雷火灸、芒硝外敷联合红外线理疗对产钳助产产妇会阴伤口愈合的影响  

Effect of Thunder-fire Moxibustion,External Application of Mirabilite Combined with Infrared Physiotherapy on Perineal Wound Healing in Puerpera with Forceps Assisted Delivery

作　　者：李莲丽 时增玉[1] 李娇娥[1] 龚桂香[1] LI Lianli;SHI Zengyu;LI Jiao’e;GONG Guixiang(Guangxi Zhuang Autonomous Region Nanxishan Hospital,Guilin 541002,China;不详)

机构地区：[1]广西壮族自治区南溪山医院,广西桂林541002

出　　处：《中外医学研究》2024年第5期148-152,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：广西壮族自治区中医药管理局自筹经费科研项目(GXZYC20220197)。

摘　　要：目的:分析雷火灸、芒硝外敷联合红外线理疗对产钳助产产妇会阴伤口愈合的影响。方法:选取2022年1月—2023年1月广西壮族自治区南溪山医院收治的60例因产钳助产致会阴伤口产妇作为研究对象,采用随机数表法将其分为对照组和观察组,各30例。对照组采用常规干预,观察组采用雷火灸、芒硝外敷联合红外线理疗干预,比较两组产妇会阴伤口水肿、血肿、疼痛消退时间,会阴伤口愈合时间,会阴伤口愈合等级,血清血管内皮生长因子(VEGF)、P物质(SP)、5-羟色胺(5-HT)水平、性生活质量及满意度。结果:观察组伤口水肿、血肿、疼痛消退时间及会阴伤口愈合时间短于对照组,会阴伤口甲级愈合率高于对照组,差异有统计学意义(P<0.05)。干预前,两组血清VEGF、SP、5-HT水平比较,差异无统计学意义(P>0.05);干预后,两组血清VEGF水平高于干预前,且观察组高于对照组,两组血清5-HT和SP水平低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组性生活质量和产妇总满意度均高于对照组,差异有统计学意义(P<0.05)。结论:雷火灸、芒硝外敷联合红外线理疗应用于产钳助产产妇会阴伤口愈合中的应用效果更显著,且能缩短会阴伤口愈合时间,缓解疼痛,从而提高产妇性生活质量及满意度。Objective:To analyze the effect of thunder-fire moxibustion,external application of Mirabilite combined with infrared physiotherapy on perineal wound healing in puerpera with forceps assisted delivery.Method:From January 2022 to January 2023,60 parturients with perineal wounds caused by forceps assisted delivery who admitted to Guangxi Zhuang Autonomous Region Nanxishan Hospital were selected as the research objects,they were divided into the control group and the observation group by random number table method,with 30 cases in each group.The control group was given routine intervention,the observation group was given thunderfire moxibustion,external application combined with infrared physiotherapy intervention,the perineal wound edema,hematoma,pain regression time and perineal wound healing time,perineal wound healing grade,serum vascular endothelial growth factor(VEGF),substance P(SP),5-hydroxytryptamine(5-HT)levels,quality of sexual life and satisfaction were compared between the two groups.Result:The perineal wound edema,hematoma,pain regression time and perineal wound healing time in the observation group were shorter than those in the control group,and the grade A healing rate of perineal wound was higher than that in the control group,the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in serum VEGF,SP and 5-HT levels between two groups(P>0.05);after intervention,the levels of serum VEGF in two groups were higher than those before intervention,and those in the observation group were higher than those in the control group,the levels of serum 5-HT and SP in two groups were lower than those before intervention,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The quality of sexual life and puerpera total satisfaction of the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The applicatio

关 键 词：雷火灸 芒硝外敷 红外线理疗 产钳助产 会阴伤口 

分 类 号：R717[医药卫生—妇产科学]