[1]崔芹,高爱梅,赵春丽*.神经肌肉电刺激对产后排尿困难的干预与治疗[J].中国计划生育和妇产科,2020,(9):91-94.
 CUI Qin,GAO Aimei,ZHAO Chunli*.Intervention and treatment of neuromuscular electrical stimulation for postpartum dysuria[J].Chinese Journal of Family Planning & Gynecotokology,2020,(9):91-94.
点击复制

神经肌肉电刺激对产后排尿困难的干预与治疗
分享到:

《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2020年9期
页码:
91-94
栏目:
论著与临床
出版日期:
2020-09-25

文章信息/Info

Title:
Intervention and treatment of neuromuscular electrical stimulation for postpartum dysuria
作者:
崔芹高爱梅赵春丽*
青岛市胶州中心医院产科
Author(s):
CUI QinGAO AimeiZHAO Chunli*
Department of Obstetrics,Qingdao Jiaozhou Central Hospital,Qingdao Shandong 266300,P.R.China
关键词:
神经肌肉电刺激产后排尿困难生存质量满意度
Keywords:
neuromuscular electrical stimulation postpartum dysuria quality of life satisfaction
分类号:
R 71446
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。
Abstract:
ObjectiveTo investigate the application effect of neuromuscular electrical stimulation in postpartum dysuria.MethodsSelected 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.ResultsThe 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).ConclusionNeuromuscular electrical stimulation can effectively treat postpartum dysuria, improve postpartum quality of life and satisfaction.

参考文献/References:

[1]郑丽萍.不同护理干预策略对剖宫产术后初产妇排尿的影响分析 [J].浙江医学,2016,38(12):10331035. [2]谈长娣,任卫娟,孙潇,等.产程中排尿困难70例临床分析 [J].中国妇产科临床杂志,2017,18(5):450451. [3]黄润强,赵亚娟,崔明华,等.综合康复训练联合电刺激对产妇产后盆底肌功能的影响[J].神经损伤与功能重建,2016,11(2):177178. [4]吕素芳,武晓亮.自然分娩产妇产后排尿困难原因分析及处理 [J].解放军医药杂志,2010,22(z1):77. [5]原桂荣.39例产妇分娩后排尿困难的护理体会 [J].局解手术学杂志,2009,18(6):435436. [6]陈红珍.产后尿潴留的发生原因及护理研究进展 [J].护理研究,2016,30(16):19241927. [7]任青.产后尿潴留的危险因素及防治研究进展 [J].中国临床医生杂志,2015,43(9):1820. [8]杨永碧.阴道分娩后尿潴留危险因素分析及盆底康复干预的作用 [J].中国妇幼保健,2014,29(30):49114913. [9]陈姗.电针阴部神经刺激疗法临床应用 [J].辽宁中医药大学学报,2016,18(6):150152. [10]海鸿,许晓英,吴岐珍,等.电刺激治疗妇科手术后尿潴留的临床疗效观察 [J].中国妇幼健康研究,2014,25(5):881882. [11]安晓蕾,王淑秀.膀胱神经肌肉电刺激治疗急性脑卒中后排尿障碍的临床观察 [J].现代医学,2014,42(9):10471050. [12]刘小玲,薛丽,王菩禄,等.低频脉冲电刺激联合穴位贴敷治疗产后尿潴留30例 [J].西部中医药,2016,29(2):124125. [13]杨芳,李作贵.电刺激生物反馈结合PFMT护理干预对产后尿潴留患者尿失禁的影响[J].现代中西医结合杂志,2017,26(35):39803981, 3990. [14]马喆,李环,宋婧,等.低频电刺激治疗阴道分娩后尿潴留效果分析 [J].中国妇产科临床杂志,2016,17(2):106109.

备注/Memo

备注/Memo:
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)
更新日期/Last Update: 2020-09-25