莱菔子穴位烫熨疗法对产后尿潴留疗效分析

庄秀铭　缪海燕　吴佳如　林虹

[摘要] 目的 探讨莱菔子烫熨疗法治疗产后尿潴留的临床疗效。方法 方便该院于2016年3—8月收治的48例产后尿潴留产妇，随机分为治疗组23例和对照组25例。对照组只做普通膀胱功能的训练；治疗组在对照组的基础上予行莱菔子穴位烫熨疗法，观察两组患者的临床疗效。结果 实验组在治疗后4 h顺利排尿21例（91.3%）较对照组人数明显增多，差异有统计学意义（χ2=5.056，P=0.039）。4 h后所有患者膀胱残余尿测定，实验组（81.57±20.20）mL较对照组明显减少，差异有统计學意义（t=20.065，P<0.001）。结论 莱菔子烫熨疗法能有效地治疗产后尿潴留。

[关键词] 产后尿潴留；莱菔子；烫熨疗法；临床疗效

[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2018）03（c）-0157-03

Analysis of Curative Effect of Radish Seed Acupoint Ironing Therapy in Urinary Retention after Delivery

ZHUANG Xiu-ming， MIAO Hai-yan， WU Jia-ru， LIN Hong

Department of Gynecology and Obstetrics， Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine， Fuzhou， Fujian Province， 350003 China

[Abstract] Objective To study the clinical curative effect of radish seed acupoint ironing therapy in urinary retention after delivery. Methods 48 cases of delivery women with urinary retention after delivery admitted and treated in our hospital from March to August 2016 were convenient selected and randomly divided into two groups， the control group with 25 cases only used the common bladder function training， while the treatment group with 23 cases were treated with radish seed acupoint ironing therapy on the basis of the control group， and the clinical curative effect was compare between the two groups. Results In 4 h after treatment， there were 21 cases（91.3%） with successful micturition in the experimental group， which obviously increased compared with that in the control group， and the differences were statistically significant（χ2=5.056， P=0.039）， and the urinary bladder residual urine of all patients in 4 h in the experimental group was（81.57±20.20）mL， which obviously decreased， compared with that in the control group， and the difference was statistically significant（t=20.065， P<0.001）. Conclusion The radish seed acupoint ironing therapy can effectively treat the urinary retention after delivery.

[Key words] Urinary retention after delivery； Radish seed； Acupoint ironing therapy； Clinical curative effect

产后尿潴留（postpartum urinary retention， PUR）是产褥期常见的并发症，国内外报道的发病率为1.5%～45%[1]。PUR的发生可影响子宫收缩，导致阴道出血量增多而增加产妇痛苦，也是造成产后泌尿系统感染的重要因素。临床上通常采用听流水声、改变排尿体位、局部热敷、按摩、理疗、药物和针灸等治疗方法诱导患者排尿，但效果多不满意。莱菔子为十字花科一年生或二年生草本植物莱菔的成熟种子。别名萝卜子，常用于消食除胀、降气化痰。目前有临床研究显示，莱菔子外用以及炒熟吞服对各种原因所致的排尿功能障碍有一定的疗效。该研究方便选取2016年3—8月收治的48例产妇为研究对象，拟通过莱菔子穴位烫熨疗法研究其对产后尿潴留的影响，现报道如下。

1 资料与方法

1.1 一般资料

方便选取福建中医药大学附属第二人民医院住院分娩且符合上述标准的产后尿潴留患者48例为研究对象，根据随机抽签法将其纳入为治疗组（23例）和对照组（25例）。……