超声低中频电导治疗仪治疗与厚朴排气合剂对剖宫产术后胃肠道功能的影响  

Effects of Ultrasonic Low-medium Frequency Conductivity Therapy Apparatus Treatment Combined with Houpu Exhaust Mixture on the Recovery of Gastrointestinal Function after Cesarean Section

作　　者：郑淑敏 张红 孙春亭 孙晶 蔡富强[1] ZHENG Shumin;ZHANG Hongs;SUN Chunting;SUN Jing;CAI Fuqiang(Department of Obstetrics and Gynecology,Dezhou People's Hospital,Dezhou 253000,China;Department of Medicine and Equipment,Hospital of China Water Resources and Hydropower 13th Engineering Bureau,Dezhou 253009,China;Department of Obstetrics and Gynecology,Dezhou Maternity and Child Health Hospital,Dezhou 253000,China)

机构地区：[1]山东省德州市人民医院妇产科,德州253000 [2]中国水利水电第十三工程局医院药械科,德州253009 [3]山东省德州市妇幼保健院妇产科,德州253000

出　　处：《世界中医药》2021年第16期2463-2467,共5页World Chinese Medicine

基　　金：山东省中医药科技发展计划项目(2011-254)。

摘　　要：目的:探讨超声低中频电导治疗仪治疗联合厚朴排气合剂对剖宫产术后胃肠道功能恢复的影响。方法:选取2019年10月至2020年10月德州市人民医院收治的行剖宫产手术的产妇78例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组39例。对照组使用超声低中频电导治疗仪治疗,观察组在对照组的基础上口服厚朴排气合剂。比较2组产妇胃肠道功能恢复效果、术后相关症状持续时间、胃肠症状评分、血清二胺氧化酶(DAO)水平、降钙素原(PCT)水平、术后腹胀程度及不良反应发生率。结果:观察组胃肠道功能恢复效果优于对照组(P<0.05);观察组首次肛门排气时间、肠鸣音恢复时间、首次排便时间、首次进食固体食物时间均短于对照组(均P<0.05)。2组术后7 d胃肠症状评分、DAO、PCT均降低,且观察组各项指标均低于对照组(均P<0.05)。观察组术后腹胀程度低于对照组(P<0.05)。2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:超声低中频电导治疗仪联合厚朴排气合剂有利于剖宫产术后产妇胃肠道功能恢复,可改善产妇术后排气、进食等,利于术后恢复。Objective:To explore the effects of ultrasound low-medium frequency conductance therapy instrument combined with Houpu Exhaust Mixture on the recovery of gastrointestinal function after cesarean section.Methods:A total of 78 parturients who received cesarean section in the Department of Obstetrics and Gynecology of Dezhou People's Hospital were selected as the research objects and according to the random number table,they were divided into a control group and an observation group,with 39 cases in each group.The control group was treated with an ultrasonic low-medium frequency conductance therapy instrument,and the observation group was treated with Houpu exhaust mixture on the basis of the control group.The effect of gastrointestinal function recovery,postoperative related symptoms duration,gastrointestinal symptom score,serum diamine oxidase(DAO),procalcitonin(PCT),postoperative abdominal distension,adverse reactions were compared.Results:The recovery effect of gastrointestinal function in the observation group was better than that in the control group(P<0.05).The observation group's first anal exhaust time,bowel sound recovery time,first defecation time,and first solid food intake time were shorter than those in the control group(all P<0.05).The gastrointestinal symptom score,DAO,and PCT were reduced in the 2 groups after 7 days.All indicators of the observation group were lower than those of the control group(all P<0.05).The degree of postoperative abdominal distension in the observation group was lower than that in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the 2 groups(all P>0.05).Conclusion:Ultrasound low-medium frequency conductivity therapy instrument combined with Huopo Exhaust Mixture is conducive to the recovery of gastrointestinal function of parturients after cesarean section,and can improve postoperative gas and eating,etc.,and is conducive to postoperative recovery.

关 键 词：超声低中频电导治疗仪 厚朴排气合剂 剖宫产 胃肠道功能 排气障碍 肠道梗阻 大黄 腹胀 

分 类 号：R714[医药卫生—妇产科学] R271.4[医药卫生—临床医学]