王一雯 陈冬琼 秦山红 姜丽娟

【摘要】目的：探讨中医针刺联合太极灸对产后尿潴留的影响。方法：选取产后尿潴留患者62例，按照随机数字表法分为对照组和观察组各31例。对照组给予甲硫酸新斯的明注射液1 mg肌注；治疗组结合中医辨证标准选穴后给予针刺联合太极灸疗法。观察两组排尿情况、症状改善的时间、B超残余尿量。 结果：治疗组中医证候改善情况优于对照组，治疗组B超残余尿量低于对照组，首次排尿时间短于对照组，首次排尿量多于对照组。结论：中医针刺联合太极灸疗法可有效改善产妇产后排尿情况及中医证候，降低膀胱残余尿量。

【关键词】产后尿潴留；针刺；太极灸

【中图分类号】R246.3【文献标志码】 A【文章编号】1007-8517（2023）10-0103-05

The Clinical Observation of Traditional Chinese Medicine Acupuncture Combined

Tai Chi Moxibustion Treatment of  31 Cases  Postpartum Urinary RetentionWANG Yiwen1CHEN Dongqiong1QIN Shanhong2JIANG Lijuan1*

1.Yunnan Traditional Chinese Medicine University First Affiliated Hospital， Kunming 650000，China;

2.Yuxi First Peoples Hospital， Yuxi 653100，ChinaAbstract：Objective To study the traditional Chinese medicine acupuncture combined Tai chi jiu effect on postpartum urinary retention.Methods Choose 62 patients with postpartum urinary retention， according to random number table method was divided into control group and observation group， 31 cases in each group. The control group given a sulfuric acid 1 mg intramuscular injection of neostigmine injection; Chinese medicine treatment group dialectical criteria to choose acupuncture point acupuncture combination Tai chi jiu therapy of traditional Chinese medicine. Observe two groups of micturition， symptoms improved time， B ultrasonic， residual urine volume. Results Treatment group in improvement of syndromes is better than that of control group， treatment group B ultrasonic residual urine volume is lower than the control group， micturition time shorter than the control group， for the first time for the first time， urine output more than the control group.Conclusion Chinese medicine acupuncture combined Tai chi jiu therapy can effectively improve maternal postpartum urine and TCM syndrome， reduce bladder residual urine volume.

Keywords：Postpartum Urinary Retention; Acupuncture; Tai Chi Jiu

產后尿潴留是指产后6～8小时出现排尿困难，表现为尿液点滴而下，或完全闭塞不通，伴有小腹急胀疼痛；或产后多日小便不能排净，膀胱残余尿多于100 mL［1］，是产妇常见的并发症之一，多见于初产妇、滞产及剖宫产后。产后尿潴留又细分为显性尿潴留和隐性尿潴留，显性尿潴留的定义为分娩后6小时或是剖宫产术拔尿管后6小时不能自行排尿者；隐性尿潴留的定义为产妇排尿后经超声检测或经导尿术后膀胱残余尿量超过150 mL［2-3］。产后尿潴留是一种动力性梗阻而引发的急性尿潴留［4］，正常顺产的产后尿潴留发生率约为14%，有研究［5-7］表明，分娩过程中有并发症的产妇产后发生尿潴留的概率明显升高，其中，产钳助产术、分娩镇痛、会阴侧切术是产后尿潴留发生的独立危险因素。……