Guo Fengqin, Wei Luqi, Zhang Jincong, Zhang Xiaofen
Department of Obstetrics and Gynecology, Luohe City Hospital of TCM, Luohe 462300, Henan Province, China.
School of TCM, Henan University of TCM, Zhengzhou 450000.
Zhongguo Zhen Jiu. 2024 Jul 12;44(7):803-6. doi: 10.13703/j.0255-2930.20230603-k0001.
To observe the clinical efficacy of acupoint massage, acupoint sticking combined with moxibustion at Shuidao (ST 28) for postpartum urinary retention.
A total of 120 patients with postpartum urinary retention were randomly divided a triple-combination group, a double-combination group, and a massage group, with 40 patients in each group. All groups received standard postpartum care to stimulate urination. The patients in the massage group received rapid acupoint massage at the bilateral Shuidao (ST 28); the patients in the double-combination group additionally received acupoint sticking of self-made powder at bilateral Shuidao (ST 28); the patients in the triple-combination group further received moxibustion at bilateral Shuidao (ST 28). The treatment was given once in all three groups. After 5 hours of treatment completion, bladder residual volume was measured; the time and volume of first urination as well as total urination volume after 5 hours of treatment completion were recorded; the patients' sensation of urination smoothness, satisfaction rate, length of hospital stay, and hospital costs were evaluated.
The triple-combination group showed significantly lower residual urine volumes (<0.05), earlier first urination time (<0.05, <0.001), and higher first urination volumes and total urination volumes after 5 hours of treatment completion compared to the other two groups (<0.05, <0.001). The sensation of urination smoothness and patient satisfaction were also significantly better in the triple-combination group (<0.001, <0.05). The double-combination group had higher volume of first urination and total urination volume after 5 hours of treatment completion than the massage group (<0.05), and better sensation of urination smoothness and patient satisfaction (<0.05). There was no significant difference in the length of hospital stay and costs among the three groups (>0.05). The total effective rates were 100.0% (40/40) for the triple-combination group, 90.0% (36/40) for the double-combination group, and 70.0% (28/40) for the massage group, with the triple-combination group significantly outperforming the other two groups (<0.05, <0.001), and double-combination group outperforming the massage group (<0.05).
Acupoint massage, acupoint sticking combined with moxibustion at Shuidao (ST 28) could effectively improve urination in patients with postpartum urinary retention, and enhance patient satisfaction.
观察穴位按摩、穴位贴敷联合水道穴（ST28）艾灸治疗产后尿潴留的临床疗效。
将120例产后尿潴留患者随机分为三联组、双联组和按摩组，每组40例。所有组均接受标准的产后护理以促进排尿。按摩组患者接受双侧水道穴（ST28）快速穴位按摩；双联组患者在双侧水道穴（ST28）额外接受自制粉剂穴位贴敷；三联组患者在双侧水道穴（ST28）进一步接受艾灸。三组均治疗1次。治疗结束5小时后，测量膀胱残余尿量；记录首次排尿时间、排尿量以及治疗结束5小时后的总排尿量；评估患者排尿顺畅感、满意率、住院时间及住院费用。
与其他两组相比，三联组治疗结束5小时后的残余尿量显著更低（<0.05），首次排尿时间更早（<0.05，<0.001），首次排尿量和总排尿量更高（<0.05，<0.001）。三联组的排尿顺畅感和患者满意率也显著更好（<0.001，<0.05）。双联组治疗结束5小时后的首次排尿量和总排尿量高于按摩组（<0.05），排尿顺畅感和患者满意率更好（<0.05）。三组的住院时间和费用无显著差异（>0.05）。三联组的总有效率为100.0%（40/40），双联组为90.0%（36/40），按摩组为70.0%（28/40），三联组显著优于其他两组（<0.05，<0.001），双联组优于按摩组（<0.05）。
穴位按摩、穴位贴敷联合水道穴（ST28）艾灸可有效改善产后尿潴留患者的排尿情况，提高患者满意率。
