低频电脉冲促进剖宫产术后子宫复旧的临床研究  

Clinical effect of low frequency electric pulse on promoting uterine involution

作　　者：常淑芳[1] 郭娟[1] 普翠芬[1] 李敏[1] 邓丽波[1] 陈丽[1] 蒋莉莎[1] 孙江川[1] 刘建[1] 

机构地区：[1]重庆医科大学附属第二医院妇产科,重庆400010

出　　处：《激光杂志》2010年第2期65-66,共2页Laser Journal

基　　金：重庆市卫生局课题(06-2-048)资助

摘　　要：目的:观察低频电脉冲对剖宫产术后子宫复旧的影响。方法:采用前瞻性方法,随机选择450例剖宫产术后患者,其中300例为治疗组1、50例为对照组,治疗组于剖宫产术后48小时用低频脉冲电治疗仪对患者腰骶部进行治疗,每天1次,每次20分钟,连续四天;对照组自然恢复,临床观察两组患者宫底下降程度、恶露情况;B超观察宫腔积血、宫腔内血凝块滞留、组织物残留、子宫切口愈合情况。结果:治疗组宫底下降小于3cm、恶露大于月经量及宫腔积液的发生率明显低于对照组(P<0.05),宫腔内血凝块滞留及子宫切口愈合不良的发生率在两组间无明显差异(P>0.05),治疗组子宫复旧不良的发生率明显低于对照组(P<0.05)。结论:低频脉冲电治疗可促进剖宫产术后子宫康复。Objective：To observe the clinical effect of the low frequency electric pulse on promoting uterine involution.Method：450 cases with uterine-incision delivery were selected in our hospital from September 2007 to July 2009,which were divided into the experimental group and the control group randomly,experimental group included 300 cases,control group included 150 cases.Experimental group were treated by low frequency pulse electrotherapy 20 min every day after delivery 48 hours to fifth day,the control group were for spontaneous recovery.The descending degree of uterine fundus and lochia was observed in clinical and uterine involution was also observed by ultrasound for the two groups.Result：The ratio of uterine fundus descend less than 3cm,lochia more than menstrual blood volume and uterine cavity hydrops was significantly lower in experimental group than that in the control group.However the ratio of blood clot stagnation in uterine cavity and undesirable uterine incision hedling had no difference between two groups. The ratio of unhealthy uterine involution was significantly lower in experimental group than that in control group.Conclusion：The low frequency pulse electrotherapy was effective in promoting uterine contraction and uterine involution.

关 键 词：低频脉冲电治疗 剖宫产 子宫复旧 

分 类 号：R477[医药卫生—护理学]