、躯体功能、社会功能及物质生活功能评分方面均高于对照组,产妇满意度高于对照组,差异均有统计学意义(P<0.05)。结论神经肌肉电刺激能有效治疗产后排尿困难,提高产后生存质量及满意度。
Objective To investigate the application effect of neuromuscular electrical stimulation in postpartum dysuria.Methods Selected 200 parturients who were hospitalized and had postpartum dysuria in the Obstetrics Department of Qingdao Jiaozhou Central Hospital from September 2016 to September 2018 as the research objects.According to the computer-generated randomization table,they were divided into observation group(100 cases)and control group(100 cases).The control group was given traditional induced urination intervention.On this basis,the observation group was given neuromuscular electrical stimulation.The total intervention response rates,the first urination time after intervention,residual urine volume after the first urination,the final number of continuous urinary catheterization,abdominal fullness degree and scores of urinary fluidity before and after intervention,score of quality of life after intervention and the total satisfaction of the two groups were compared.Results The total intervention response rate of the observation group(80.00%)was higher than that of the control group(61.00%),the difference was statistically significant(P<0.05).The first urination time after intervention of the observation group was shorter than that of the control group.The residual urine volume and the final number of continuous urinary catheterization were less than those of the control group.After the intervention,abdominal fullness degree and the scores of urinary fluidity in the observation group were lower than those in the control group.The scores in mental function,physical function,social function and material life function in the observation group were higher than those in the control group.The maternal satisfaction of the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion Neuromuscular electrical stimulation can effectively treat postpartum dysuria,improve postpartum quality of life and satisfaction.
作者
崔芹
高爱梅
赵春丽
CUI Qin;GAO Aimei;ZHAO Chunli(Department of Obstetrics,Qingdao Jiaozhou Central Hospital,Qingdao Shandong 266300,P.R.China)
出处
《中国计划生育和妇产科》
2020年第9期91-94,共4页
Chinese Journal of Family Planning & Gynecotokology
基金
青岛市卫生和计划生育委员会医药科研指导计划(项目编号:2018-WJZD085)。
关键词
神经肌肉电刺激
产后排尿困难
生存质量
满意度
neuromuscular electrical stimulation
postpartum dysuria
quality of life
satisfaction
