彭志贤　黄兴鹏

[摘要] 目的 探讨针灸结合中药内服外敷治疗产后尿潴留的临床价值。 方法 选取2012年6月～2013年6月本院收治的产后尿潴留患者59例，随机分为观察组29例、对照组30例。对照组采用平补平泻法，针刺中脘、关元、中极，双侧天枢、足三里、阴陵泉、三阴交等，观察组在对照组治疗的基础上给予中药内服外敷治疗。比较两组患者的临床疗效、起效时间及排尿时间。 结果 观察组的总有效率为93.10%，对照组为76.67%，两组比较，差异有统计学意义（P<0.05）；观察组的起效时间、排尿时间明显短于对照组 （P<0.05）。 结论 针灸结合中药内服外敷治疗产后尿潴留效果确切，值得临床推广应用。

[关键词] 针灸；中药；内服外敷；产后尿潴留

[中图分类号] R714.64 [文献标识码] A [文章编号] 1674-4721（2014）04（a）-0129-03

[Abstract] Objective To investigate the clinical value of acupuncture combined with oral administration and external application of traditional Chinese medicine in the treatment of postpartum urinary retention. Methods 59 patients with postpartum urinary retention treated in our hospital from June 2012 to June 2013 were selected and divided into the observation group with 29 patients and the control group with 30 patients.The control group was given neutral supplementation and draining method for acupuncturing zhongwan，guanyuan，zhongji and bilateral tianshu，zusanli，yinlingquan，sanyinjiao and so on，the observation group was given oral administration and external application of traditional Chinese medicine on the basis of the control group.The clinical efficacy，onset time and urination time of the two groups were compared. Results The total effective rate of the observation group and the control group were 93.10% and 76.67% respectively and there was a statistical difference between the two groups （P<0.05）；onset time and urination time of the observation group was significantly shorter than that of the control group （P<0.05）. Conclusion Acupuncture combined with oral administration and external application of traditional Chinese medicine has exact effect in the treatment of postpartum urinary retention.It is worthy of clinical promotion and application.

[Key words] Acupuncture；Traditional Chinese medicine；Oral administration and external application；Postpartum urinary retention

尿潴留是产褥期常见的病症，会给产妇带来生理和心理上的诸多困扰。一般来说，产妇在顺产后4～6 h就可以自己小便，但如果在分娩后6～8 h甚至在月子中，仍然不能正常地将尿液排出，并且膀胱还有饱胀的感觉，即为产后尿潴留[1-2]。产后尿潴留易引起膀胱自发破裂、产后大出血，并妨碍子宫的复原，临床必须引起足够的重视[3]。本研究采用针灸结合中药内服外敷治疗产后尿潴留29例，临床效果显著。

1 资料与方法

1.1 一般资料

选取2012年6月～2013年6月本院收治的产后尿潴留患者59例，年龄23～36岁，平均（27.3±5.8）岁，病程2～6 h，平均产次（2.13±0.43）次，生产方式包括35例自然分娩，24例剖腹产。将所有患者随机分为观察组29例和对照组30例。两组患者的性别、年龄等比较，差异无统计学意义（P>0.05），具有可比性。

1.2 方法

对照组采用平补平泻法，针刺中脘、关元、双侧天枢、双侧足三里、阴陵泉、中极、三阴交等。曲骨方向针尖沿皮刺入2～3寸。……