酚苄明预防和治疗产后尿潴留的临床观察

目的:观察酚苄明预防和治疗产后尿潴留的疗效。方法:选自2006年1月-2008年12月在我院住院分娩行阴道手术助产及会阴裂伤较严重的产妇426例,分为2组,每组213例。观察组(酚苄明组)产后即给酚苄明10mg口服,对照组产后暂不给药物干预。若产后6～8h小便仍不能解出,对照组即给新斯的明0.5mg肌注或足三里封闭。观察组再给酚苄明10mg口服。观察两组产后排尿时间,产后尿潴留的发生率及治疗效果。结果:观察组产后4h及6～8h排尿人数明显高于对照组,产后尿潴留的发生率明显低于对照组,二者比较有显著性差异(P<0.01)。两组产后尿潴留的治愈率:观察组为100%,对照组为86.4%,二者比较差异显著(P<0.05)。结论:酚苄明预防和治疗产后尿潴留方法简便,疗效显著。

The Clinical Observation of Postpartum Urinary Retention of Prevention and Treatment with Phenoxybenzamine

Objective.To discuss on the therapeutic effects of phenoxyhermamine to prevent and treat postpartum urinary retention. Methods：426 cases women were randomly divided into two groups, 213 cases of each group, who he in hospital from January 2006 to December 2008 period of vaginal delivery line reverse and vaginal surgery and midwifery severe perineal laceration immediately. The cases of treatment group oral 10rag phenoxybenzamine post-natal. Control group were not given the drug post-intervention. If the control group cases were not discharged the urine after 6 to 8 hours,to be given neostigmine 0. 5 nag injection or Zusanli points closed, and the cases of treatment group oral 10mg phenoxybenzamine again. Both cases to be observed of the post-micturition time and the incidence of postpartum urinary retention and the effect of treatment. Results.The cases of treatment group discharge the urine after 4 hours or 6 hours to 8 hours was significantly higher than that of the control group, and the incidence of postpartum urinary retention was significantly lower than that of control group. Two groups had more significant difference（P〈0. 01）. The cure rate of two groups of post-partum urinary retention： the observation group was 100%;the control group was 86. 4%. Two groups had significant difference（P〈0. 05）. Conclusion：The prevention and treatment of phenoxybenzamine with postpartum urinary retention is simple, significant effect.