摘要
目的:观察于水道穴行穴位按摩、穴位贴敷联合艾灸治疗产后尿潴留的临床疗效。方法:将120例产后尿潴留患者随机分为三联组、两联组和按摩组,每组40例。3组均予产后常规护理刺激排尿。按摩组于双侧水道穴行快速按摩;两联组于按摩组基础上于双侧水道穴行自拟通泉散穴位贴敷;三联组于两联组基础上于双侧水道穴行艾灸干预。3组均治疗1次。治疗后5 h检测患者膀胱残余尿量,记录患者首次排尿时间、首次排尿量及治疗后5 h排尿总量,评价首次排尿通畅感和患者满意度,记录住院天数和住院费用,并评定3组临床疗效。结果:三联组患者膀胱残余尿量少于两联组及按摩组(P<0.05),首次排尿时间早于两联组及按摩组(P<0.05,P<0.001),首次排尿量、治疗后5h排尿总量多于两联组及按摩组(P<0.05,P<0.001),首次排尿通畅感和患者满意度优于两联组及按摩组(P<0.001,P<0.05);两联组患者首次排尿量、治疗后5 h排尿总量多于按摩组(P<0.05),首次排尿通畅感和患者满意度优于按摩组(P<0.05)。3组患者住院天数及住院费用比较差异无统计学意义(P>0.05)。三联组、两联组和按摩组总有效率分别为100.0%(40/40)、90.0%(36/40)和70.0%(28/40),三联组总有效率高于两联组及按摩组(P<0.05,P<0.001),两联组总有效率高于按摩组(P<0.05)。结论:于水道穴行穴位按摩、穴位贴敷联合艾灸治疗可有效改善产后尿潴留患者排尿情况,提高患者满意度。
Objective To observe the clinical efficacy of acupoint massage,acupoint sticking combined with moxibustion at Shuidao(ST 28)for postpartum urinary retention.Methods A total of 120 patients with postpartum urinary retention were randomly divided a triple-combination group,a double-combination group,and a massage group,with 40 patients in each group.All groups received standard postpartum care to stimulate urination.The patients in the massage group received rapid acupoint massage at the bilateral Shuidao(ST 28);the patients in the double-combination group additionally received acupoint sticking of self-made Tongquan powder at bilateral Shuidao(ST 28);the patients in the triple-combination group further received moxibustion at bilateral Shuidao(ST 28).The treatment was given once in all three groups.After 5 hours of treatment completion,bladder residual volume was measured;the time and volume of first urination as well as total urination volume after 5 hours of treatment completion were recorded;the patients'sensation of urination smoothness,satisfaction rate,length of hospital stay,and hospital costs were evaluated.Results The triple-combination group showed significantly lower residual urine volumes(P<0.05),earlier first urination time(P<0.05,P<0.001),and higher first urination volumes and total urination volumes after 5 hours of treatment completion compared to the other two groups(P<0.05,P<0.001).The sensation of urination smoothness and patient satisfaction were also significantly better in the triple-combination group(P<0.001,P<0.05).The double-combination group had higher volume of first urination and total urination volume after 5 hours of treatment completion than the massage group(P<0.05),and better sensation of urination smoothness and patient satisfaction(P<0.05).There was no significant difference in the length of hospital stay and costs among the three groups(P>0.05).The total effective rates were 100.0%(40/40)for the triple-combination group,90.0%(36/40)for the double-combination group,and 70.0%(28/4
作者
郭凤琴
位路其
张锦聪
张晓芬
GUO Fengqin;WEI Luqi;ZHANG Jincong;ZHANG Xiaofen(Department of Obstetrics and Gynecology,Luohe City Hospital of TCM,Luohe 462300,Henan Province,China;School of TCM,Henan University of TCM,Zhengzhou 450000)
出处
《中国针灸》
CAS
CSCD
北大核心
2024年第7期803-806,844,共5页
Chinese Acupuncture & Moxibustion
基金
河南省中医药科学研究专项课题:2019ZY3026。
关键词
产后尿潴留
穴位按摩
穴位贴敷
艾灸
水道
联合疗法
随机对照试验
postpartum urinary retention
acupoint massage
acupoint sticking
moxibustion
Point ST 28(Shuidao)
combined therapy
randomized controlled trial(RCT)
