Abstract：【Objective】 To explore the value of comprehensive intervention based on risk nomogram model in patients with urinary retention after vaginal delivery. 【Methods】The clinical data of 856 cases of vaginal delivery in our hospital from January 2018 to March 2019 were retrospectively analyzed. According to whether urinary retention occurred or not,they were divided into urinary retention group (n=62) and normal group (n=794), logistics regression model was used to screen the risk factors of urinary retention after vaginal delivery. In a prospective study, 173 cases of vaginal delivery women who were diagnosed and treated in our hospital from May 2019 to October 2019 were randomly divided into observation group and control group. The observation group received comprehensive intervention based on risk line chart prediction model, while the control group received routine intervention. The time of self urination, incidence of urinary retention, postpartum hemorrhage of 2 h and residual urine volume of 6 h after delivery were compared between the two groups. 【Results】 A retrospective analysis showed that the incidence of postpartum urinary retention was 7.24% (62/856 ). Logistic regression analysis showed that labor analgesia, forceps delivery, hand to head transfer, first stage of labor and second stage of labor were independent risk factors for urinary retention after vaginal delivery (P< 0.05). According to the risk factors of urinary retention after vaginal delivery, a nomogram prediction model was constructed. The ROC curve was used to evaluate the nomogram of the nomogram , the area under the ROC curve was 0.790, the slope of the calibration curve was close to 1, and the discrimination and accuracy were good. In the prospective study, the time of self urination in the observation group was shorter than that in the control group, and the incidence of urinary retention was lower than that in the control group (P< 0.05). The amount of postpartum hemorrhage at 2 hours and residual urine at 6 hours in the observation group were less than those in the control group (P<0.05). 【Conclusion】 Comprehensive intervention based on risk nomogram prediction model can help prevent urinary retention after vaginal delivery, reduce postpartum hemorrhage and residual urine volume, and is worthy of clinical application.
陈立琴, 殷盛娴. 基于发生风险列线图模型的综合干预在阴道分娩后发生尿潴留患者中的应用价值[J]. 医学临床研究, 2022, 39(2): 244-247.
CHEN Li-qin, YIN Sheng-xian. Application of Comprehensive Intervention Based on Risk Nomogram Model in Patients with Urinary Retention after Vaginal Delivery. JOURNAL OF CLINICAL RESEARCH, 2022, 39(2): 244-247.
2022, Vol. 39 
