中药穴位贴敷对剖宫产产妇产后子宫复旧的影响分析  

Analysis of the influence of acupoint application of traditional Chinese medicine on postpartum uterine involution in cesarean section women

作　　者：方赣源 FANG Gan-yuan(Ganxian District Maternal and Child Health Hospital,Ganzhou 341100,China)

机构地区：[1]赣县区妇幼保健院,341100

出　　处：《中国实用医药》2024年第5期137-140,共4页China Practical Medicine

摘　　要：目的 分析中药穴位贴敷对剖宫产产妇产后子宫复旧的影响。方法 60例剖宫产产妇,随机分为对照组与观察组,每组30例。对照组实施产后常规护理,观察组在对照组基础上联合中药穴位贴敷治疗。对比两组耻骨联合上缘中点至子宫底部的距离、恶露排出量、恶露类型及血性恶露持续时间。结果 产后当日、1 d,两组耻骨联合上缘中点至子宫底部的距离对比,差异无统计学意义(P>0.05);产后2、3、4 d,观察组耻骨联合上缘中点至子宫底部的距离分别为(12.14±0.66)、(10.16±0.57)、(8.31±0.41)cm,短于对照组的(14.07±0.50)、(13.61±0.76)、(10.94±0.67)cm,差异有统计学意义(P<0.05)。产后当日,两组恶露排出量对比,差异无统计学意义(P>0.05);产后1、2、3、4 d,观察组恶露排出量分别为(34.84±0.60)、(22.87±0.83)、(13.62±0.74)、(5.76±0.81)ml,少于对照组的(36.29±0.72)、(29.59±0.70)、(21.81±0.68)、(13.61±0.73)ml,差异有统计学意义(P<0.05)。观察组血性恶露占比13.3%低于对照组的53.3%,浆液性恶露占比70.0%高于对照组的43.3%,血性恶露持续时间(5.61±1.23)d短于对照组的(8.34±1.83)d,差异有统计学意义(P<0.05);两组白色恶露占比对比,差异无统计学意义(P>0.05)。结论 剖宫产产妇产后接受中药穴位贴敷,疗效确切,有利于快速恢复子宫,减少产后恶露量,缩短恶露持续时间,有效避免子宫复旧不全情况出现,产妇预后显著改善,可借鉴。Objective To analyze the influence of acupoint application of traditional Chinese medicine on postpartum uterine involution in cesarean section women.Methods A total of 60 cases of cesarean section were randomly divided into a control group and an observation group,with 30 cases in each group.The control group received postpartum routine nursing,and the observation group was treated with acupoint application of traditional Chinese medicine on the basis of the control group.The distance from the middle point of the superior margin of pubic symphysis to the base of uterus,the amount of lochia,the lochia type and the bloody lochia duration were compared between the two groups.Results On the postpartum day and postpartum day 1,there was no statistically significant difference between the two groups in distance from the middle point of the superior margin of pubic symphysis to the base of uterus(P>0.05).On postpartum days 2,3 and 4,the distance from the middle point of the superior margin of pubic symphysis to the base of uterus in the observation group were(12.14±0.66),(10.16±0.57)and(8.31±0.41)cm,which were shorter than those of(14.07±0.50),(13.61±0.76)and(10.94±0.67)cm in the control group.The differences were statistically significant(P<0.05).On the postpartum day,there was no statistically significant difference in amount of lochia between the two groups(P>0.05).On postpartum days 1,2,3 and 4,the amount of lochia in the observation group were(34.84±0.60),(22.87±0.83),(13.62±0.74)and(5.76±0.81)ml,which were less than those of(36.29±0.72),(29.59±0.70),(21.81±0.68)and(13.61±0.73)ml in the control group,and the differences were statistically significant(P<0.05).The proportion of bloody lochia of 13.3%in the observation group was lower than that of 53.3%in the control group;the proportion of serous lochia of 70.0%in the observation group was higher than that of 43.3%in the control group;the bloody lochia duration of(5.61±1.23)d in the observation group was shorter than that of(8.34±1.83)d in the contro

关 键 词：中药穴位贴敷 剖宫产 子宫复旧 恶露量 血性恶露 子宫缩复 浆液性恶露 

分 类 号：R473.71[医药卫生—护理学]