产后2小时内进行低频电刺激治疗促进子宫复旧的效果  

Effect of low frequency electrical stimulation on uterine involution within 2 hours postpartum

作　　者：王春香[1] 马小涵 麦浩山 Wang Chunxiang;Ma Xiaohan;Mai Haoshan(Department of Obstetrics,Songgang people’s Hospital,Bao’an District,Shenzhen,Guangdong 518105,China;Department of Obstetrics and Gynecology,Kashgar people’s Hospital,Kashgar,Xinjiang 844000,China)

机构地区：[1]深圳市宝安区松岗人民医院产科,广东深圳518105 [2]喀什市人民医院妇产科,新疆喀什844000

出　　处：《实用妇科内分泌电子杂志》2021年第19期39-41,共3页Electronic Journal of Practical Gynecological Endocrinology

基　　金：宝安区医疗卫生基础研究项目(编号2018JD192)。

摘　　要：目的 比较产后2h内与2h后开始进行低频电刺激治疗促进子宫复旧的效果。方法 选取深圳市宝安区松岗人民医院2018年8月至2020年7月住院阴道试产的产妇250例。随机分为0h研究组、1h研究组、2h研究组、24h研究组和对照组各50例。各研究组于阴道分娩后相应的时间开始对产妇进行低频电刺激治疗,对照组则予产后常规护理。观察记录各组产后2h(对照组、0h研究组、1h研究组)、24h阴道出血量、产后48h宫底下降高度、阴道流血持续时间。结果 越早开始治疗的组别阴道出血量越少、持续时间越短,宫底下降高度越明显。其中0h研究组与1h研究组产后2h、24h阴道出血量均小于对照组,比较差异具有统计学意义(P<0.05)。2h研究组、24h研究组、对照组三组及1h研究组、2h研究组两组之间的产后24h出血量无统计学差异(P>0.05)。24h研究组、对照组的宫底下降高度、阴道流血持续时间与其他研究组对比均存在统计学差异,比较差异具有统计学意义(P<0.05)。0h研究组与2h研究组阴道流血持续时间的差异有统计学意义,比较差异具有统计学意义(P<0.05)。结论 产后2h内早期对产妇进行低频电刺激治疗,较2h后开始治疗更有效减少产后出血量、促进子宫复旧。Objective To compare the effect of low-frequency electrical stimulation within 2 hours postpartum and after 2hours postpartum to promote uterine involution. Methods 250 pregnant women who were hospitalized for vaginal trial delivery in Songgang people’s Hospital of Bao’an District of Shenzhen from August 2018 to July 2020 were selected. They were randomly divided into 0h treatment group, 1H treatment group, 2h treatment group, 24h treatment group and control group, with 50 cases in each group. Each treatment group began low-frequency electrical stimulation at the corresponding time after vaginal delivery, while the control group was given routine postpartum nursing. The amount of vaginal bleeding at 2 hours postpartum(control group, 0 hour treatment group, 1 hour treatment group), 24 hours postpartum, the descending height of uterine fundus at 48 hours postpartum and the duration of vaginal bleeding were observed and recorded. Results The earlier the treatment group, the less vaginal bleeding,the shorter the duration, and the more obvious the descending height of the fundus. The amount of vaginal bleeding at 2h and 24h postpartum in the 0h study group and the 1h study group was less than that in the control group, and the difference was statistically significant(P<0.05). There was no significant difference in the postpartum hemorrhage volume between the 2h study group, 24h study group and control group, and between the 1h study group and 2h study group(P>0.05). There were statistical differences in the height of fundal descent and the duration of vaginal bleeding between the 24h study group and the control group compared with other study groups, and the difference was statistically significant(P<0.05). The difference in the duration of vaginal bleeding between the 0h study group and the 2h study group was statistically significant(P<0.05). Conclusion low frequency electrical stimulation treatment for pregnant women within 2H postpartum is more effective than starting treatment after 2H to reduce postpartum he

关 键 词：低频电刺激治疗 阴道分娩 子宫复旧 产后2小时 产后出血 

分 类 号：R714.6[医药卫生—妇产科学]