产后复原膏联合康复治疗仪对高龄产妇产后泌乳及子宫复旧的影响  

Effect of Postpartum Rehabilitation Ointment Combined with Rehabilitation Device on Postpartum Lactation and Uterine Involution of Elderly Parturients

作　　者：邢玉红[1] 靳亚慈[1] 刘利虹 罗瑞颖 郭志莉 郭滨雁 朱照梅 XING Yu-hong;JIN Ya-ci;LIU Li-hong;LUO Rui-ying;GUO Zhi-li;GUO Bin-yan;ZHU Zhao-mei(Department of Obstetrics,Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Cangzhou Hebei 061000)

机构地区：[1]河北省沧州中西医结合医院产二科,河北沧州061000

出　　处：《世界中西医结合杂志》2022年第9期1815-1818,1822,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：河北省中医药管理局科研计划项目(2021347)。

摘　　要：目的观察产后复原膏联合康复治疗仪对高龄产妇产后泌乳及子宫复旧的影响。方法选取2019年6月—2020年5月期间于河北省沧州中西医结合医院行剖宫产的高龄产妇156例,根据随机数字表法分为膏方组52例、治疗仪组52例和联合组52例。3组均给予常规产后处理,膏方组加产后复原膏口服治疗,治疗仪组加康复治疗仪治疗,联合组加产后复原膏和康复治疗仪联合治疗。产后复原膏连续服用7d,康复治疗仪连续治疗5d。产后7d后,观察比较3组产妇泌乳始动时间,血清泌乳素水平,泌乳量。产后42d复查,观察比较3组产妇母乳喂养情况,恶露持续时间,子宫复旧情况及并发症发生情况。结果治疗后联合组产妇泌乳始动时间均优于膏方组和治疗仪组,血清泌乳素水平和泌乳量均高于膏方组和治疗仪组,差异有统计学意义(P<0.05)。治疗后联合组、膏方组产妇纯母乳喂养率均高于治疗仪组,联合组纯母乳喂养率高于膏方组,差异有统计学意义(P<0.05)。治疗后联合组产妇平均恶露持续时间均低于膏方组和治疗仪组,差异有统计学意义(P<0.05)。治疗后联合组产妇子宫长径、横径、前后径均低于膏方组和治疗仪组,差异有统计学意义(P<0.05)。治疗期间,膏方组并发症发生率为15.38%,治疗仪组并发症发生率为13.46%,联合组并发症发生率为9.62%,3组间比较,差异无统计学意义(P>0.05)。结论将产后复原膏联合康复治疗仪应用于高龄产妇可促使其尽早泌乳,增加泌乳量,提高纯母乳喂养率,减少恶露持续时间,促进子宫复旧,值得临床推广应用。Objective To observe the effect of postpartum rehabilitation ointment(self-made ointment)combined with rehabilitation device on the postpartum lactation and uterine involution of elderly parturients.Methods A total of 156 elderly parturients who underwent cesarean section in the Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine from June 2019 to May 2020 were included and assigned into an ointment group(n=52),a rehabilitation device group(n=52)and a combination(ointment+rehabilitation device)group(n=52)according to the random number table method.The three groups were given conventional postpartum treatment,the ointment group plus postpartum rehabilitation ointment oral treatment,the rehabilitation device group plus rehabilitation device treatment,the combination group plus postpartum rehabilitation ointment and rehabilitation device combined treatment.Postpartum rehabilitation ointment was taken continuously for 7 days,and rehabilitation device was used continuously for 5 days.Seven days after delivery,the start time of lactation,serum prolactin level and lactation volume of the three groups were observed and compared.Forty-two days after delivery,breastfeeding,duration of lochia,uterine involution and complications were observed and compared among the three groups.Results The combination group had shorter initial time of lactation,higher serum prolactin level,and higher lactation volume than the ointment group and the rehabilitation device group(P<0.05).After treatment,the rate of exclusive breastfeeding was in a descending order of combination group>ointment grouP>rehabilitation device group(P<0.05).After treatment,the average duration of lochia in the combination group was shorter than that of the ointment group and the rehabilitation device group(P<0.05).After treatment,the combination group hadshorterlong diameter,transverse diameter,and anterior and posterior diameters of the uterus than the ointment group and the rehabilitation device group(P<0.05).During the treatment,the complicati

关 键 词：高龄产妇 剖宫产 产后泌乳 子宫复旧 膏方 康复治疗仪 

分 类 号：R714.46[医药卫生—妇产科学]