摘要
目的探讨针灸联合厚朴排气合剂促进剖宫产术后排气的临床效果。方法选取240例剖宫产手术患者,按照患者剖宫产手术急诊或择期分为急诊组(92例)和择期组(148例)。采用随机数字表法将急诊组患者分为急诊干预组与急诊对照组,每组46例。采用随机数字表法将择期组患者分为择期干预组和择期对照组,每组74例。急诊干预组、择期干预组患者术后采用针灸联合厚朴排气合剂治疗,急诊对照组、择期对照组不进行任何处理,比较两组患者术后排气时间、肠鸣音次数、住院时间及住院费用。结果急诊干预组术后首次排气时间、第2次排气时间均短于急诊对照组,术后6 h、8 h肠鸣音次数均多于急诊对照组,差异有统计学意义(P<0.05)。择期干预组术后首次排气时间、第2次排气时间均短于择期对照组,术后6 h、8 h肠鸣音次数均多于择期对照组,差异有统计学意义(P<0.05)。急诊干预组住院时间短于急诊对照组,住院费用少于急诊对照组,差异有统计学意义(P<0.05)。择期干预组住院时间短于择期对照组,住院费用少于择期对照组,差异有统计学意义(P<0.05)。结论针灸联合厚朴排气合剂在剖宫产术后应用可缩短排气时间,对促进患者胃肠功能、术后愈合具有重要价值。
Objective To explore the clinical effect of acupuncture and moxibustion combined with Houpu exhaust gas mixture in promoting exhaust gas after cesarean section.Methods A total of 240 patients undergoing cesarean section were selected and divided into emergency group(92 cases)and elective group(148 cases)according to emergency or elective period of cesarean section.Patients in emergency group were divided into emergency intervention group and emergency control group by random number table method,with 23 cases in each group.Random-number table method was used to divide the patients in the selective group into the selective intervention group and the selective control group,with 37 patients in each group.Patients in the emergency intervention group and the elective intervention group were treated with acupuncture and moxibustion combined with Magnolia officinalis exhaust mixture after surgery,while patients in the emergency control group and the elective control group were not treated with any treatment.Postoperative exhaust time and bowel sounds frequency of patients in the two groups were compared.Results The fi rst and second time of postoperative exhaust in the emergency intervention group were shorter than those in the emergency control group,and the number of intestinal sounds 6 h and 8 h after surgery were higher than those in the emergency control group,with statistical signifi cance(P<0.05).The time of fi rst and second postoperative exhaust in the elective intervention group was shorter than that in the elective control group,and the number of intestinal sounds 6 h and 8 h after surgery was higher than that in the elective control group,with statistical signifi cance(P<0.05).The hospitalization time of the emergency intervention group was shorter than that of the emergency control group,and the hospitalization cost of the emergency intervention group was less than that of the emergency control group,the diff erence was statistically signifi cant(P<0.05).The hospitalization time of the elective intervention group was shorter than that of the elective control group,and the hospitalization cost of the elective intervention group was less than that of the elective control group,the diff erence was statistically signifi cant(P<0.05).Conclusion The application of acupuncture and moxibustion combined with Magnolia offi cinalis exhaust mixture after cesarean section can shorten the time of exhaust,and has important value in promoting gastrointestinal function and postoperative healing.
作者
廖洁慈
冯双清
郭碧辉
谢静雅
Liao Jieci;Feng Shuangqing;Guo Bihui;Xie Jingya(Huizhou Second Maternal and Child Health and Family Planning Service Center,Huizhou 516001,Guangdong,China)
出处
《实用妇科内分泌电子杂志》
2021年第2期43-46,共4页
Electronic Journal of Practical Gynecological Endocrinology
基金
惠州市科技计划项目(编号2019Y234)。
关键词
剖宫产
厚朴排气合剂
急诊手术
择期手术
针灸
Cesarean section
Magnolia Magnolia exhaust mixture
Emergency surgery
Elective surgery
Acupuncture
