中药浴足辅助治疗初产妇产后便秘的可行性和安全性  

Feasibility and safety of traditional Chinese medicine lavipeditum in adjuvant treatment of postpartum constipation in primiparous women

作　　者：时增玉[1] 张丽武[1] 韦雪飞[1] 文丽萍[1] SHIZeng-Yu;ZHANG Li-Wu;WEI Xue-Fei(Department of Obstetrics,ISanxishan Hospital of Guangxi Zhuang Autonomous Region,Guilin,Guangxi 541002,China)

机构地区：[1]广西壮族自治区南溪山医院产科

出　　处：《中国妇幼保健》2019年第24期5591-5594,共4页Maternal and Child Health Care of China

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2016262)

摘　　要：目的分析中药浴足辅助治疗初产妇产后便秘的可行性和安全性。方法选取2016年6月-2017年6月广西壮族自治区南溪山医院产科产后便秘初产妇160例,随机分为对照组和观察组,每组各80例。对照组给予常规治疗,观察组在对照组的基础上联合中药浴足辅助治疗。比较两组的疗效、治疗前后生存质量、产妇满意度、治疗费用以及不良反应和并发症发生率。结果观察组总有效率明显高于对照组,差异有统计学意义(P<0. 05)。治疗前,两组SF-36评分比较差异均无统计学意义(均P>0. 05);治疗后,观察组SF-36评分优于对照组,差异均有统计学意义(均P<0. 05)。观察组治疗总满意率明显高于对照组,差异有统计学意义(P<0. 05)。对照组治疗费用及不良反应和并发症发生率均高于观察组(均P<0. 05)。结论初产妇产后便秘者在常规治疗基础上联合中药浴足可获得良好临床疗效,改善便秘症状,提高生活质量,治疗费用较低,安全性较高,提示该治疗方案可行、有效、安全,值得临床应用与推广。Objective To analyze the feasibility and safety of traditional Chinese medicine lavipeditum in adjuvant treatment of postpartum constipation in primiparous women. Methods A total of 160 primiparous women with postpartum constipation were selected from Department of Obstetrics,Nanxishan Hospital of Guangxi Zhuang Autonomous Region from June 2016 to June 2017,then they were randomly divided into control group and observation group,80 primiparous women in each group. The primiparous women in control group were treated by routine therapy,and the primiparous women in observation group were treated by traditional Chinese medicine lavipeditum based on routine therapy. The curative effects,quality of life before and after treatment,maternal satisfaction rates,treatment costs,incidence rates of adverse reactions and complications in the two groups were compared. Results The total effective rate in observation group was statistically significantly higher than that in control group( P<0. 05). Before treatment,there was no statistically significant difference in SF-36 score between the two groups( P>0. 05). After treatment,SF-36 score in observation group was statistically significantly better than that in control group( P<0. 05). The total satisfaction rate in observation group was statistically significantly higher than that in control group( P<0. 05). The treatment costs,incidence rates of adverse reactions and complications in control group were statistically significantly higher than those in observation group( P<0. 05). Conclusion The clinical effect of traditional Chinese medicine lavipeditum combined with routine therapy in adjuvant treatment of postpartum constipation in primiparous women is good,the combined therapy can improve constipation symptoms and quality of life with low treatment cost and high safety,the treatment scheme is feasible,effective,and safe,which is worthy of clinical application and popularization.

关 键 词：中药浴足 初产妇 产后便秘 可行性 安全性 

分 类 号：R714.69[医药卫生—妇产科学]