Effect of Acupressure Needle Therapy onPostpartum UrinaryRetention，Urination Functionand PelvicFloor Muscle ToneinFull-termVaginalLabor/LIAOLijun，WANGYun，PEIJiahuan，ZHENG Zhenhua，YANG Xiuxiu，DENG Jiujiu.//Medical Innovationof China，2025，22（18）： 097-102

[Abstract] Objective： To explore the clinical effct of acupressure needle treatment in reducing the incidence of postpartum urinary retention in fullterm vaginal labor，and to analyze its effect on postpartum urinationfunctionandpelvicfloor muscletone infull-termvaginal labor.Method：Atotalof1OOfull-term vaginal labor women who gave birth in Jiangxi Maternal and Child Health Hospital from January to December 2O24 were prospectively selected as the research objects.According to the random number table method，they were divided into control group and observation group，with 5O cases in each group.The control group received traditional physical therapy.The observation group received traditional physical therapy combined with acupressure needle treatment.Both groups received1 weekof treatment.The urination time scores，bladder percussion scores，urination status scores，lowerabdominal symptom scores，bladder residual urine volume，and incidence of postpartum urinary retention were compared between the two groups.The pelvic floor muscle tone before treatment （2 hours after delivery）and after treatment （after1 week of treatment）were detected and compared between the two groups. Result： The first urine volume in the observation group was （224.84±7.94 ）mL，which was significantly more than （108.97±21.19 ）mL in the control group （Plt;0.05 ）. After1 week of treatment，the residual urine volume in the observation group was （35.95±7.51 ）mL，whichwassignificantlylower than the （ 44.15±8.12 2）mLinthecontrol group （Plt;0.05） . After 1 week of treatment，the observation group showed beter status of scores in urination time， lower abdomen symptoms，bladder percussion，andurination status compared tothe control group，with significant differences （ Plt;0.05） . After 1 week of treatment，the pelvic floor muscle tone， including vaginal resting pressure， vaginal contraction pressure，and vaginal contraction duration were （27.89±5.11 ） cmH₂0 ， （33.19±7.64 ） cmH₂ and 4.33±0.87） s，respectively in the observation group，all of which were better than （24.58±4.61 ） cmH2O， 28.62±6.45 cmHO，and （3.77±0.71 ）sin the control group （Plt;0.05） . The rate of postpartum urinary retention was 28.00% in the control group and 10.00% intheobservation group，the differencewas statistically significant （ χ² =5.263， P =0.022）. Conclusion： Acupressure needle treatment combined with traditional physical therapy can significantly improve postpartum urination function，reduce residual bladder urine volume，shortenurination time， alleviate lowerabdominal symptoms，increase pelvic floor muscle tone，and efectivelyreduce the incidenceof postpartum urinary retention in full-term vaginal labor women.

[Key words] Acupressure needle treatment Postpartum urinary retention Pelvic floor muscle tone Urination function Physical therapy

First-author's address： Department of Obstetrics and Gynecology， Jiangxi Maternal and Child Health Hospital，Nanchang33ooo6，China doi： 10.3969/j.issn.1674-4985.2025.18.023

产后尿潴留是指产妇在分娩后 6～8h 无法自行排尿或排尿不畅，导致膀胱内残余尿量超过 100mL 的一种常见并发症[。该病不仅给产妇带来极大的身心痛苦，还可能引发泌尿系统感染、产后出血等一系列严重问题，严重影响产妇的康复进程和生活质量2。掀针治疗作为一种中医微创疗法，具有操作简便、创伤小、安全性高等优点，近年来在临床中得到了广泛应用[3。研究表明，掀针治疗可通过刺激特定穴位，调节人体气血运行，改善局部血液循环，从而达到疏通经络、调和阴阳、促进排尿的目的[4。本研究旨在探讨撤针治疗在降低产后尿潴留发生率中的临床效果，并分析其对足月阴道分娩产妇排尿功能及盆底肌张力的影响。

1资料与方法

1.1一般资料

本研究前瞻性选取2024年1—12月在江西省妇幼保健院进行生产的100例足月阴道分娩产妇为研究对象。纳入标准：（1）足月阴道分娩。（2）年龄20＼～40岁。（3）单胎。排除标准：（1）产钳或胎吸等器械助产。（2）第二产程 gt;3h ，总产程 gt;24h 。（3）存在严重的产后并发症，如产后出血、产褥感染、严重心血管疾病等。（4）泌尿系统结石、肿瘤、感染等。（5）产妇患有神经系统疾病，如脊髓损伤、多发性硬化等。（6）产妇存在严重的精神障碍，如抑郁症、焦虑症等。利用随机数字表法将上述研究对象分为对照组与观察组，每组50例。本研究经江西省妇幼保健院医学伦理委员会审核并批准，患者或者患者家属知情同意本研究。

1.2方法

对照组采用传统方法。对照组在胎儿娩出后的2h 实施治疗。……