医学信息2025，Vol.38Issue(9)：162-165,4.DOI:10.3969/j.issn.1006-1959.2025.09.034
中频脉冲电刺激联合新斯的明治疗分娩镇痛产妇持续性产后尿潴留的临床研究
Clinical Study on Medium Frequency Electrical Stimulation Combined with Neostigmine in the Treatment of Persistent Postpartum Urinary Retention in Parturients with Labor Analgesia
摘要
Abstract
Objective To explore the therapeutic effect of medium frequency electrical stimulation combined with neostigmine on persistent postpartum urinary retention(PUR)in parturients undergoing labor analgesia.Methods A total of 70 parturients with persistent PUR who underwent labor analgesia in Xinfeng County Maternal and Child Health Hospital from January 2022 to December 2023 were selected and divided into control group(35 parturients)and observation group(35 parturients)by random number table method.The control group was treated with neostigmine,and the observation group was treated with medium frequency electrical stimulation on the basis of neostigmine.The clinical efficacy,urination after treatment(first urination time,residual urine volume after first urination),severity of urinary retention,sexual function[female sexual function index(FSFI)]were compared between the two groups.Results The total effective rate of treatment in the observation group was higher than that in the control group(P＜0.05).Compared with the control group,the first urination time after treatment in the observation group was shorter,and the residual urine volume after the first urination was less(P＜0.05).After treatment,there was significant difference in the severity of urinary retention between the two groups(P＜0.05),and the proportion of patients with mild and no urinary retention in the observation group was higher than that in the control group(P＜0.05).After treatment,the FSFI score(libido,sexual arousal,vaginal moist,orgasm,sexual satisfaction,dyspareunia)in the observation group was higher than that in the control group(P＜0.05).Conclusion Medium frequency electrical stimulation combined with neostigmine has a definite effect in the treatment of persistent PUR in parturients with labor analgesia,which can shorten the patient's self-urination time,reduce the residual urine volume,improve the severity of urinary retention and improve the quality of sexual life.关键词
持续性产后尿潴留/分娩镇痛/新斯的明/中频脉冲电刺激/性功能情况Key words
Persistent postpartum urinary retention/Labor analgesia/Neostigmine/Medium frequency electrical stimulation/Sexual function situation分类
医药卫生引用本文复制引用
叶小兰,曹玉兰,陈福姣..中频脉冲电刺激联合新斯的明治疗分娩镇痛产妇持续性产后尿潴留的临床研究[J].医学信息,2025,38(9):162-165,4.基金项目
赣州市指导性科技计划项目(编号:GZ2023ZSF622) （编号:GZ2023ZSF622）
