中药热熨联合耳穴压丸干预剖宫产后宫缩痛效果分析  

Analysis on Effect of Hot Medicinal Compress Combined with Auricular Acupoint Pressing with Pills Intervening Uterine Contraction Pain After Cesarean Section

作　　者：胡静君 张柳燕 HU Jingjun;ZHANG Liuyan

机构地区：[1]宁波市北仑区人民医院,浙江宁波315800

出　　处：《新中医》2021年第9期168-171,共4页New Chinese Medicine

摘　　要：目的:观察中药热熨联合耳穴压丸干预剖宫产后宫缩痛的效果。方法:选取120例剖宫产后宫缩痛产妇作为研究对象,按随机数字表法分为观察组与对照组各60例。2组均给予静脉自控镇痛泵,观察组加予中药热熨联合耳穴压丸,连续干预2 d后评估2组的临床疗效。采用疼痛视觉模拟评分法(VAS)评估产妇干预前、干预8 h、干预24 h、干预48 h后的疼痛程度。干预前、干预2 d后测定疼痛因子前列腺素E_(2)(PGE_(2))水平,出院时评价护理满意度。结果:干预后,观察组与对照组的宫缩疼痛缓解率分别为90.00%、71.67%,2组比较,差异均有统计学意义(P<0.05)。2组PGE_(2)水平均较干预前有不同程度的降低,观察组PGE_(2)水平低于对照组,差异均有统计学意义(P<0.05)。干预8 h、24 h、48 h后,2组VAS评分较干预前均呈不同程度降低,观察组各时段的VAS评分均低于对照组,差异均有统计学意义(P<0.05)。观察组与对照组的护理满意率分别为95.00%、81.67%,2组比较,差异有统计学意义(P<0.05)。结论:采用中药热熨联合耳穴压丸干预剖宫产后宫缩痛产妇,可有效减轻疼痛程度,并能提高产妇对产科护士护理工作的满意度,对促进产妇康复具有重要意义。Objective:To observe the effect of hot medicinal compress combined with auricular acupoint pressing with pills intervening uterine contraction pain after cesarean section.Methods:A total of 120 cases of puerpera who had uterine contraction pain after cesarean section were selected as the study objects;they were divided into the observation group and the control group according to the random number tablet method,60 cases in each group.Both groups were given intravenous self-control analgesia pump,and the observation group was additionaly given hot medicinal compress combined with auricular acupoint pressing with pills.After two-day intervention,clinical effect was evaluated.Visual Analogue Scale(VAS)was used to evaluate the pain degree before intervention,as well as after 8 hours,24 hours,and 48 hours of intervention.The level of the pain factor,namely prostaglandin E_(2)(PGE_(2)),was measured before intervention and after twoday intervention.Nursing satisfaction was evaluated when discharge.Results:After the intervention,the remission rates of uterine contraction pain were 90.00% and 71.67% in the observation group and in the control group respectively,differences being significant(P<0.05).Levels of PGE_(2) in the two groups were decreased to various degrees when compared with those before intervention,and the level in the observation group was lower than that in the control group,differences being significant(P<0.05).After 8 hours,24 hours,and 48 hours of intervention,VAS scores in the two groups were decreased to various degrees when compared with those before intervention,and the scores in the observation group were lower than those in the control group at all periods,differences being significant(P<0.05).The nursing satisfaction rates were 95.00% and 81.67% in the observation group and the control group respectively,the difference being significant(P<0.05).Conclusion:For puerpera with uterine contraction pain after cesarean section,the intervention of hot medicinal compress combined with auricular acupoint pr

关 键 词：剖宫产 宫缩痛 中药热熨 耳穴压丸 前列腺素E_(2) 护理满意度 

分 类 号：R714.6[医药卫生—妇产科学]