Wang Xiao-Qing, Guan Li-Sha
Department of Obstetrics and Gynecology, Suzhou Ninth Affiliated Hospital of Suzhou University, Suzhou 215200, Jiangsu Province, China.
World J Clin Cases. 2024 Jun 6;12(16):2758-2764. doi: 10.12998/wjcc.v12.i16.2758.
Anesthetic drugs used in labor analgesia also paralyze the bladder muscle by blocking the sacral plexus, thereby affecting maternal postpartum spontaneous urination and increasing the risk of postpartum urinary retention (PUR).
To analyze the effect of percutaneous electrical stimulation at the Baliao point combined with biofeedback therapy for PUR prevention.
We selected 182 pregnant women who received labor analgesia in obstetrics between June 2022 and December 2023. They were divided into the combined therapy group (transcutaneous electrical stimulation of the Baliao point combined with biofeedback therapy) and the control group (biofeedback therapy alone). The first spontaneous urination time, first postpartum urine volume, bladder residual urine volume, postpartum hemorrhage volume, pre-urination waiting time, PUR incidence, adverse reactions, and the intervention's clinical efficacy were compared between the two groups.
The first spontaneous urination time after delivery was more delayed (2.92 ± 1.04 h 3.61 ± 1.13 h, < 0.001), with fewer initial postpartum urine (163.54 ± 24.67 mL 143.72 ± 23.95 mL, < 0.001), more residual bladder urine (54.81 ± 10.78 mL 65.25 ± 13.52 mL, < 0.001), more postpartum bleeding (323.15 ± 46.95 mL 348.12 ± 45.03 mL, = 0.001), and longer waiting time for urination (0.94 ± 0.31 min 1.29 ± 0.42 min, < 0.001), in the control group than in the combined therapy group. The control group also had higher PUR incidence (4.65% 15.85%, = 0.016). Both groups had no adverse reactions, but the clinical total efficacy rate of the intervention was significantly higher in the combined therapy group than in the control group (95.35% 84.15%, = 0.016).
Percutaneous electrical stimulation of the Baliao point combined with biofeedback can significantly promote postpartum micturition of parturients with labor analgesia, thereby effectively preventing PUR occurrence.
分娩镇痛中使用的麻醉药物也会通过阻断骶丛神经使膀胱肌肉麻痹，从而影响产妇产后自主排尿并增加产后尿潴留（PUR）的风险。
分析八髎穴经皮电刺激联合生物反馈疗法预防产后尿潴留的效果。
选取2022年6月至2023年12月在产科接受分娩镇痛的182例孕妇，分为联合治疗组（八髎穴经皮电刺激联合生物反馈疗法）和对照组（单纯生物反馈疗法）。比较两组的首次自主排尿时间、产后首次尿量、膀胱残余尿量、产后出血量、排尿前等待时间、产后尿潴留发生率、不良反应及干预的临床疗效。
与联合治疗组相比，对照组产后首次自主排尿时间延迟更明显（2.92±1.04小时对3.61±1.13小时，P<0.001），产后首次尿量更少（163.54±24.67毫升对143.72±23.95毫升，P<0.001），膀胱残余尿量更多（54.81±10.78毫升对65.25±13.52毫升，P<0.001），产后出血量更多（323.15±46.95毫升对348.12±45.03毫升，P=0.001），排尿等待时间更长（0.94±0.31分钟对1.29±0.42分钟，P<0.001）。对照组产后尿潴留发生率也更高（4.65%对15.85%，P=0.016）。两组均无不良反应，但联合治疗组干预的临床总有效率显著高于对照组（95.35%对84.15%，P=0.016）。
八髎穴经皮电刺激联合生物反馈可显著促进分娩镇痛产妇的产后排尿，从而有效预防产后尿潴留的发生。
