摘要
目的:观察中医综合治疗与护理技术对不同分娩方式产妇产褥期早期康复效果的影响。方法:以381例产妇作为研究对象(自然分娩235例,剖宫产146例)。采用区组随机分组方法,分为对照组(自然分娩117例,剖宫产73例)和观察组(自然分娩118例,剖宫产73例)。2组均于分娩后常规给予抗感染和缩宫素注射液,并予外阴护理、乳房护理、产后会阴伤口护理和健康宣教等综合措施,观察组加予耳穴埋豆、贴压穴位催乳、中药足浴、督脉中药熏蒸和产后康复耦合贴片结合超声药物透入疗法等中医综合治疗与护理技术。2组疗程均为4~5天。采用产后疲乏量表评价产后身体疲乏情况,以疼痛数字评分法(NRS)评价疼痛情况,以阿森斯失眠量表(AIS-5)评价睡眠情况,并观察泌乳情况和早期子宫恢复情况。结果:观察组自然分娩产妇和剖宫产产妇的身体疲乏程度评分、NRS评分、睡眠情况评分均低于对照组(P<0.01),泌乳情况评分均高于对照组(P<0.01),排尿时间、首次排气时间和泌乳时间均早于对照组(P<0.01)。观察组自然分娩、剖宫产产妇的早期子宫恢复情况均优于对照组(P<0.01,P<0.05)。观察组自然分娩产妇的涨奶率7.63%,低于对照组的17.95%(P<0.05);观察组剖宫产产妇的涨奶率9.59%,低于对照组的21.92%(P<0.05)。结论:在常规产后用药和护理的基础上加用中医综合治疗与护理技术,可有效改善产妇的焦虑紧张情绪、睡眠情况,调节内分泌,促进手术后胃肠道功能的恢复及产后子宫复旧,使机体加快康复,并有催乳作用。
Objective:To observe the effect of comprehensive treatment and nursing techniques of Chinese medicine on early rehabilitation in puerperium of puerperas with different modes of delivery.Methods:A total of 381 cases of puerperas were selected as the study subjects,of which 235 cases were with spontaneous delivery and 146 with cesarean section.According to the block randomization method,puerperas were divided into the control group(117 cases with spontaneous delivery and 73 cases with cesarean section)and the observation group(118 cases with spontaneous delivery and 73 cases with cesarean section).After delivery,both groups were routinely given injection of anti-infection and oxytocin,and received comprehensive measures including nursing for vulva,breasts and postpartum wounds as well as health education.The observation group was additionally given comprehensive treatment and nursing techniques of Chinese medicine including auricular acupoint pressing with beans,point application to promote lactation,foot bath with Chinese herbal medicine,Chinese herbal fumigation on the governor vessel and coupled patch for postpartum rehabilitation combined with phonophoresis.Both groups were treated for four to five days.Postpartum physical fatigue was evaluated by Postpartum Fatigue Scale(PFS),the pain condition was evaluated by Numerical Rating Scale(NRS),and the sleep status was evaluated by Athens Insomnia Scale(AIS-5),the lactation and uterine recovery in early stage were observed.Results:When compared with those in the puerperas with spontaneous delivery and cesarean section in the control group respectively,in the observation group,the scores of PFS,NRS and sleep status were lower(P<0.01),the scores of lactation were higher(P<0.01),and urination time,the first exhaust time and lactating time were all earlier(P<0.01).Uterine recovery in early stage in puerperas with spontaneous delivery and cesarean section in the observation group was better than that in the control group respectively(P<0.01,P<0.05).The engorgement rate was 7.63%in puerperas with spontaneous delivery in the observation group,lower than that of 17.95%in those in the control group(P<0.05);the engorgement rate was 9.59%in puerperas with cesarean section in the observation group,lower than that of 21.92%in those in the control group(P<0.05).Conclusion:The additional application of comprehensive treatment and nursing techniques of Chinese medicine based on routine postpartum medication and nursing can effectively improve puerperas’anxiety,stress and sleep status,regulate endocrine,promote the recovery of gastrointestinal function and the uterine involution after surgery,accelerate the recovery of the body and promote lactation.
作者
夏海琴
严海浓
潘胖娥
罗瑜
张雪芬
XIA Haiqin;YAN Hainong;PAN Pangye;LUO Yu;ZHANG Xuefen
出处
《新中医》
CAS
2019年第12期292-295,共4页
New Chinese Medicine
基金
宁海县社会发展类（卫生系统）科技计划项目（200710）
关键词
产褥期
早期康复
中医护理
耳穴埋豆
穴位贴敷
中药足浴
中药熏蒸
超声药物透入疗法
Puerperium
Early rehabilitation
Chinese medicine nursing
Auricular acupoint pressing with beans
Point application
Foot bath with Chinese herbal medicine
Chinese herbal fumigation
Phonophoresis
