摘要
目的 探讨排气汤治疗剖宫产术后产妇泌乳素水平及胃肠功能恢复的影响.方法 选取2022年1月至2023年5月菏泽市妇幼保健院92例剖宫产术后产妇作为研究对象,按照随机数字表法将其分为对照组(n=46)与研究组(n=46),对照组给予常规对症支持治疗,研究组在对照组的基础上给予排气汤治疗,比较两组产妇泌乳素水平、胃肠功能恢复、胃肠激素水平及中医证候积分.结果 两组产妇治疗后的泌乳素水平高于本组治疗前,研究组产妇治疗后的泌乳素水平高于对照组,差异有统计学意义(P＜0.05);研究组产妇的肠鸣音恢复、首次排气、首次排便、开始进食、首次进食固体食物时间短于对照组,差异有统计学意义(P＜0.05);两组产妇治疗后的胃动素(MTL)、胃泌素(GAS)水平高于本组治疗前,胆囊收缩素(CCK)、血管活性肠肽(VIP)水平低于本组治疗前,研究组产妇治疗后的MTL、GAS水平高于对照组,CCK、VIP水平低于对照组,差异有统计学意义(P＜0.05);两组产妇治疗后的中医证候(恶心、腹痛、腹胀、呕吐)积分低于本组治疗前,研究组产妇治疗后的中医证候积分低于对照组,差异有统计学意义(P＜0.05).结论 剖宫产术后采用排气汤能够改善产妇泌乳素水平及胃肠激素水平,促进胃肠功能恢复,缓解恶心、腹痛、腹胀、呕吐症状.
Abstract
Objective To explore the effect of exhaust soup on prolactin level and gastrointestinal function recovery of par-turients after cesarean section.Methods A total of 92 parturients after cesarean section in Heze Maternal and Child Health Hospital from January 2022 to May 2023 were selected as the research objects.According to the random number table method,they were divided into the control group(n=46)and the study group(n=46).The control group was given routine symptomatic and supportive treatment,and the study group was given exhaust soup treatment on the basis of the control group.Results The levels of prolactin in the two groups after treatment were higher than those before treatment,and the lev-el of prolactin in the study group after treatment was higher than that in the control group,the differences were statistically significant(P＜0.05).The recovery time of bowel sound,first exhaust,first defecation,first eating and first eating of solid food in the study group were shorter than those in the control group,and the differences were statistically significant(P＜0.05).After treatment,the levels of motilin(MTL)and gastrin(GAS)in the two groups were higher than those before treat-ment,the levels of cholecystokinin(CCK)and vasoactive intestinal peptide(VIP)in the two groups were lower than those be-fore treatment,the levels of MTL and GAS in the study group were higher than those in the control group,and the levels of CCK and VIP were lower than those in the control group,the differences were statistically significant(P＜0.05).The scores of traditional Chinese medicine syndrome(nausea,abdominal pain,abdominal distension,vomiting)after treatment in the two groups were lower than those before treatment,and the scores of traditional Chinese medicine syndrome in the study group were lower than those in the control group,with statistical significances(P＜0.05).Conclusion The application of ex-haust soup after cesarean section can improve the level of prolactin and gastrointestinal hormone of parturients,promote the recovery of gastrointestinal function,relieve nausea,abdominal pain,abdominal distension and vomiting.
维普
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