[1]叶小兰,曹玉兰,陈福姣.中频脉冲电刺激联合新斯的明治疗分娩镇痛产妇持续性产后尿潴留的临床研究[J].医学信息,2025,38(09):162-165.[doi:10.3969/j.issn.1006-1959.2025.09.034]
　YE Xiaolan,CAO Yulan,CHEN Fujiao.Clinical Study on Medium Frequency Electrical Stimulation Combined with Neostigmine in the Treatment of Persistent Postpartum Urinary Retention in Parturients with Labor Analgesia[J].Journal of Medical Information,2025,38(09):162-165.[doi:10.3969/j.issn.1006-1959.2025.09.034]
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中频脉冲电刺激联合新斯的明治疗分娩镇痛产妇持续性产后尿潴留的临床研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年09期
页码:
162-165
栏目:
诊疗技术
出版日期:
2025-05-01

文章信息/Info

Title:
Clinical Study on Medium Frequency Electrical Stimulation Combined with Neostigmine in the Treatment of Persistent Postpartum Urinary Retention in Parturients with Labor Analgesia
文章编号:
1006-1959（2025）09-0162-04
作者:
叶小兰1; 曹玉兰2; 陈福姣1
1.信丰县妇幼保健院妇产科，江西 信丰 331600；2.信丰县人民医院妇产科，江西 信丰 331600
Author(s):
YE Xiaolan1;  CAO Yulan2;  CHEN Fujiao1
1.Department of Obstetrics and Gynecology, Xinfeng County Maternal and Child Health Hospital, Xinfeng 331600, Jiangxi, China;2.Department of Obstetrics and Gynecology, Xinfeng County People ’s Hospital, Xinfeng 331600, Jiangxi, China
关键词:
持续性产后尿潴留; 分娩镇痛; 新斯的明; 中频脉冲电刺激; 性功能情况
Keywords:
Persistent postpartum urinary retention;  Labor analgesia;  Neostigmine;  Medium frequency electrical stimulation;  Sexual function situation
分类号:
R271.9
DOI:
10.3969/j.issn.1006-1959.2025.09.034
文献标志码:
A
摘要:
目的 探究中频脉冲电刺激联合新斯的明对分娩镇痛产妇持续性产后尿潴留（PUR）的治疗效果。方法 选取信丰县妇幼保健院2022年1月-2023年12月发生持续性PUR的70例分娩镇痛产妇，经随机数字表法分为对照组（35例）与观察组（35例），对照组给予新斯的明治疗，观察组在其基础上联合中频脉冲电刺激治疗，比较两组临床疗效、治疗后排尿情况（首次排尿时间、首次排尿后残余尿量）、尿潴留严重程度、性功能情况[女性性功能调查问卷（FSFI）]。结果 观察组治疗总有效率高于对照组（P＜0.05）；与对照组比较，观察组治疗后首次排尿时间更短，首次排尿后残余尿量更少（P＜0.05）。治疗后，两组尿潴留严重程度比较，差异有统计学意义（P＜0.05），其中观察组轻度与无尿潴留患者占比多于对照组（P＜0.05）；观察组治疗后FSFI评分（性欲、性唤起、阴道湿润、性高潮、性满意度、性交痛）高于对照组（P＜0.05）。结论 中频脉冲电刺激联合新斯的明在分娩镇痛产妇持续性PUR治疗中具有确切疗效，可缩短患者的自行排尿时间，减少其残余尿量，改善患者尿潴留严重程度，提高其性生活质量。
Abstract:
Objective To explore the therapeutic effect of medium frequency electrical stimulation combined with neostigmine on persistent postpartum urinary retention (PUR) in parturients undergoing labor analgesia. Methods A total of 70 parturients with persistent PUR who underwent labor analgesia in Xinfeng County Maternal and Child Health Hospital from January 2022 to December 2023 were selected and divided into control group (35 parturients) and observation group (35 parturients) by random number table method. The control group was treated with neostigmine, and the observation group was treated with medium frequency electrical stimulation on the basis of neostigmine. The clinical efficacy, urination after treatment (first urination time, residual urine volume after first urination), severity of urinary retention, sexual function [female sexual function index (FSFI)] were compared between the two groups. Results The total effective rate of treatment in the observation group was higher than that in the control group (P<0.05). Compared with the control group, the first urination time after treatment in the observation group was shorter, and the residual urine volume after the first urination was less (P<0.05). After treatment, there was significant difference in the severity of urinary retention between the two groups (P<0.05), and the proportion of patients with mild and no urinary retention in the observation group was higher than that in the control group (P<0.05). After treatment, the FSFI score (libido, sexual arousal, vaginal moist, orgasm, sexual satisfaction, dyspareunia) in the observation group was higher than that in the control group (P<0.05). Conclusion Medium frequency electrical stimulation combined with neostigmine has a definite effect in the treatment of persistent PUR in parturients with labor analgesia, which can shorten the patient’s self-urination time, reduce the residual urine volume, improve the severity of urinary retention and improve the quality of sexual life.

