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产后尿潴留是指产后6～8h不能自行排尿或排尿不畅致尿液不能排净,是产后常见的并发症,与产妇的身体状况、胎儿大小、产次和分娩方式有关。为降低产后尿潴留的发生率,尽早治愈,需要了解产后尿潴留的有关因素与处理方法。1 产后尿潴留的因素1.1 心理因素 产后由于盆底组织损伤,特别是有会阴切口或会阴撕裂伤而行缝合的产妇因怕痛不敢排尿,使膀胱过度充盈而失去应有的收缩力,导致排尿困难,出现尿潴留,也有的产妇不习惯床上排便。1.2 身体状况 部分产妇产前合并贫血、哮喘、妊高征;或产程过长致身体过度疲劳,再加上腹壁松弛,腹压降低,致膀胱肌张力差,对膀胱内部张力增加不敏感,未及时排尿,致尿潴留。
Postpartum urinary retention refers to the postpartum 6 ~ 8h can not urinate or poor urination can not drain the urine, is a common postpartum complications, and maternal physical condition, fetal size, parity and mode of delivery. To reduce the incidence of postpartum urinary retention, as soon as possible cure, need to understand the relevant factors and treatment of postpartum urinary retention. 1 factors of postpartum urinary retention 1.1 psychological factors postpartum as a result of pelvic floor tissue injury, especially with perineal incision or perineal laceration suture maternal fear of pain due to fear of voiding urinary bladder overfilling and loss of due systolic force, Lead to dysuria, urinary retention, and some women are not used to bed defecation. 1.2 physical condition part of the maternal prenatal anemia, asthma, pregnancy-induced hypertension; or labor too long to cause physical fatigue, coupled with abdominal wall relaxation, decreased abdominal pressure, resulting in poor bladder muscle tension, increased internal bladder tension insensitive, not Timely urination, causing urinary retention.