多穴位贴敷联合耳穴针刺在剖宫产术后的干预效果观察  

Observation on the intervention effect of multi-acupoint application combined with ear acupuncture on postoperative cesarean section

作　　者：王美玉 刘兰芳 邱刚花 WANG Mei-yu;LIU Lan-fang;QIU Gang-hua(Department of Obstetrics and Gynecology,Nancheng County Hospital of Traditional Chinese Medicine,Fuzhou 344700,China)

机构地区：[1]南城县中医院妇产科,344700

出　　处：《中国现代药物应用》2024年第20期23-26,共4页Chinese Journal of Modern Drug Application

摘　　要：目的观察剖宫产术后采用多穴位贴敷联合耳穴针刺干预的效果。方法选取剖宫产产妇62例,依据干预方法的不同分为联合干预组和常规干预组,各31例。常规干预组产妇术后采用常规干预,联合干预组产妇术后在常规干预基础上给予多穴位贴敷联合耳穴针刺干预。比较两组产妇中医证候积分、宫底高度、恶露消失时间、血清胃泌素水平、疼痛发作次数、疼痛持续时间、疼痛程度、舒适度、术后切口瘢痕程度、日常生活活动能力、产后并发症发生情况、胃肠功能恢复情况、住院时间。结果干预后,联合干预组产妇的嗳气积分、纳差积分、肠鸣积分、腹胀积分、宫底高度、静息痛评分、动态痛评分、宫缩痛评分、温哥华瘢痕评定量表(VSS)评分、汉密尔顿抑郁量表(HAMD)评分均低于常规干预组,疼痛发作次数少于常规干预组,血清胃泌素水平、Kolcaba的舒适状况量表(GCQ)评分、改良Barthel指数评定量表(MBI)评分均高于常规干预组,恶露消失时间、疼痛持续时间短于常规干预组(P<0.05)。联合干预组产妇的产后并发症发生率3.23%低于常规干预组的25.81%(P<0.05)。联合干预组产妇的肠鸣音恢复时间(13.86±2.35)h、首次肛门排气时间(15.02±2.31)h、首次排便时间(33.75±5.46)h、住院时间(5.27±1.54)d均短于常规干预组的(19.35±3.40)h、(22.75±3.44)h、(42.84±7.5)h、(6.58±1.06)d(P<0.05)。结论产妇剖宫产术后采用多穴位贴敷联合耳穴针刺干预的效果好。Objective To observe the intervention effect of multi-acupoint application combined with ear acupuncture on postoperative cesarean section.Methods 62 parturients undergoing cesarean section were selected and divided into combined intervention group and conventional intervention group according to different intervention methods,with 31 cases in each group.After surgery,the conventional intervention group received conventional intervention,and the combined intervention group received multi-acupoint application combined with ear acupuncture based on conventional intervention.Both groups were compared in terms of traditional Chinese medicine syndrome score,fundus height,lochia disappearance time,serum gastrin level,frequency of pain attack,duration of pain,pain level,comfort level,postoperative incision scar degree,activity of daily living ability,postpartum complications,gastrointestinal function recovery and hospitalization time.Results After the intervention,the belching score,anorexia score,bowel sound score,abdominal distension score,fundus height,resting pain score,dynamic pain score,contraction pain score,Vancouver scar scale(VSS)score,Hamilton depression scale(HAMD)score in the combined intervention group were lower than those in the conventional intervention group;the frequency of pain attack in the combined intervention group were less than that in the conventional intervention group;the serum gastrin level,Kolcaba's general comfort questionnaire(GCQ)score,modified Barthel index(MBI)score in the combined intervention group were higher than those in the conventional intervention group;and the lochia disappearance time and duration of pain in the combined intervention group were shorter than those in the conventional intervention group(P<0.05).The incidence of postpartum complications in the combined intervention group was 3.23%,which was lower than 25.81%in the conventional intervention group(P<0.05).In the combined intervention group,the recovery time of bowel sound was(13.86±2.35)h,the first anal exhaust

关 键 词：剖宫产 多穴位贴敷 耳穴针刺 宫底高度 恶露消失时间 胃泌素 产后并发症 

分 类 号：R246.3[医药卫生—针灸推拿学]