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Clinical observation of pressing-kneading manipulation combined with herb-insulated moxibustion at Shuidao (ST28) in the treatment of postpartum urinary retention after labor analgesia

按揉配合隔药灸水道穴治疗分娩镇痛后产后尿潴留的临床观察

  • Clinical Study
  • Published:
Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

Abstract

Objective

To observe the clinical efficacy of pressing-kneading manipulation combined with herb-insulated moxibustion at Shuidao (ST28) for postpartum urinary retention after labor analgesia and its effect on bladder urination function.

Methods

A total of 154 patients with postpartum urinary retention after labor analgesia were randomly divided into a Western medication group and a herb-insulated moxibustion group, with 77 cases in each group. In the Western medication group, neostigmine sulfate was injected into Zusanli (ST36). In the herb-insulated moxibustion group, after pressing-kneading manipulation at Shuidao (ST28), herb-insulated moxibustion was applied to Shuidao (ST28) with self-made Tong Quan San. Both groups were treated once, and the clinical efficacy was evaluated 5 h after treatment. The first urination time, first urination volume, average urinary flow rate, bladder residual urine volume, hospitalization days, and costs were recorded.

Results

The total effective rate and markedly effective rate of the herb-insulated moxibustion group were higher than those of the Western medication group (P<0.05), the time to the first urination and residual urine volume in the bladder of the herb-insulated moxibustion group were shorter or smaller than those of the Western medication group (P<0.01), the first urination volume and average urine flow rate of the herb-insulated moxibustion group were larger than those of the Western medication group (P<0.01). There were no significant differences in the hospitalization days and costs between the two groups (P>0.05).

Conclusion

Pressing-kneading manipulation combined with herb-insulated moxibustion at Shuidao (ST28) can effectively treat postpartum urinary retention after labor analgesia and improve bladder urination function.

摘要

目的

观察按揉配合隔药灸水道穴治疗分娩镇痛后产后尿潴留的临床疗效及对膀胱排尿功能的影响。

方 法

将154例分娩镇痛后产后尿潴留患者随机分成西药组和隔药灸组, 每组77例。西药组采用甲硫酸新斯的明注射 液足三里穴位注射; 隔药灸组按揉水道穴后, 应用自拟通泉散进行水道穴隔药灸治疗。两组均治疗1次, 治疗后5 h评 定临床疗效, 并记录首次排尿时间、首次排尿量、**均尿流率、膀胱残余尿量、住院天数和费用。

结果

隔药灸组 总有效率及显效率均高于西药组(P<0.05), 首次排尿时间和膀胱残余尿量短于或少于西药组(P<0.01), 首次排尿量和 **均尿流率均大于西药组(P<0.01)。两组住院天数及费用差异无统计学意义(P>0.05)。

结论

按揉配合隔药灸水道穴 能有效治疗分娩镇痛后产后尿潴留, 并可显著改善膀胱排尿功能。

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Acknowledgments

This work was supported by the Scientific Research Special Project of Traditional Chinese Medicine in Henan Province (河南省中医药科学研究专项课题, No. 2019ZY3026).

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Authors and Affiliations

  1. Luohe Hospital of Traditional Chinese Medicine, Henan Province, Luohe, 462300, China

    Fengqin Guo  (郭凤琴), Luqi Wei  (位路其) & **cong Zhang  (张锦聪)

  2. Henan University of Chinese Medicine, Zhengzhou, 450000, China

    **aofen Zhang  (张晓芬)

Authors
  1. Fengqin Guo  (郭凤琴)
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  2. Luqi Wei  (位路其)
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  3. **cong Zhang  (张锦聪)
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  4. **aofen Zhang  (张晓芬)
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Correspondence to Fengqin Guo  (郭凤琴).

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Guo, F., Wei, L., Zhang, J. et al. Clinical observation of pressing-kneading manipulation combined with herb-insulated moxibustion at Shuidao (ST28) in the treatment of postpartum urinary retention after labor analgesia. J. Acupunct. Tuina. Sci. 22, 154–159 (2024). https://doi.org/10.1007/s11726-024-1432-6

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  • DOI: https://doi.org/10.1007/s11726-024-1432-6

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