光子治疗在有痔产妇阴道分娩康复中的应用效果  

Effect of phototherapy on puerperants with hemorrhoids in rehabilitation

作　　者：马军[1] 陆浩雅[2] 李云云[2] 

机构地区：[1]南京医科大学附属无锡妇幼保健院门诊部,214002 [2]南京医科大学附属无锡妇幼保健院产科八病区,214002

出　　处：《中华现代护理杂志》2013年第30期3734-3736,共3页Chinese Journal of Modern Nursing

摘　　要：目的 探讨光子治疗在有痔产妇阴道分娩康复中的效果.方法 选择伴有痔疮的阴道分娩产妇60例,采用随机数字表法分为观察组和对照组各30例.对照组采用肛提肌锻炼方案恢复,观察组在肛提肌锻炼的基础上增加光子治疗进行恢复,观察比较两组产妇产后会阴切口恢复情况、痔疮治疗情况及平均住院天数.结果 产后72 h,观察组产妇会阴切口无重度红肿,对照组3例,两组比较差异有统计学意义（x2 =8.554,P＜0.05）；产后72 h,观察组产妇痔疮直径为（1.7 ±0.3）cm,对照组为（2.0±0.3）cm,两组比较,差异有统计学意义（t=2.524,P＜0.05）；观察组产妇的平均住院天数为（3.5±0.2）d,对照组为（4.5±0.2）d,两组比较,差异有统计学意义（t=5.196,P＜0.05）.结论 光子治疗能减轻产妇会阴切口红肿、渗液及疼痛,加快会阴伤口愈合和痔疮的消退,缩短了产妇平均住院天数.Objective To explore the effect of phototherapy on puerperants with hemorrhoids who had vaginal delivery by episiotomy in rehabilitation. Methods Sixty puerperants with hemorrhoids were chosen and randomly divided into two groups, each with 30 cases. The control group received levator ani exercise only, and the experimental group received levator ani exercise and phototherapy treatment. The extent of swelling, the amount of inflammatory exudates, the severity of pain at the operation incision, the hemorrhoid diameter and in- patients hospitalization time were compared between the two groups. Results Seventy-two hours after childbirth, the cases in the degree of mild, moderate and severe swelling were respectively 28, 2, 0 in the experimental group, and 19, 8, 3 in the control group, and the difference was statistically significant （X2 = 8. 554, P 〈 0.05 ）. The cases in the degree of little, medium and numerous inflammatory exudates were respectively 29, 1, 0 in the experimental group, and 18, 7, 5 in the control group, and the difference was statistically significant （ X2 = 12. 682, P 〈 0. 05 ）. The cases in the degree of none, mild, moderate, and severe pain were respectively 0, 27, 0, 0 in the experimental group, and 0, 18, 8, 4 in the control group, and the difference was statistically significant （ X2 = t3. 560, P 〈 0.05 ）. The average diameter of hemorrhoid in the experimental group was （ 1.7 ± 0.3） cm, and （2.0 ± 0.3 ） cm in the control group, and the difference was statistically significant （t = 2. 524, P 〈 0.05）. The rehabilitation time was （3.5 ±0. 2） d in the experimental group, and （4.5 ± 0.2） dand the difference was statistically significant （ t = 5. 196, P 〈 0. 05 ）. Conclusions Phototherapy can effectively reduce the extent of swelling, the amount of inflammatory exudates, and the severity of pain, speed up the healing of perineal wound and regression of hemorrhoids, and shorten the time in hospital.

关 键 词：痔 康复 光子治疗 阴道分娩 

分 类 号：R473.71[医药卫生—护理学]