目的探讨盆底肌锻炼对产后尿潴留的康复护理。方法回顾性分析2012-2013年在我院采用传统方法康复护理的阴道分娩后发生产后尿潴留的53例患者,及2015年在传统康复方法护理的基础上配以盆底康复仪联合功能锻炼进行治疗的26例产后尿潴留患者。并按照护理方式的不同分为观察组和对照组。对照组中53例患者采用传统方法康复护理(产后6-8h未能自解小便后遵医嘱给予留置尿管48h,拔管后行自尿试验,测排尿量、膀胱残余尿量及排尿时间长短)。观察组26例患者在传统康复方法护理的基础上配以盆底康复仪联合功能锻炼。比较两组患者的护理效果。产后尿潴留患者予留置尿管48h后拔管,按照本院方法检测产妇的自排尿量、膀胱的尿残余量,观察产后尿道口疼痛程度。结果对照组患者总有效率为77.36%,观察组患者总有效率为96.15%,观察组明显高于对照组,两组患者临床护理效果差异有统计学意义(P〈0.05)。两组患者产后尿道口疼痛程度差异有统计学意义(P〈0.05)。结论盆底肌锻炼能有效提高产后尿潴留患者的护理效果,减轻患者产后尿道口疼痛程度。
Objective To research pelvic floor muscle training in the rehabilitation nursing of postpartum urinary retention. Methods 53 patients with postpartum urinary retention after vaginal delivery treated with traditional rehabilitation nursing methods in my hospital from 2012 to 2013, and 26 patients with postpartum urinary retention received treatment with pelvic floor rehabilitation combined with functional exercise on the basis of traditional rehabilitation nursing methods in 2015 were retrospectively analyzed. According to different nursing methods,all patients were divided into observation group and control group. 53 cases of the control group received traditional rehabilitation nursing methods that patients failed to self-urination during postpartum 6-8h, then was given indwelling catheter for 48 hours followed the doctor's advice, and received auto-urine test after extubation,the urinary output, bladder residual urine volume and the length of micturition time were measured. 26 cases of the observation group received pelvic floor rehabilitation combined with functional exercise on the basis of traditional rehabilitation nursing methods.The nursing efficacy of the two groups was compared.The patients with postpartum urinary retention received indwelling catheter for 48 hours after extubation, the self urinary output and bladder residual urine volume were detected in accordance with the hospital method,the pain degree of postpartum meatus urinarius was observed. Results The total effective rate of the control group was 77.36%, which was significantly lower than the 96.15% of the observation group,the difference of clinical nursing effect between the two groups was significant(P〈0.05).The difference of postpartum meatus urinarius pain degree between the two groups was also statistically significant(P〈0.05). Conclusion Pelvic floor muscle exercise could effectively improve the nursing effect of postpartum urinary retention and reduce the pain degree of postpartum meatus urinarius in patients.