|
|
|
| Efficacy of Low-Frequency Pulsed Electrical Stimulation and Neostigmine on Postpartum Urinary Retention |
| LI Xiaoyan, WEN Ming, HOU Guohua |
| Wuhu First People's Hospital, Anhui Wuhu 241000, China |
|
|
|
|
Abstract Objective: To explore the clinical effects of low-frequency pulse electrical stimulation combined with neostigmine on postpartum urinary retention. Methods: A total of 80 patients with postpartum urinary retention admitted from April 2016 to October 2021 were selected as the research objects, and they were divided into the control group and the observation group by simple random method, with 40 cases in each group. The control group used neostigmine intramuscular injection to induce urination and pelvic floor muscle function exercise, and the study group combined low-frequency pulse electrical stimulation on the basis of the control group. Observe the clinical efficacy of the two groups of patients, and compare the urinary status, grading of urinary retention and sexual function of the patients. Results: The total effective treatment rate in the observation group was 92.50%, which was significantly higher than 75.00% in the control group. The difference was statistically significant (P<0.05). The first urination time in the observation group was shorter than that in the control group, and the residual urine volume was less than that in the control group, with statistically significant difference between the two groups(P<0.05). The urination rate of the observation group (52.50%) was significantly higher than control group (17.50%) within 1 hour after treatment,. and the difference was statistically significant (P<0.05). After 6 weeks of treatment, there was no urinary retention in the observation group (60.00%) , which was significantly higher than in the control group (30.00%),and the difference between the groups was statistically significant (P<0.05). After 6 weeks of treatment, all sexual function scores were higher in the observation group than in the control group, and the difference between the groups was statistically significant (p<0.05) Conclusion: The combination of low-frequency pulse electrical stimulation and neostigmine in the treatment of postpartum urinary retention can help patients to speed up urination, effectively improve the treatment rate of urinary retention, help restore urodynamic function,improve the sexual quality of life, and achieve good clinical effects.
|
|
|
|
|
|
[1] Ma X X,Liu A.Effectiveness of electrical stimulation combined with pelvic floor muscle training on postpartum urinary incontinence[J].Medicine,2019,98(10):e14762.
[2] 朱玉平.低频脉冲电刺激联合穴位贴敷治疗产后尿潴留的疗效[J].实用临床医药杂志,2019,23(9):109-111.
[3] 谢幸,苟文丽.妇产科学[M].北京:人民卫生出版社,2013.136-139
[4] 张静平,李秀敏.内科护理学[M].北京:人民卫生出版社,2009.373
[5] 张为远,黄醒华.中华妇产医学[M].北京人民卫生出版社,2012.686.
[6] 罗颂平.中医妇科学[M].上海:人民卫生出版社,2012.215-218.
[7] 王霞,蒋涛.隔药饼灸治疗产后尿潴留疗效观察[J].西部中医药,2019,32(3):118-120.
[8] 温永明.针灸通调气机法治疗产后尿潴留的临床研究[D].云南中医药大学,2020.
[9] Gupta A, Pampapati V, Khare C,et al.Postpartum urinary retention in women undergoing instrumental delivery:a cross-sectional analytical study[J].Acta Obstet Gynecol Scand,2021,100(1):41-47.
[10] 王辉,李占辉.低频脉冲电刺激康复盆底功能治疗产后尿潴留效果[J].现代仪器与医疗,2018,24(6):120-122.
[11] 王晓芬,王海燕.产后早期盆底康复治疗的临床疗效研究[J].河北医学,2019,25(6):1020-1023.
[12] Zhou J,Liu S,Jiao R,et al.Effects of electroacupuncture on patients with chronic urinary retention caused by a lower motor neuron lesion:an exploratory pilot study[J].Medicine,2020,99(1):e18615.
[13] 蒋维,韩炜,刘维红,等.孕产期盆底功能训练指导对盆腔脏器脱垂的发病率及电刺激治疗效果的影响[J].蚌埠医学院学报,2020,45(3):342-344,347. |
|
|
|
2022, Vol. 28 
