产后尿潴留的临床处理方法对照分析.docVIP

产后尿潴留的临床处理方法对照分析 　　【摘要】 目的 探讨及寻求产后尿潴留的有效处理方法。方法 选取产后尿潴留的产妇100例并随机分成两组， 观察组50例应用半导体激光治疗仪治疗配合应用热敷及诱导排尿， 对照组常规应用热敷及诱导排尿， 观察两组产妇在3 d内整体疗效， 数据进行统计学处理（χ2检验）。结果 观察组整体疗效比对照组有明显提高， 观察组的痊愈率明显高于对照组， 差异有统计学意义（P0.05）。结论 半导体激光治疗仪治疗尿潴留有一定的治疗效果， 配合热敷及诱导排尿效果更为明显， 能快速、有效地治愈产后尿潴留。因此， 建议临床上用半导体激光治疗仪治疗后配合应用热敷及诱导排尿的方法处理产后尿潴留。 　　【关键词】 产后尿潴留；半导体激光治疗仪；热敷；诱导排尿 　　Comparative analysis on clinical treatment of postpartum urinary retention YU Su-qiao， XIE Zuo-qing ， LUO Rui-hua. MCH Hospital of Shantou， Shantou 515041， China 　　【Abstract】 Objective To explore the effective treatment method of postpartum urinary retention. Methods 100 cases of maternal postpartum urinary retention were randomly divided into two groups， the observation group of 50 cases using semiconductor laser therapeutic instrument with the application of heat treatment and induce micturition， the control group routine use hot compress and induce micturition， observation of curative effect of two groups of mothers in the whole 3 days， data were statistically treated （χ2test）. Results In observation group， the overall effect was better than the control group， the observation group cure rate was significantly higher than the control group， the difference was statistically significant （P0.05）. Conclusion semiconductor laser therapeutic apparatus in the treatment of urinary retention has certain therapeutic effect， with the hot compress and induced urination effect is more apparent， can rapidly， effectively cure postpartum retention of urine. Therefore， suggestions for clinical treatment of therapeutic instrument with semiconductor laser combined with application of hot compress and Method of treating postpartum retention of urine to induce urination 　　【Key words】 Postpartum urinary retention；Semiconductor laser therapeutic instrument；Hot compress； Induce micturition 　　产后尿潴留是产科常见的症状之一， 常发生在产后4～8 h内。主要表现为产妇自行排尿困难或排尿不畅所导致的尿液不能排尽， 而在膀胱内潴留所引起的一系列症状[1]。产后腹壁松弛， 腹压下降， 逼尿肌收缩乏力， 敏感性下降， 无力排尿， 导致尿潴留[2]。尿潴留不仅可导致尿路感染、膀胱麻痹、体内代谢物积聚， 而且还影