吴涛;王忠民;李海英;

• 1:大连市妇幼保健院(妇产医院)
• 2:大连市妇女儿童医疗中心

摘要(Abstract)：

目的:研究产后尿潴留(PUR)发生的高危因素,并探讨盆底康复技术治疗PUR的效果。方法:随机选取2012年4月至9月在大连市妇幼保健院(妇产医院)经阴分娩的393例产妇,其中发生PUR并给予开放式导尿治疗的产妇193例(病例组),未发生PUR的产妇200例(正常组),收集并比较两组患者的临床资料。根据入组标准,最终纳入186例PUR患者,根据治疗方法分为低频脉冲电治疗组(实验组,86例)和常规物理治疗组(对照组,100例),比较两组患者的顽固性PUR发生率、膀胱残余尿量、住院天数、住院费用等。结果:单因素分析显示,无痛分娩、产钳助产术、胎头吸引术、手转胎头、第一产程时间、第二产程时间是PUR发生的相关危险因素。Logistic逐步回归分析显示,PUR的独立危险因素按风险度大小依次为产钳助产术、胎头吸引术、无痛分娩、手转胎头及年龄。撤除导尿管后,实验组的残余尿量、顽固性PUR人数、住院天数均显著少于对照组(P≤0.05)。结论:无痛分娩、产钳助产术、胎头吸引术、手转胎头、第一产程时间、第二产程时间显著增加PUR的风险。年龄、手转胎头、无痛分娩、产钳助产术、胎头吸引术是PUR的独立危险因素。低频脉冲电对PUR有显著的治疗作用。

关键词(KeyWords)： 产后尿潴留;低频电治疗;高危因素

Abstract:

Keywords:

基金项目(Foundation):

作者(Authors): 吴涛;王忠民;李海英;

DOI: 10.13283/j.cnki.xdfckjz.2013.10.001

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