Clinical observation of pressing-kneading manipulation combined with herb-insulated moxibustion at Shuidao(ST28)in the treatment of postpartum urinary retention after labor analgesia
10.1007/s11726-024-1432-6
- VernacularTitle: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
- Author:
Fengqin GUO
;
Luqi WEI
;
Jincong ZHANG
;
Xiaofen ZHANG
;
Xiehe KONG
- Keywords:
Tuina;
Massage;
Pressing-kneading Manipulation;
Medicinal Cake-insulated Moxibustion;
Point,Shuidao(ST28);
Postpartum Period;
Urinary Retention;
Analgesia,Obstetrical
- From:
Journal of Acupuncture and Tuina Science
2024;22(2):154-159
- CountryChina
- Language:Chinese
-
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.
