中医封包联合产后康复治疗仪降低 产后尿潴留的效果观察
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郑惠容,女,副主任护师,主要从事助产及临床护理工作。

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R 714.46

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清远市社会发展领域自筹经费科技计划立项(2018B003)


Observation on the Effect of Traditional Chinese Medicine Package Combined with Postpartum Rehabilitation Therapy Instrument on Reducing Postpartum Urinary Retention
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    摘要:

    摘 要目的:探索中医封包联合产后康复治疗仪降低产后尿潴留的效果。 方法:将广州医科大学附属第六医院 (清远市人民医院)2018 年 8 月 1 日至 2020 年 12 月 31 日期间收治的 400 例产妇,按照数字表法随机分成观察组和对照组, 各 200 例。观察组在产后实施中医封包联合产后康复治疗仪治疗。对照组在产后仅实施产后康复治疗仪治疗。比较两组产 妇首次排尿时间、产后尿潴留发生率、留置尿管率、产后出血发生率。 结果: 观察组产妇首次排尿时间为(3.27 ± 0.98)h, 短于对照组的(4.19 ± 1.08)h,差异具有统计学意义(P < 0.05)。观察组产妇的留置尿管、产后尿潴留发生率低于对照组, 差异具有统计学意义(P < 0.05);观察组产妇的产后出血发生率为 9 例(4.5 %),低于对照组的 21 例(10.5 %),且观 察组产妇产后出血量为(368 ± 98)mL,少于对照组的(395 ± 121)mL,差异具有统计学意义(P < 0.05)。 结论:中医 封包联合产后康复治疗仪可以有效降低产后尿潴留的发生率、降低因尿潴留导致的产后留置尿管率,降低产后出血发生率。 能够增加产妇的舒适度,容易实施,产妇容易接受。

    Abstract:

    AbstractObjective To explore the effect of combining traditional Chinese medicine package with postpartum rehabilitation therapy device to reducing postpartum urinary retention. Methods 400 parturients admitted to the Sixth Affiliated Hospital of Guangzhou Medical University (Qingyuan People's Hospital) from August 1, 2018 to December 31, 2020 were randomly divided into observation group and control group, with 200 cases each according to the number table method. The observation group was treated with traditional Chinese medicine package combined with postpartum rehabilitation therapy device after delivery. The control group only received postpartum rehabilitation therapy after delivery. The time to urinate for the first time, the incidence of postpartum urinary retention, the rate of indwelling urinary catheter, and the incidence of postpartum hemorrhage were compared between the two groups. Results The first urination time of parturients in the observation group was (3.27 ± 0.98) h, which was shorter than (4.19 ± 1.08) h in the control group, and the difference was statistically significant (P < 0.05). The incidence of indwelling urinary catheter and postpartum urinary retention in the observation group was lower than that in the control group, the difference was statistically significant (P < 0.05); the incidence of postpartum hemorrhage in the observation group was 9 cases (4.5%) lower than that of the control group 21 cases (10.5 %), and the postpartum hemorrhage of the observation group was (368 ± 98) mL less than that of the control group (395 ± 121) mL, the difference was statistically significant (P < 0.05). Conclusion The combination of traditional Chinese medicine package and postpartum rehabilitation therapy instrument can effectively reduce the incidence of postpartum urinary retention, reduce the rate of postpartum indwelling urinary catheter due to urinary retention. It can increase the comfort of the puerpera, is easy to implement, and is easy for the puerpera to accept.

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  • 收稿日期:2021-08-05
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  • 在线发布日期: 2023-06-29
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