药物穴位注射预防剖宫产术后PCEA患者尿潴留的临床研究

目的探讨运用新斯的明三阴交穴位注射降低剖宫产术后硬膜外自控镇痛（PCEA）患者尿潴留的发生。方法选取剖宫产术后应用PCEA产妇240例，随机分为三组，实验组用新斯的明三阴交穴位注射；对照1组用灭菌生理盐水三阴交穴位注射；对照2组用新斯的明肌肉注射。三组均于术后24h实施不同护理干预后拔除尿管，观察首次自主排尿时间，B超测定膀胱残余尿量（RUV），判定预防效果，统计学处理。结果3h内首次自主排尿实验组达92．5％（74／80），明显高于对照1组41．25％（33／80）和对照2组52．5％（42／80），差异有极显著意义（P〈O．01），实验组95．0％的患者RUV≤100ml；护理干预后患者自行排尿疗效比较，实验组显效率87．5％（70／80），明显高于对照1组37．5％（30／80）和对照2组52．5％（42／80），差异有极显著意义（P〈0.01）。结论新斯的明三阴交穴位注射能有效地降低剖宫产术后PCEA患者尿潴留的发生。

Clinical study on prevention of uroschesis in PCEA patients after hysterotokotomy by drug injection therapy

Objective To explore the efficacy of neostigmine interjection therapy in the San Yin Jiao (three yin intersection) for PCEA patients after hysterotokotomy to reduce the occurrence rate of uroschesis. Method 240 PCEA puerperal mothers were randomly divided into three groups. One treatment group and two control groups, Neostigmine interjection therapy in the San Yin Jiao, sterilized normal saline interjection in the San Yin Jiao and neostigmine intramuscular injection were applied in the treatment group, Control Group 1 and Control Group 2 respectively. Different attendances and interventions were given and urethral catheters pulled out within 24 hrs after operation to observe the free voiding time. B type ultrasonic diagnosis was used to measure the residual urine in the vesicae (RUV) for efficacy and statistical treatment. Result There is significant difference in the PUV. 95.0% of the patients in the treatment group was less or equal to 100ml. The rate of the first observed voiding time within three hours was 92. 5% (74/80) in the treatment group, much higher than the 41. 25% (33/80) in Control Group 1 and the 52. 5% (42/80) in Control Group 2. In curative effect comparison after attendance and intervention, there is a significant difference: the efficacy in the treatment group was 87. 5% (70/80), much higher than the 37. 5% (30/80) in Control Group 1 and the 52. 5% (42/80) in Control Group 2. Conclusion Neostigmine interjection therapy in the San Yin Jiao (three yin intersection) of PCEA patients after hysterotokotomy was proved effective in reducing the occurrence rate of uroschesis.