艾灸穴位护理联合参神枣艾汤加味对剖宫产术后气虚血瘀证产妇胃肠功能障碍的影响  

Influence of Moxibustion Combined with Modified Shenshen Zaoai Tang on Gastrointestinal Dysfunction in Cases After Caesarean Section of Qi Deficiency and Blood Stagnation Pattern

作　　者：严燕 王晓玲 张文卿 余小琴 YAN Yan;WANG Xiaoling;ZHANG Wenqing;YU Xiaoqin(Lu'an Hospital of Traditional Chinese Medicine of Anhui Province,Lu'an 237006,China;North Anhui Health Vocational College,Suzhou 234000,China)

机构地区：[1]六安市中医医院,安徽六安237006 [2]安徽省皖北卫生职业学院,安徽宿州234000

出　　处：《西部中医药》2025年第2期152-155,共4页Western Journal of Traditional Chinese Medicine

基　　金：安徽省教育厅自然科学研究重点项目(KJ2021A1568)。

摘　　要：目的:观察艾灸足三里、中脘穴联合参神枣艾汤加味对剖宫产术后气虚血瘀证产妇胃肠功能障碍的改善效果。方法:将80例行子宫下段剖宫产分娩的足月妊娠产妇按随机数字表法分为对照组和治疗组各40例。对照组采取术后常规治疗措施,治疗组在对照组基础上采取艾灸足三里、中脘穴护理联合参神枣艾汤加味治疗,两组连续治疗3天。比较两组产妇症状体征改善时间(首次肛门排气、排便以及肠鸣音恢复时间)、胃肠功能障碍评分、临床疗效以及不良反应发生情况。结果:治疗组产妇首次肛门排气排便及肠鸣音恢复时间均短于对照组(P<0.01);两组产妇胃肠功能障碍评分均降低(P<0.01),治疗组降低程度更明显(P<0.01);总有效率治疗组[97.50%(39/40)]高于对照组[80.00%(32/40)](P<0.01);不良反应总发生率治疗组[7.50%(3/40)]低于对照组[27.50%(11/40)](P<0.01)。结论:艾灸足三里、中脘穴护理联合参神枣艾汤加味治疗剖宫产术后气虚血瘀证产妇胃肠功能障碍疗效优于常规治疗,且能降低不良反应发生率。Objective:To investigate the effects of moxibustion of Zusanli(ST36)and Zhongwan(RN12)combined with modified Shenshen Zaoai Tang on gastrointestinal dysfunction in Qi deficiency and blood stasis type of patients after cesarean section(CS).Methods:Eighty patients who underwent CS were allocated to the control group and the treatment group according to random number table method with 40 cases in each group.The control group accepted postoperative conventional therapeutic measures,moxibustion of Zusanli and Zhongwan combined with modified Shenshen Zaoai Tang was administered to the treatment group,both groups were treated for three consecutive days.To compare the time to the improvement of the symptom and body signs(the time of first anal exhaust,defecation and borborygmus),the scores of gastrointestinal dysfunction,clinical effects and the incidence of adverse reaction between both groups.Results:The treatment group was shorter than the control group in the time of first anal exhaust,defecation and borborygmus(P<0.01);the scores of gastrointestinal dysfunction were reduced in the two groups(P<0.01),and the decrease of the treatment group was more apparent(P<0.01);total effective rate of the treatment group was[97.50%(39/40)],higher than[80.00%(32/40)]of the control group(P<0.01);the incidence of adverse reaction of the treatment group was[7.50%(3/40)],lower than[27.50%(11/40)]of the control group(P<0.01).Conclusion:Moxibustion of Zusanli and Zhongwan combined with modified Shenshen Zaoai Tang is better than conventional therapy in the treatment of gastrointestinal dysfunction in Qi deficiency and blood stasis type of patients after CS,and it could reduce the incidence of adverse reaction.

关 键 词：剖宫产 胃肠功能 气虚血瘀证 艾灸 参神枣艾汤 

分 类 号：R271.43[医药卫生—中医妇科学]