摘要
目的:研究桂枝茯苓胶囊联合低频电刺激治疗剖宫产后尿潴留产妇排尿状况与心理状态的影响。方法:以我院剖宫产术后尿潴留产妇180例为研究对象,按照数字表随机分为A组、B组、C组,A组采用桂枝茯苓胶囊内服,3粒/次,3次/d,B组采取低频电刺激次髎、中髎、下髎三穴,对C组采取桂枝茯苓胶囊联合低频电刺激疗法,对比三组患者的临床治疗有效率、拔管至正常排尿时间、尿路感染发生率、住院时间、焦虑自测量表得分(SAS)、抑郁自测量表得分(SDS)情况。结果:三组患者在尿潴留发生风险因素、诊断时间及残尿量方面无明显差异;A组与B组临床治疗总有效率无统计学差异(P>0.05),但C组临床治疗总有效率高于A组与B组(P<0.01);A组与B组的拔管至正常排尿时间、尿路感染发生率、住院时间结果差异不具有统计学意义(P>0.05),但C组的拔管至正常排尿时间、尿路感染发生率、住院时间结果均优于A组与B组(P<0.05);三组治疗前SAS与SDS结果无统计学差异(P>0.05),治疗后三组的SAS与SDS得分均得到优化,但A组与B组结果相比(P>0.05),C组与A组、B组结果相比(P<0.05)。结论:在常规干预基础上使用桂枝茯苓胶囊联合低频电刺激对剖宫产产后尿潴留患者的治疗效果及心理状态优化效果较桂枝茯苓胶囊与低频电刺激单用效果更好,且桂枝茯苓胶囊单用与低频电刺激单用治疗效果与心理状态改善效果无明显差异。
Objective： To study the effect of Guizhi Fuling capsule combined with low frequency electrical stimulation on urination and mental state of pregnant women with urinary retention after cesarean section. Methods： 180 cases of urinary retention after cesarean section in our hospital were randomly divided into group A, group B and group C according to the digital table. Group A was treated with Guizhi capsule. 3 capsules/time, 3 times/d, group B was treated with low frequency electrical stimulation for sputum, middle sputum and lower sputum. For group C, Guizhi Fuling capsule was combined with low frequency electrical stimulation therapy, and the clinical treatment of three groups of patients was compared. Effective, extubation to normal urination time, incidence of urinary tract infection, length of hospital stay, self-rating anxiety Scale （SAS）, self-rating depression scale （SDS）. Results： There was no significant differences in the risk factors, time of diagnosis and residual urine volume between the three groups （ P 〉0.05）.Total treatment in group A and group B was no significant difference in the effective rate （ P 〉0.05）, but the total effective rate of clinical treatment in group C was higher than that in group A and group B （ P 〈0.01）.There was no significant difference in the time of normal urination, incidence of urinary tract infection, and length of hospital stay （ P 〉0.05）, but the time from extubation to normal urination, incidence of urinary tract infection in group C. The hospitalization time results were better than group A and group B （ P 〈0.05）. There was no significant difference between SAS and SDS before treatment（ P 〉0.05）, the SAS and SDS scores of the three groups were optimized after treatment, but the results of group A compared with group B （ P 〉0.05）, group C compared with group A and group B （ P 〈0.05）. Conclusion： On the basis of conventional intervention, the effect of Guizhi Fuling capsule combined with low frequency electrical stimulation on the treatment effect and psychological state of patients with postpartum urinary retention in cesarean section is better than that of Guizhi Fuling capsule and low frequency electrical stimulation, and the effect and psychological state of the single use and low frequency electrospiny single use of Guizhi Fuling capsule is improved. There is no significant difference in effect.
作者
张丽丽
刘光虹
露红
Zhang Lili;Liu Guanghong;Lu Hong(People＇s Hospital of Zhengzhou,Zhengzhou 45000)
出处
《陕西中医》
2018年第12期1753-1756,共4页
Shaanxi Journal of Traditional Chinese Medicine
基金
河南省中医管理局科研项目(2016ZY2099)
关键词
剖宫产术/中医药疗法
尿潴留
@桂枝茯苓胶囊
Cesarean section/traditional Chinese medicine therapy
Urinary retention
@ Guizhi Fuling capsule
