电针结合温与灸治疗产后尿潴留临床研究.docVIP

电针结合温与灸治疗产后尿潴留临床研究 　　【摘 要】:目的:观察电针结合温和灸对产后尿潴留的治疗效果;方法:56例患者不完全随机分为两组,其中治疗组32例以电针和温和灸治疗,对照组24例以电针结合TDP照射治疗,观察首次治疗后的即时疗效及治疗7次后的临床疗效;结果:治疗组首次治疗的即时效应及总有效率均优于对照组(P0.05);结论:电针结合温和灸对产后尿潴留有显著的临床疗效#65377; 　　【关键词】:电针;温和灸;产后尿潴留;临床研究 　　【中图分类号】R245;R714.64【文献标识码】 A【文章编号】1007-8517(2009)01-0078-02 　　 　　Clinical study on electroacupuncture and warm moxibustion treatment of postnatal urinary 　　WANG Xiang1 WANG Haili2 　　(1The Peoples Hospital Of Sanshui County Foshan City,Foshan,Guangdong,528100;2YanBian Univercity,Yanji,Jilin,133000) 　　【Abstract】Objective :To investigate the curative effect of electroacupuncture and warm moxibustion on postnatal urinary. Methods:The fifty six patients were allocated to two groups at random, The thirty two cases of the treatment group were treated by electroacupuncture and warm moxibustion, and the twenty four cases of the control group were treated by electroacupuncture and TDP. Results:The immidiate curative efficiency of the first treatment and the total curative efficiency rate of the seven times treatment were better in the treatment group than in the control group(P0.05). Conclusion:electroacupuncture and warm moxibustion have a conspicuous effect on postnatal urinary. 　　【Key words】Electroacupuncture;Warm moxibustion;Postnatal urinary;Clinical study 　　 　　产后尿潴留是产科常见的并发症,作者自2006年9月至2008年9月间,运用电针结合温和灸治疗产后尿潴留,临床疗效显著,现报道如下: 　　 　　1 临床资料 　　 　　1.1 一般资料 56例患者均来自本院产科病区,均符合诊断标准,按就诊顺序不完全随机分为治疗组和对照组#65377;治疗组32例,其中初产妇21例,经产妇11例,年龄最小22岁,最大40岁,病程最短5天,最长20天;对照组24例,其中初产妇15例,经产妇9例,年龄最小24岁,最大38岁,病程最短3天,最长16天#65377;两组患者产次#65380;年龄#65380;病程经统计学分析,P0.05,无显著性差异,具有可比性#65377; 　　1.2 诊断标准[1] ①新产后,产妇发生排尿困难,小便不利,点滴不畅,或小便闭塞不通,尿道无涩痛,小腹胀满;②多有产程过长,手术助产,会阴侧切,产时产后失血过多等病史;③下腹部膨隆,膀胱充盈,可有触痛,膀胱区叩诊明显浊音;④B超检查可确诊,尿常规检查正常;⑤排除糖尿病等其它因素引起者#65377; 　　1.3 治疗方法 　　1.3.1 电针 取关元#65380;中极及双侧大巨与水道穴,选用环球牌一次性针灸针(直径0.25mm,长度25mm~40mm),向会阴部沿45度进针0.5~0.8寸,行平补平泻手法,得气后选用英迪牌KWD-808-Ⅰ型脉冲针灸治疗仪,用3组导线分别连接关元和中极,大巨和水道,正极在上,负极在下,选用三角波型,输出强度以小腹部抽动与患者耐受为度,每次留针40分钟,1次/日,治疗7次#65377; 　　1.3.2 温和灸 选用