基于“形神合一”的综合干预方案对产妇产后心身状态的影响  

Effect of Comprehensive Intervention Program Based on“Unity of Body and Spirit”on Postpartum Psychosomatic Status of Parturient

作　　者：马静[1] 江澄[1] MA Jing;JIANG Cheng(Department of Traditional Chinese Medicine,Deyang People’s Hospital,Deyang 618000,China)

机构地区：[1]德阳市人民医院中医科,四川德阳618000

出　　处：《山东中医杂志》2021年第1期37-42,共6页Shandong Journal of Traditional Chinese Medicine

基　　金：德阳市科学技术和知识产权局重点课题(编号:2016S2036)。

摘　　要：目的:观察基于“形神合一”的综合干预方案对产妇产后心身状态的影响。方法:将88例产妇采用随机数字表法分为观察组和对照组各44例。对照组采用缩宫素、鲜益母草胶囊治疗,并进行常规健康教育和心理干预;观察组采用基于“形神合一”的综合干预方案,包括中药(中药内服、熏洗)治疗、针灸(耳穴、脐疗)治疗,以及融合五行音乐疗法和情志相胜法的心理干预。两组均从产后第1天开始干预,连续干预1周。比较两组产妇恶露情况、血液流变学指标(全血高切黏度、全血低切黏度、血浆黏度)、子宫复旧程度、爱丁堡产后抑郁量表(EPDS)评分及不良反应情况。结果:产后第4天和第6天,观察组血性恶露量少于对照组(P<0.05);干预结束后,观察组非血性恶露比例高于对照组(P<0.05),血性恶露持续时间短于对照组(P<0.05)。两组干预后的血液流变学指标水平均较干预前降低(P<0.05),观察组干预后的3项血液流变学指标水平均低于对照组(P<0.05)。干预后,观察组子宫复旧程度优于对照组(P<0.05)。观察组干预后的EPDS评分低于对照组(P<0.05)。干预期间,观察组不良反应发生率低于对照组(P<0.05)。结论:基于“形神合一”的综合干预方案能有效改善产妇产后心身状态,安全性较高。Objective:To observe the effect of a comprehensive intervention program based on“the unity of body and spirit”on the postpartum psychosomatic state of the parturient.Methods:A total of 88 cases of parturients were divided into observation and control group by the random number table method,with 44 cases in each group.The control group was treated with oxytocin and motherwort capsules,alongside with routine health education and psychological intervention.The observation group was treated with a comprehensive intervention program based on“the unity of body and spirit”,including Chinese materia medica(internally taken and fumigation-washing),acupuncture(ear points and umbilical therapy),as well as psychological intervention that integrates the five elements music therapy and emotional therapy.Both groups were intervened from the first day after delivery continuously for one week,then the lochia,hemorheology indicators(high shear viscosity of whole blood,low shear viscosity of whole blood,and plasma viscosity),uterine involution degree,Edinburgh Postpartum Depression Scale(EPDS)score and adverse reactions of the two groups were compared.Results:On the 4th and 6th day after delivery,the amount of bloody lochia in the observation group was less than that of the control group(P<0.05);after intervention,the proportion of non-bloodous lochia in the observation group was higher than that of the control group(P<0.05),and the duration of bloody lochia of the observation group was shorter than that of the control group(P<0.05).The levels of hemorheology indicators of the two groups after intervention were all lower than those before intervention(P<0.05),and the levels of 3 hemorheology indicators of the observation group after intervention were lower than those of the control group(P<0.05).After the intervention,the uterine involution degree of the observation group was better than that of the control group(P<0.05).The EPDS score of the observation group after intervention was lower than that of the control group(P<0.

关 键 词：形神合一 综合干预方案 产后 心身状态 恶露 血液流变学 子宫复旧程度 爱丁堡产后抑郁量表 

分 类 号：R271.43[医药卫生—中医妇科学]