足三里穴位注射新斯的明联合低频电刺激治疗产妇剖宫产术后肠麻痹的效果  

Effect of Neostigmine injection at Zusanli acupoint combined with low frequency electrical stimulation treating intestinal paralysis after cesarean section in parturients

作　　者：韦庆芳[1] WEI Qingfang(Department of Obstetrics,the Second Nanning People’s Hospital,Guangxi Zhuang Autonomous Region,Nanning 530031,China)

机构地区：[1]南宁市第二人民医院产科,广西南宁530031

出　　处：《妇儿健康导刊》2025年第6期82-86,共5页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

基　　金：广西壮族自治区中医药管理局自筹经费科研课题(GXZYA20220360)。

摘　　要：目的 探讨足三里穴位注射新斯的明联合低频电刺激治疗产妇剖宫产术后肠麻痹的效果。方法 收集2022年7月至2024年6月于南宁市第二人民医院产科行子宫下段剖宫产手术,术后出现肠麻痹的产妇100例,按随机数字表法分为对照组(50例,足三里穴位注射新斯的明治疗)及观察组(50例,足三里穴位注射新斯的明+低频电刺激治疗)。比较两组治疗前后腹胀便秘症状积分、治疗后首次自主排气时间、首次自主排便时间及临床疗效。结果 治疗后各组腹胀便秘症状积分均下降,治疗后观察组积分与对照组存在差异(P <0.05);观察组治疗后首次排气、排便时间较对照组缩短(P <0.05);观察组临床疗效优于对照组(P <0.05);两组总有效率比较无差异(P> 0.05)。结论 足三里穴位注射新斯的明联合低频电刺激治疗产妇剖宫产术后肠麻痹,能更早恢复胃肠道功能,促进排气、通便,缓解腹胀、便秘等消化道症状。Objective To explore the effect of Neostigmine injection at Zusanli acupoint combined with low frequency electrical stimulation treating intestinal paralysis after cesarean section in parturients.Methods From July 2022 to June 2024,100 parturients who underwent cesarean section of the lower uterine segment in the Department of Obstetrics,the Second Nanning People's Hospital and developed intestinal paralysis after operation were collected.According to the random number table method,they were divided into control group(50 cases,Neostigmine injection at Zusanli acupoint) and observation group(50 cases,injection of Neostigmine at Zusanli acupoint+low frequency electrical stimulation).The scores of abdominal distension and constipation symptoms before and after treatment,the first spontaneous exhaust time,the first spontaneous defecation time after treatment,and the clinical efficacy of the two groups were compared.Results After treatment,the scores of abdominal distension and constipation symptoms in each group decreased,and there was a difference between the observation group and the control group(P < 0.05).After treatment,the first exhaust and defecation time in the observation group were shorter than those in the control group(P < 0.05).The clinical efficacy of the observation group was better than that of the control group(P < 0.05).There was no difference in the total effective rate between the two groups(P > 0.05).Conclusion Neostigmine injection at Zusanli acupoint combined with low frequency electrical stimulation in the treatment of parturients with intestinal paralysis after cesarean section can restore gastrointestinal function earlier,promote exhaust and defecation,relieve abdominal distension,constipation and other gastrointestinal symptoms.

关 键 词：足三里穴位注射 新斯的明 低频电刺激 剖宫产 术后肠麻痹 

分 类 号：R714[医药卫生—妇产科学]