剖宫产术后使用腹带对术后疼痛、活动及焦虑的影响  

The effect of abdominal binder usage on postoperative pain,mobilization and distress after cesarean section

作　　者：热依满·哈斯木 麻宁 冯晓雷 汪利民 Reyiman Hasimu;MA Ning;FENG Xiaolei;WANG Limin(The Friendship Hospital of Urumqi,Urumqi 830049,China)

机构地区：[1]乌鲁木齐市友谊医院,乌鲁木齐830049

出　　处：《新疆医学》2021年第10期1153-1156,共4页Xinjiang Medical Journal

摘　　要：目的评估剖宫产术后使用腹带对术后下床活动时间及强度,切口疼痛和患者焦虑情绪的影响。方法随机对照研究于2018年6月1日至2020年5月31日在乌鲁木齐市友谊医院进行。总共121例行选择性剖宫产手术的妇女被随机分为研究组(绑腹带组,n=61)或对照组(未绑腹带组,n=60)。研究组的患者在离开手术室之前已绑腹带。在术后12 h(首次下床活动时间),24和48 h评估两组的术后活动(6 min步行测试),术后疼痛(通过简单的McGill疼痛问卷和视觉模拟量表进行测量)和焦虑状态。结果研究结果显示,在6 min步行测试中,术后第12 h绑腹带组的行走距离明显长于对照组。在首次下床活动时(既术后第12 h),步行距离测试中研究组(95.3±13.1 m)的行走距离明显大于对照组(82.0±15.2 m)(P=0.002)。在所有三个测试时间中,研究组的焦虑症状量表均低于对照组(术后第8 h P=0.002,第24 h P=0.013和第48 h P=0.017)。结论剖宫产术后腹带的使用明显改善了术后疼痛及焦虑,增强了活动能力。Objective The study was aimed to determine the effect of abdominal binder usage after cesarean section on postoperative ambulation time and intensity,incision pain,and patient anxiety.Methods This prospective randomized controlled Trial was conducted between June 1,2018 and May 31,2020 in Urumqi Friendship Hospital.A total of 121 women undergoing elective cesarean section were randomized to the study(binder,n=61)or control(no binder,n=60)groups.Patients in the study group were fitted with an abdominal binder before leaving the operating room.Postoperative Mobilization(6-minute walk test),Postoperative pain(measured by Short-Form Mc Gill Pain Questionnaire and Visual Analog Scale)and anxiety status of both groups were evaluated within 12 th(first mobilization time),24 th,and 48 th h of surgery.Results The results showed that study group(BG)walked distance longer than the control group during the6-minute walking distance test at postoperative 12 h.At the first mobilization time(postoperative 12 th h),(95.3±13.1 m),the walking distance of study group significantly more distance than the control group(82.0±15.2 m)(P<0.001)in the walking distance test.For all three test times,anxiety symptom scale of the study group was lower than that of the control group(postoperative 12 h P=0.002,24 h P=0.013,and 48 h P=0.017).Conclusion The abdominal binder usage after cesarean section significantly reduced postoperative pain and anxiety and improved mobility.

关 键 词：妇产科学 绑腹带 剖宫产术 术后活动 疼痛 术后焦虑 

分 类 号：R719.8[医药卫生—妇产科学]