不同治疗方法治疗产后尿潴留的效果评价.docxVIP

不同治疗方法治疗产后尿潴留的效果评价 句容市人民医院 江苏 镇江212400 【摘 要】目的：探讨开塞露灌肠法与传统的按摩诱导等物理方法治疗产后尿潴 留的效果。方法：选择住木院经阴道分娩的产妇100例，随机分为观察组和对照 组，对照组采用传统的物理方法如按摩、热敷、听流水声等治疗产后尿潴留，观 察组采用小剂量开塞露不保留灌肠法治疗产后尿潴留，比较两组产妇起效时间、 自行排尿的时间、排尿成功率及残余尿量。结果：两组产妇的治疗起效时间、自 行排尿的时间和残余尿量比较有显著差异(Plt;0.05),观察组排尿成功率96% 明显高于对照组排尿成功率60%。结论：采用开塞露灌肠法治疗产后尿潴留安全、 有效，值得临床推广应用。 【关键词】产后尿潴留；开塞露；灌肠；效果评价 The effects of differe nt treatme nts for postpartum urinary retenti on rati ng Wang chang-mei (Jurong Peoples Hospital, Zhenjiang Jiangsu 212400, China) [AbstractJObjective To investigate Enema Glycerini enema method and traditional physical methods such as massage induction for the treatment of postpartum urinary retention effect.Method Choose to live in our hospital by 100 cases of vaginal delivery women, were randomly divided into observation group and control group, the control group using the traditional physical method such as massage, hot compress, listening to the sound of running water and other treatment of postnatal urinary retention, Comparison of the two groups of maternal indicators.Results Two groups of maternal treatme nt on set time, the time of self micturiti on and residual urine volume were sign讦icantly different (Plt;0.05), the observation group of 96%was significantly higher than the success rate of 60%of the control group.Conclusion The Enema Glycerini enema in the treatment of postpartum urinary retention is safe and effective, worthy of clinical application. [keyword]: postpartum urinary retention, glycerini enema, enema, effect 【中图分类号1R694+.55【文献标识码】A【文章编号12096-0867(2016)09-217-02 正常顺娩产妇于产后2h能自行排尿，而产后6-8h内因各种因索导 致暂时性排尿功能障碍，使部分或全部尿液不能从膀胱排出或残余尿gt；100ml 者为尿潴留[1]。产后尿潴留是产后常见并发症之一，常影响子宫收缩，导致阴 道出血量增加，其至发生严重产后出血，也是导致泌尿系感染的重要因素，因此， 产后必须仔细观察，及时帮助产妇顺利排出第1次小便，尽量避免尿潴留的发生 ⑵。多年来，临床上常采用物理方法如按摩、热敷、听流水声等方法治疗产后 尿潴留，但仍有部分产妇无法自解小便而行保留导尿,增加了产妇的痛苦和不便, 我院自2015年采用小剂量开塞露不保留灌肠法治疗产后尿潴留，大大增加了排 尿效果，现报道如下： 1.资料与方法 1.1 一般资料：选择2015年1月一2016年05月住我院经阴道分娩的产 妇100例，产程顺利，无产时并发症，其中初产妇85例，经产妇15例，会阴侧 切助娩70例，自然分娩30例，孕37?40周分娩50例，孕40?42周分娩43例, 小于37周分娩4例，