低强度超声波促进顺产产后子宫复旧的临床研究  

Study on low-intensity ultrasound for promoting uterine involution in postpartum

作　　者：刘晓芳[1] 牟燕[1] 钟晓霞[1] 何佳[1] LIU Xiaofang;MU Yan;ZHONG Xiaoxia;HE Jia(Department of Gynecology and Obstetrics,Suining Municipal Central Hospital,Suining,Sichuan 629000,China)

机构地区：[1]四川省遂宁市中心医院妇产科,629000

出　　处：《重庆医学》2019年第3期404-406,410,共4页Chongqing medicine

基　　金：2016年四川省卫生与计划生育委员会资助项目(16PJ526)

摘　　要：目的研究低强度超声波促进顺产产后子宫复旧的临床疗效。方法选取该院足月分娩顺产产妇340例,分为治疗组(n=175)和对照组(n=165)。治疗组以移动法输出超声波治疗,对照组仅移动治疗头,不输出超声。比较两组产妇宫底下降指数、恶露情况及子宫复旧不良发生率等,并对安全性进行评估。结果治疗后治疗组[(18.30±5.21))%]宫底下降指数高于对照组[(16.22±5.14)%],比较差异有统计学意义(P<0.05);治疗组血性恶露结束时间[(7.69±3.55)d vs.(8.77±3.68)d]及浆液性恶露结束时间[(18.00±7.82)d vs.(21.81±7.14)d]均低于对照组(P<0.05)。治疗组产后42d随访,恶露尚未结束的产妇例数为4例,对照组11例,子宫复旧不良率分别为2.28%、6.67%,比较差异有统计学意义(P<0.05)。结论低强度超声波有促进顺产产后子宫复旧的作用。Objective To investigate the clinical efficacy of low-intensity ultrasound in promoting uterine involution in postpartum.Methods Three hundred and forty parturients with full term delivery in our hospital were divided into the treatment group(n=175)and the control group(n=165).The treatment group was treated with ultrasound by the mobile method,and the control group only moved the treatment head without outputting ultrasound.The uterine fundus descending index,lochia and adverse incidence of uterine involution were compared between the two groups,and the safety was evaluated.Results The uterine fundus descending index after treatment in the treatment group was(18.30±5.21)%,which was higher than(16.22±5.14)%in the control group,the difference was statistically significant(P<0.05).The end time of hemorrhagic lochia and serous lochia in the treatment group were(7.69±3.55)d and(18.00±7.82)d,which were lower than(8.77±3.68)d and(21.81±7.14)d in the control group(P<0.05).In follow up on postpartum 42 d,there were 4 cases without ending lochia in the treatment group and 11 cases in the control group.The uterine involution defective rates in the two groups were 2.28%and 6.67%respectively,the difference was statistically significant(P<0.05).Conclusion Low intensity focus ultrasound has the effect of promoting postpartum uterine involution.

关 键 词：低强度超声 顺产产后 子宫复旧 宫底下降指数 恶露 

分 类 号：R828.2[医药卫生—临床医学]