穴位敷贴联合维生素B_(1)肌内注射治疗在剖宫产术后肠胀气患者中的应用效果  

Application effect of acupoint application combined with intramuscular injection of vitamin B_(1)in patients with intestinal flatulence after cesarean section

作　　者：徐颖 周愉希 王珺 XU Ying;ZHOU Yuxi;WANG Jun(Department of Obstetrics,Shangrao Maternal and Child Health Hospital,Jiangxi Province,Shangrao334000,China)

机构地区：[1]江西省上饶市妇幼保健院产科,江西上饶334000

出　　处：《中国当代医药》2024年第22期76-80,共5页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2023B0859)。

摘　　要：目的探讨穴位敷贴联合维生素B_(1)肌内注射治疗在剖宫产术后肠胀气患者中的应用效果。方法选取2022年10月至2023年10月于上饶市妇幼保健院行剖宫产术后发生肠胀气的70例患者作为研究对象,采用随机数字表法将其分为对照组与观察组,每组各35例。对照组采用维生素B_(1)治疗,观察组采用维生素B_(1)联合穴位敷贴治疗。比较两组患者的症状改善时间、腹胀情况、肠胀气症状评分、焦虑程度[汉密尔顿焦虑情绪量表(HAMA)]、疼痛程度[视觉模拟评分量表(VAS)]、生活质量。结果观察组的肠鸣音恢复时间、肛门首次排气时间、首次排便时间均短于对照组,差异有统计学意义(P<0.05)。观察组治疗后的腹胀情况优于对照组,差异有统计学意义(P<0.05)。两组患者治疗前的肠胀气症状评分比较,差异无统计学意义(P>0.05);观察组治疗后的腹痛、腹胀、恶心呕吐症状评分均低于对照组,差异有统计学意义(P<0.05)。两组治疗前的HAMA、VAS评分比较,差异无统计学意义(P>0.05);观察组治疗后的HAMA、VAS评分均低于对照组,差异有统计学意义(P<0.05);两组患者治疗前的生活质量中生理评分、心理评分、环境评分、社会评分比较,差异无统计学意义(P>0.05),观察组治疗后的生活质量四个维度评分均高于对照组,差异有统计学意义(P<0.05)。结论穴位敷贴联合维生素B_(1)肌内注射治疗在剖宫产术后肠胀气可以改善症状及焦虑程度,减轻疼痛,提高生活质量。Objective To investigate the application effect of acupoint application combined with intramuscular injection of vitamin B_(1)in patients with intestinal flatulence after cesarean section.Methods A total of 70 patients with intestinal flatulence undergoing cesarean section in Shangrao Maternal and Child Health Hospital from October 2022 to October 2023 were selected as research objects.According to random number table method,they were divided into control group and observation group,with 35 cases in each group.The control group was treated with vitamin B_(1),and the observation group was treated with vitamin B_(1)combined with acupoint application.The improvement time of symptoms,abdominal distension,scores of flatulence symptoms,anxiety(Hamilton anxiety scale[HAMA]),pain(visual analogue scale[VAS])and quality of life in the two groups were compared.Results The recovery time of bowel sound,first anal exhaust time and first defecation time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The abdominal distension of the observation group after treatment was better than that of the control group,and the difference was statistically significant(P<0.05).There were no significant difference in flatulence symptom scores between the two groups before treatment(P>0.05).After treatment,the scores of abdominal pain,abdominal distension,nausea and vomiting in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There were no statistically significant differences in HAMA and VAS scores between the two groups before treatment(P>0.05).After treatment,the HAMA and VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).There were no statistically significant differences in the scores of physiological,psychological,environmental and social quality of life between the two groups before treatment(P>0.05

关 键 词：剖宫产 肠胀气 穴位敷贴 维生素B_(1) 

分 类 号：R719.8[医药卫生—妇产科学]