摘要
目的研究剖宫产后尿潴留患者联合开展热敏灸和盆底肌训练治疗的效果。方法选取2021年4月至2023年1月宜春市人民医院收治的40例剖宫产后尿潴留患者作为研究对象,按照随机数字表法分为对照组(20例)和观察组(20例),对照组采用传统艾灸和盆底肌训练治疗,观察组应用热敏灸联合盆底肌训练治疗。比较两组的首次自主排尿时间、首次自主排尿量、膀胱残余尿量,分析两组尿动力学指标水平变化情况。结果观察组首次自主排尿时间短于对照组,自主排尿量多于对照组,膀胱残余尿量少于对照组,差异有统计学意义(P<0.05);观察组治疗后的膀胱顺应性、逼尿肌收缩力以及尿道闭合压均高于对照组,差异有统计学意义(P<0.05)。结论剖宫产后尿潴留患者接受热敏灸治疗的同时开展盆底肌训练治疗可获理想效果,具有进一步推广应用的价值。
Objective To study the therapeutic effect of heat sensitive moxibustion on patients with urinary retention after cesarean section while carrying out pelvic floor muscle training treatment.Methods A total of 40 patients with urinary retention after cesarean section treated in Yichun People's Hospital from April 2021 to January 2023 were selected as the study objects,and they were divided into control group(20 cases)and observation group(20 cases)according to random number table.The control group was treated with traditional moxibustion and pelvic floor muscle training,and the observation group was treated with heat sensitive moxibustion combined with pelvic floor muscle training.The first spontaneous urination time,first spontaneous urination volume and bladder residual urine volume of the two groups were compared,and the changes of urodynamic indexes in the two groups were compared.Results The first spontaneous urination time in the observation group was shorter than that in the control group,and the spontaneous urination volume was more than that in the control group,the residual urine volume in the bladder was less than that in the control group,and the differences were statistically significant(P<0.05).The bladder compliance,detrusor muscle contraction force,and urethral closure pressure of the observation group after treatment were higher than those of the control group,with statistically significant differences(P<0.05).Conclusion The patients with urinary retention after cesarean section receiving heat sensitive moxibustion and pelvic floor muscle training can achieve ideal results.This program can effectively improve the patients'urodynamic indicators,promote the recovery of patients'autonomous urination ability,and has the value of further promotion and application.
作者
黄超
卢志勇
袁明华
夏红梅
妟小艳
HUANG Chao;LU Zhiyong;YUAN Minghua;XIA Hongmei;YAN Xiaoyan(Department of Traditional Chinese Medicine,Yichun People's Hospital,Jiangxi Province,Yichun336000,China)
出处
《中国当代医药》
CAS
2024年第5期133-136,共4页
China Modern Medicine
基金
江西省中医药管理局科技计划项目(2022B474)。
关键词
热敏灸
盆底肌训练
剖宫产
尿潴留
尿动力学
临床疗效
Heat-sensitive moxibustion
Pelvic floor muscle training
Caesarean section
Urinary retention
Urodynamics
Clinical effect
