产后康复综合治疗仪联合大黄及芒硝贴敷对剖宫产术后疼痛腹胀的影响  

Effects of Postpartum Rehabilitation Comprehensive Therapeutic Apparatus Combined with Rhubarb and Mirabilite Sticking on Pain and Abdominal Distension after Cesarean Section

作　　者：郭超群 GUO Chao-qun(Putian Cikang Hospital,Putian,Fujian,351100,China)

机构地区：[1]莆田市慈康医院,福建莆田351100

出　　处：《黑龙江医学》2022年第13期1611-1613,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨产后康复综合治疗仪联合大黄及芒硝贴敷对剖宫产术后疼痛腹胀的影响。方法:选取2019年1月—2020年10月莆田市慈康医院收治分娩的88例剖宫产产妇作为研究对象,按随机数表法分为两组,每组各44例。对照组给予常规护理,观察组采用在对照组基础上联合使用产后康复综合治疗仪、大黄及芒硝贴敷对比两组切口疼痛、切口愈合情况、机体恢复时间、护理满意度及腹胀发生率。结果:干预前两组患者切口疼痛比较,差异无统计学意义(t=0.945,P>0.05);干预7 d后,观察组视觉模拟评分法(VAS)评分为(1.55±0.68)分,低于对照组的(2.38±0.76)分,差异有统计学意义(t=5.399,P<0.05);干预7 d后,观察组切口愈合效果优于对照组,差异有统计学意义(χ^(2)=3.184,P<0.05);观察组肛门排气、首次排便、肠鸣音恢复、切口表面红肿消退、硬结消退及住院时间短于对照组,差异有统计学意义(t=7.635、7.393、8.001、7.154、6.328、5.899,P<0.05);观察组护理满意度高于对照组,差异有统计学意义(χ^(2)=4.062,P<0.05);观察组腹胀发生率为2.27%,低于对照组的18.18%,差异有统计学意义(χ^(2)=4.456,P<0.05)。结论:产后康复综合治疗仪可促进剖宫产产妇术后胃肠功能恢复,预防腹胀的发生,联合大黄及芒硝贴敷,有效减轻术后切口疼痛,加快切口愈合,获得更高的护理满意度。Objective:To investigate the effect of postpartum rehabilitation comprehensive therapeutic apparatus combined with rhubarb and mirabilite sticking on pain and abdominal distension after cesarean section.Methods:A total of 88 cesarean section women who delivered in the hospital from January 2019 to October 2020 were selected and divided into two groups by the random number table method,with 44 cases in each group.The control group was given routine nursing care,and the observation group was given postpartum rehabilitation comprehensive treatment apparatus,rhubarb and mirabilite sticking on the basis of the control group.The incision pain,incision healing,body recovery time,nursing satisfaction and the incidence of abdominal distension were compared between the two groups.Results:There was no statistically significant difference in incision pain between the two groups before intervention(t=0.945,P>0.05).After 7 d of intervention,the visual analogue scale(VAS)score of the observation group was(1.55±0.68),which was lower than that of the control group(2.38±0.76)points,and the difference was statistically significant(t=5.399,P<0.05).After 7 d of intervention,the incision healing effect of the observation group was better than that of the control group,and the difference was statistically significant(χ^(2)=3.184,P<0.05).Anal exhaust,first defecation,bowel sound recovery,incision surface redness and swelling subsided,induration subsidence and hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(t=7.635,7.393,8.001,7.154,6.328,5.899,P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(χ^(2)=4.062,P<0.05).The incidence of abdominal distension in the observation group was 2.27%,which was lower than 18.18%in the control group,and the difference was statistically significant(χ^(2)=4.456,P<0.05).Conclusion:Postpartum rehabilitation compreh

关 键 词：剖宫产 产后康复综合治疗仪 大黄芒硝贴敷 疼痛 腹胀 胃肠功能 

分 类 号：R47[医药卫生—护理学]