参考文献/References:

[1]黄静,丁德权,朱巧玲,等.温针灸加按摩利尿穴治疗产后尿潴留疗效观察[J].中西医结合研究,2022,14(3):190-192,196.[2]付云,黄雪辉.温针灸联合脉冲治疗产后尿潴留临床观察[J].光明中医,2023,38(21):4216-4218.[3]郭艳,鲍以嘉,顾志娟.三阴交穴位按摩联合低频脉冲反馈电刺激对产后压力性尿失禁患者盆底功能、尿失禁次数的影响[J].世界中西医结合杂志,2023,18(9):1826-1830,1835.[4]张丽萍,王志静,邓建会,等.低频脉冲穴位电刺激预防性干预高龄产妇产后尿潴留的临床研究[J].现代医学,2022,50(12):1604-1607.[5]任蒙,王青,薛春兰.温针灸联合新斯的明治疗产后尿潴留的疗效[J].辽宁中医杂志,2023,50(11):206-208.[6]何泉江,刘晓芳,卢白玉,等.新斯的明联合生物反馈对产后盆底功能障碍致尿潴留患者疗效观察[J].中国药师,2019,22(5):873-876.[7]邵岚,谷金玉,韩东香.低频脉冲治疗仪对产后尿潴留的高龄初产妇的影响[J].中国妇产科临床杂志,2022,23(5):515-516.[8]贾健,杨祎,魏小利,等.八髎穴电针联合中频脉冲电刺激对神经源性膀胱尿失禁患者排尿功能及生活质量的影响[J].山西医药杂志,2020,49(17):2261-2264.[9]靳钰,刘晓宁,曹文红.生物反馈电刺激配合盆底肌训练治疗PSUI的效果观察[J].中国妇幼健康研究,2022,33(1):146-151.[10]勾明月,李云芳,王小燕.生物反馈电刺激治疗围绝经期女性性功能障碍及对盆底肌力影响[J].中国计划生育学杂志,2023,31(5):1094-1098.[11]苏明君,黄海燕,徐志清,等.低频电刺激联合盆底康复训练压力性尿失禁患者盆底肌力和排尿情况的影响[J].山西医药杂志,2023,52(2):141-144.[12]江怡,陈银杰.初产妇阴道分娩后产后尿潴留的高危因素及低频脉冲电治疗效果[J].中国妇幼保健,2021,36(12):2732-2734. [13]李海艳,艾小庆.低频电刺激对盆腔脏器脱垂盆底重建术后尿潴留的预防的影响[J].湖南师范大学学报(医学版),2021,18(2):213-216.[14]赵春丽,陈文香,周赵.耳穴压丸配合神经肌肉电刺激对产后排尿困难疗效观察[J].四川中医,2020,38(11):206-209.[15]胡寒,刘晓芳,卢宗杰.新斯的明联合电刺激对产后盆底功能障碍性疾病患者盆底功能和肌收缩力的疗效[J].中国临床研究,2020,33(7):984-987.[16]陈梅娟,郭玉超,刘琴,等.新斯的明三阴交穴位注射联合艾灸神阙穴治疗产后尿潴留的临床观察[J].广西医学,2020,42(15):2025-2027.[17]程贤鹦,曾淑梅,李淑慧,等.关元穴穴位按摩联合中药封包对镇痛分娩后膀胱排尿功能恢复和尿潴留预防作用研究[J].中国医药导报,2020,17(22):160-162,170.[18]张丽萍,刘凯悦,温婉萍,等.低频脉冲电干预对改善产后尿潴留的效果观察[J].现代医学,2020,48(7):901-903.[19]李小艳,闻明,侯国花.低频脉冲电刺激与新斯的明对产后尿潴留的疗效[J].河北医学,2022,28(7):1087-1091.[20]李金芬,甘淑珍,徐敏娟.桂枝茯苓胶囊联合新斯的明治疗顽固性产后尿潴留的临床观察[J].现代医院,2019,19(11):1684-1686.[21]吴世凤,冯志兰,石贤科.针灸推拿结合中频电刺激对脊髓损伤后神经源性膀胱尿潴留疗效观察[J].四川中医,2022,40(1):183-186.[22]方萍,沈明霞.生物反馈电刺激疗法联合盆底肌训练对产后盆底功能障碍和性功能恢复的影响[J].中国妇幼保健,2021,36(17):4118-4120.[23]连晓晓.低频电刺激治疗阴道分娩后尿潴留效果研究[J].重庆医学,2021,50(1):233-234.[24]陈蕾,吴燕青.电刺激生物反馈结合盆底肌肉训练改善产后尿潴留患者的临床疗效[J].临床与病理杂志,2021,41(10):2371-2376.[25]韩继荣,张喻,王萍.盆底肌电刺激联合Kegel盆底肌锻炼治疗产后尿失禁的效果及对盆底肌张力的影响[J].海南医学,2023,34(14):2025-2028.[26]张芸芸,何泽真,罗艳琼,等.盆底肌电生物反馈仪配合盆底肌功能锻炼在产后早期压力性尿失禁患者中的应用及其对性功能的影响[J].中国性科学,2022,31(11):91-95.

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更新日期/Last Update: 1900-01-01