42. EVALUATION OF THE EFFECTIVENESS OF ELECTRO-ACUPUNCTURE COMBINED WITH URINARY EXERCISE IN TREATMENT OF POST-BIRTH URINARY RETENTION
Main Article Content
Abstract
Objective: Evaluate the effectiveness of electroacupuncture combined with urinary training in the treatment of postpartum urinary retention compared to urine training alone, thereby determining whether electroacupuncture can become a viable alternative method, effective in treating postpartum urinary retention.
Subjects and methods: Clinical trial, prospective study, using acupoints quan nguyen, qi hai, trung pole, khuc cot and tam yin giao on both sides to perform electroacupuncture with frequency of 60 Hz, intensity 2-10 mA for 20 minutes. Main variables include: residual urine volume, continence recovery rate, and continence recovery effectiveness.
Keywords: Electroacupuncture, postpartum urinary retention, bladder ultrasound, bladder training.
Results: After 2-3 hours of treatment, the percentage of residual urine volume in the electroacupuncture group decreased by 53.21%, more than the control group (reduced by 32.52%), but the difference was not significant statistical significance (p > 0.05); the electroacupuncture group had higher urination recovery results (85.53%) than the control group (59.21%) with p < 0.05; the electroacupuncture group had good and fair recovery results (84.21%) than the control group (77.64%) with p < 0.05.
Conclusions: The recovery rate after electroacupuncture combined with urinary exercises to treat postpartum urinary retention in pregnant women reached 85.53%. Electroacupuncture is a safe and effective method of treating postpartum urinary retention and can be used instead of traditional methods such as catheterization.
Article Details
Keywords
Postpartum urinary retention, electroacupuncture, urinary training
References
[2] South Australian Perinatal Practice Guidelines postpartum bladder dysfunction, WCHN - PPG, 18092012.
[3] Nguyễn Thị Thanh Hà, Đánh giá hiệu quả điều trị châm cứu tiểu khó, bí tiểu ở sản phụ sau sinh (chuyên đề y học cổ truyền), Tạp chí Y học thành phố Hồ Chí Minh, 2012, tập 16 (phụ bản của số 1), tr. 118-123.
[4] Carley M.E, Carley J.M, Vasdev G, Lesnick T.G, Webb M.J, Ramin K.D et al, Factors that are associated with clinically overt postpartum urinary retention after vaginal delivery, Am J Obstet Gynecol, 2002, 187: 430-433.
[5] Rizvi R.M, Khan Z.S, Khan Z, Diagnosis and management of postpartum urinary retention, International Journal of Gynecology and Obstetrics, 2005, 91: 71-2.
[6] Phạm Thị Xuân Mai, Đánh giá hiệu quả của điện châm trong điều trị bí tiểu tiện không do nguyên nhân cơ học ở người lớn, Tạp chí Khoa học và Công nghệ, Trường Đại học Khoa học, Đại học Huế, 2003, số 15, tr. 27-33.
[7] Zhang Y, Li X, Wang Z, Effects of Electroacupuncture on Postpartum Urinary Retention: A Randomized Controlled Study, Journal of Traditional Chinese Medicine, 2019, 39 (3), 389-393.