雷火灸悬灸结合中医情志护理对经产妇产后宫缩疼痛及负性情绪的影响  

The Effect of Thunder Fire Moxibustion and Suspension Moxibustion Combined with Traditional Chinese Medicine Emotional Nursing on Postpartum Uterine Contraction Pain and Negative Emotions in Multiparas

作　　者：陈玛瑜 苏艺娟 戴明娜 苏少云 CHEN Mayu;SU Yijuan;DAI Mingna;SU Shaoyun(Quanzhou Women's and Children's Hospital,Fujian Province,Quanzhou 362000,China;不详)

机构地区：[1]福建省泉州市妇幼保健院·儿童医院,福建泉州362000

出　　处：《中国医学创新》2023年第21期120-124,共5页Medical Innovation of China

摘　　要：目的:探讨雷火灸悬灸结合中医情志护理对经产妇产后宫缩疼痛及负性情绪的影响。方法:选取2022年5月—2023年2月于泉州市妇幼保健院·儿童医院分娩的90例经产妇作为研究对象,按照随机数字表法分为观察组和对照组,各45例。对照组采用常规治疗及护理,观察组在对照组治疗与护理基础上联合雷火灸悬灸和中医情志护理,两组均持续干预3 d。比较两组产妇经干预后疼痛的缓解情况、产后情况,比较产后6、24、48 h的视觉模拟评分法(VAS)及产后6、48 h的匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,并比较两组产妇的满意度。结果:干预后,观察组产妇疼痛缓解总有效率为91.11%,明显高于对照组的73.33%,差异有统计学意义(P<0.05);观察组产妇产后宫缩疼痛发作次数、产后24 h出血量分别为(7.68±2.01)次、(247.85±31.82)mL,明显少于对照组的(10.27±2.28)次、(288.09±43.74)mL,差异均有统计学意义(P<0.05);观察组泌乳开始时间为(20.83±2.61)h,明显短于对照组的(24.17±2.34)h,差异有统计学意义(P<0.05);观察组产后24、48 h时VAS评分分别为(2.89±0.40)、(2.10±0.29)分,明显低于对照组的(3.21±0.31)、(2.59±0.34)分,差异均有统计学意义(P<0.05);观察组产妇产后48 h PSQI评分、SAS评分、SDS评分分别为(4.03±0.75)、(25.07±3.14)、(23.18±3.23)分,明显低于对照组的(4.94±0.82)、(28.29±2.77)、(26.79±3.41)分,差异均有统计学意义(P<0.05);观察组产妇的总满意度为93.33%,明显高于对照组的71.11%,差异有统计学意义(P<0.05)。结论:雷火灸悬灸结合中医情志护理能有效缓解经产妇产后宫缩疼痛,改善负性情绪、睡眠质量等,值得临床推广。Objective:To explore the effect of thunder fire moxibustion and suspension moxibustion combined with traditional Chinese medicine emotional nursing on postpartum uterine contraction pain and negative emotions in multiparas.Method:A total of 90 cases of multiparas who delivered in Quanzhou Women's and Children's Hospital from May 2022 to February 2023 were selected,they were randomly divided into an observation group and a control group,with 45 cases in each group.The control group received routine treatment and care,the observation group received thunder fire moxibustion and suspension moxibustion combined with traditional Chinese medicine emotional nursing on the basis of the control group,both groups continued treatment for 3 days.The pain relief efficacy after treatment and postpartum condition of two groups were compared,and the visual analogue scale(VAS)scores at postpartum 6,24,and 48 hours,the Pittsburgh sleep quality index(PSQI),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores at postpartum 6 and 48 hours were compared,and the satisfaction of the two groups was compared.Result:After treatment,the total effective rate of pain relief in the observation group was 91.11%,which was significantly higher than 73.33%in the control group,the difference was statistically significant(P<0.05);the frequency of postpartum contractions and bleeding volume at postpartum 24 hours in the observation group were(7.68±2.01)and(247.85±31.82)mL,which were significantly less than(10.27±2.28)and(288.09±43.74)mL in the control group,the differences were all statistically significant (P<0.05);the start time of lactation in the observation group was (20.83±2.61) h, which was significantly shorter than (24.17±2.34) h in the control group, the difference was statistically significant (P<0.05);the VAS scores at postpartum 24 and 48 hours in the observation group were (2.89±0.40) and (2.10±0.29) points, which were significantly lower than (3.21±0.31) and (2.59±0.34) points in the control group, the dif

关 键 词：经产妇 宫缩疼痛 雷火灸 中医情志护理 负性情绪 

分 类 号：R248.3[医药卫生—中医临床基础]