超声导入疗法联合艾盐包热敷对经产妇产后宫缩痛的效果研究  

Study on the effect of ultrasound-guided induction therapy combined with moxa-salt package hot fomentation on postpartum uterine contraction pain of multiparous women

作　　者：戴淑艳 许群 叶杰微 DAI Shu-Yan;XU Qun;YE Jie-Wei(Department of Obstetrics,Wenzhou Integrated Hospital of Traditional Chinese and Western Medicine,Wenzhou,Zhejiang 325100,China)

机构地区：[1]温州市中西医结合医院产科,浙江温州325100

出　　处：《中国妇幼保健》2021年第17期4121-4125,共5页Maternal and Child Health Care of China

基　　金：浙江省温州市基础性科研项目(Y20190328)。

摘　　要：目的研究超声导入疗法联合艾盐包热敷对经产妇产后宫缩痛的效果,为切实缓解产后宫缩痛提供参考依据。方法选取2019年1-12月在温州市中西医结合医院分娩后出现产后宫缩痛的经产妇160例作为研究对象,依据分娩方式不同将其分为阴道分娩组86例与剖宫产组74例,阴道分娩组随机分成观察组43例与对照组43例,剖宫产组随机分成观察组37例与对照组37例。经产妇均常规使用缩宫素针(肌注,10 u,Bid×3d),对照组于产后宫缩痛出现时使用自制艾盐包热敷下腹部子宫部位30 min,观察组在对照组的基础上在下腹部双侧子宫穴使用超声导入疗法30 min。对比观察组与对照组产后宫缩痛的疼痛程度、疼痛发作次数、疼痛持续时间、产后出血量等多项指标。结果观察组与对照组产后2 d、产后3 d疼痛评分均低于产后1 d,产后3 d疼痛评分均低于产后2 d,且观察组不同时间疼痛评分均低于对照组,差异均有统计学意义(P<0.05)。观察组与对照组产后2 d、产后3 d疼痛发作次数、疼痛持续时间、产后出血量均少于产后1 d,产后3 d疼痛发作次数、疼痛持续时间、产后出血量均少于产后2 d,且观察组不同时间疼痛发作次数、疼痛持续时间、产后出血量均少于对照组,差异均有统计学意义(P<0.05)。结论联合超声导入疗法与艾盐包热敷治疗经产妇产后宫缩痛的疼痛程度明显减轻,疼痛发作次数与产后出血量均减少,疼痛持续时间缩短。Objective To research the effect of ultrasound-guided induction therapy combined with moxa-salt package hot fomentation on postpartum uterine contraction pain of multiparous women,and provide a reference basis for relieving postpartum uterine contraction pain.Methods From January to December in 2019,160 multiparous women with postpartum uterine contraction pain were selected from Wenzhou Integrated Hospital of Traditional Chinese and Western Medicine,according to delivery modes,the multiparous women were divided into vaginal delivery group(86 cases)and cesarean section group(74 cases),the multiparous women in vaginal delivery group were randomly divided into observation group(43 cases)and control group(43 cases),the multiparous women in cesarean section group were randomly divided into observation group(37 cases)and control group(37 cases).All the multiparous women were treated with intramuscular injection of oxytocin,10 U,twice a day for three days.The multiparous women in control group were treated with self-made moxa-salt package hot fomentation for 30 minutes,the multiparous women in observation group were treated with self-made moxa-salt package hot fomentation and ultrasound-guided induction therapy of bilateral uterine acupoints for 30 minutes.The degrees of postpartum uterine contraction pain,the times of onset of pain,the duration time of pain,and the amounts of postpartum hemorrhage in observation group and control group were compared.Results The pain scores on the second day and the third day after delivery in observation group and control group were statistically significantly lower than those on the first day after delivery,the pain scores on the third day after delivery in observation group and control group were statistically significantly lower than those on the second day after delivery,the pain scores at different time points in observation group were statistically significantly lower than those in control group(P<0.05).The times of onset of pain,the duration time of pain,and the amounts of post

关 键 词：超声导入疗法 艾盐包热敷 经产妇 产后宫缩痛 产后出血量 

分 类 号：R714.3[医药卫生—妇产科学]