低频电刺激联合穴位贴敷对人工流产术后子宫康复效果及月经恢复时间的影响观察  

Observations on the effects of low-frequency electrical stimulation combined with acupoint application on uterine rehabilitation and menstrual recovery time after induced abortion

作　　者：张宇 ZHANG Yu(Zaozhuang Maternal and Child Health Hospital,Zaozhuang 277100,China)

机构地区：[1]枣庄市妇幼保健院,277100

出　　处：《中国现代药物应用》2024年第10期138-141,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探究对人工流产术后患者给予低频电刺激联合穴位贴敷治疗的有效性,并观察对其子宫康复效果、月经恢复时间的影响。方法选取70例人工流产术患者,根据电脑随机法将其分成对照组和观察组,每组35例。对照组将低频电刺激作为治疗方案,观察组将低频电刺激联合穴位贴敷作为治疗方案。比较两组治疗前后性激素(血清人绒毛膜促性腺激素、孕酮以及雌二醇)、子宫血流动力学指标[搏动指数(PI)、阻力指数(RI)、收缩期峰值血流与舒张期末流速比(S/D)]及康复效果、月经恢复时间、子宫内膜厚度。结果两组治疗后血清人绒毛膜促性腺激素、孕酮以及雌二醇水平较同组治疗前均降低,且观察组血清人绒毛膜促性腺激素(153.78±31.40)mIU/ml、孕酮(15.16±3.14)ng/ml以及雌二醇(56.47±9.63)pg/ml低于对照组的(188.69±36.21)mIU/ml、(17.14±4.05)ng/ml、(60.75±5.29)pg/ml,差异有统计学意义(P<0.05)。两组治疗后子宫内膜螺旋动脉RI、PI、S/D较本组治疗前均降低,且观察组子宫内膜螺旋动脉RI(0.51±0.10)、PI(0.75±0.11)、S/D(2.18±0.17)低于对照组的(0.59±0.06)、(0.86±0.19)、(2.43±0.21),差异有统计学意义(P<0.05)。观察组康复总有效率91.43%高于对照组的71.43%,差异有统计学意义(P<0.05)。观察组月经恢复时间以及子宫内膜厚度均优于对照组,差异有统计学意义(P<0.05)。结论临床将低频电刺激联合穴位贴敷应用于人工流产术后方法可行,其能够改善患者性激素、子宫血流动力学,提升子宫康复效果,促进月经早日恢复。Objective To explore the effectiveness of low-frequency electrical stimulation combined with acupoint application for patients after induced abortion,and observe its influence of uterine rehabilitation and menstrual recovery time.Methods A total of 70 induced abortion patients were divided into a control group and an observation group according to computer random method,with 35 cases in each group.In the control group,low-frequency electrical stimulation was used as the treatment program,while in the observation group,low-frequency electrical stimulation combined with acupoint application was used as the treatment program.Both groups were compared in terms of sex hormones(human chorionic gonadotropin,progesterone and estradiol in serum),uterine hemodynamic parameters[pulse index(PI),resistance index(RI),peak systolic velocity/end diastolic velocity(S/D)],rehabilitation effect,menstrual recovery time and endometrial thickness before and after treatment.Results After treatment,the serum levels of human chorionic gonadotropin,progesterone and estradiol in both groups were lower than those before treatment;the observation group had serum human chorionic gonadotropin of(153.78±31.40)mIU/ml,progesterone of(15.16±3.14)ng/ml and estradiol of(56.47±9.63)pg/ml,which were lower than(188.69±36.21)mIU/ml,(17.14±4.05)ng/ml and(60.75±5.29)pg/ml in the control group;the difference was statistically significant(P<0.05).After treatment,RI,PI and S/D of endometrial spiral artery in both groups were decreased compared with those before treatment;RI,PI and S/D of endometrial spiral artery in the observation group were(0.51±0.10),(0.75±0.11)and(2.18±0.17),which were lower than(0.59±0.06),(0.86±0.19)and(2.43±0.21)in the control group;the difference was statistically significant(P<0.05).The total effective rate of rehabilitation in the observation group was 91.43%,which was higher than 71.43%in the control group,and the difference was statistically significant(P<0.05).The menstrual recovery time and endometrial thickness in

关 键 词：低频电刺激 穴位贴敷 人工流产术 子宫康复 月经恢复 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]