摘要
目的 探讨火龙罐促进剖宫产术后产妇肠道功能恢复的效果.方法 前瞻性纳入2022年10月至2023年10月于该院行剖宫产分娩的86例产妇为研究对象.根据随机信封法分为干预组和对照组,各43例.对照组产妇予综合性护理干预,干预组产妇在对照组基础上联合火龙罐干预.2组产妇均干预3d.记录并比较2组产妇胃肠功能恢复情况(肠鸣音恢复时间、胃肠蠕动时间、自主排气时间及肛门自行排便时间)、胃肠症状(腹胀、腹痛、恶心呕吐)发生情况、疼痛程度[视觉模拟评分表(VAS)评分]、子宫复旧情况及泌乳情况.结果 干预组产妇术后肠鸣音恢复时间、胃肠蠕动时间、自主排气时间及肛门自行排便时间均短于对照组,干预期间胃肠症状总发生率低于对照组,差异均有统计学意义(P＜0.05);干预3 d时,2组产妇VAS评分均较术后麻醉消退后1 h降低,差异均有统计学意义(P＜0.05),但2组术后麻醉消退后1 h、干预3 d的VAS评分比较,差异均无统计学意义(P＞0.05);干预3 d时,2组产妇子宫下降高度及子宫三径之和比较,差异均无统计学意义(P＞0.05);2组产妇初次泌乳时间及干预3 d泌乳量比较,差异均无统计学意义(P＞0.05).结论 火龙罐促进剖宫产术后产妇肠道功能恢复的效果显著,更有利于促进术后肠道功能恢复,减少腹胀、腹痛、恶心呕吐等胃肠症状发生,且不会对产妇疼痛、子宫复旧及泌乳情况产生明显影响,安全性较高,值得临床推广.
Abstract
Objective To explore the effect of Huolongguan therapy in promoting postpartum intestinal function recovery after cesarean section.Methods A total of 86 parturients who underwent cesarean section in our hospital from October 2022 to October 2023 were prospectively enrolled and divided into an intervention group and a control group by the random envelope method,with 43 parturients in each group.The control group received comprehensive nursing intervention,while the intervention group received Huolongguan thera-py on the basis of the comprehensive nursing intervention.Both groups were intervened for 3 days.The recov-ery of gastrointestinal function(intestinal sounds recovery time,gastrointestinal motility time,spontaneous exhaust time,and spontaneous defecation time),incidence of gastrointestinal symptoms(abdominal disten-sion,abdominal pain,nausea,and vomiting),pain intensity[assessed using the Visual Analog Scale(VAS)],uterine involution,and lactation were recorded and compared between the two groups.Results The interven-tion group had shorter intestinal sounds recovery time,gastrointestinal motility time,spontaneous exhaust time,and spontaneous defecation time after surgery compared with the control group,and a lower total inci-dence of gastrointestinal symptoms during the intervention period,with statistically significant differences(P＜0.05).At 3 days after intervention,the VAS scores of both groups were lower than those 1 hour after the anesthesia subsided postoperatively,with statistically significant differences(P＜0.05).However,there were no statistically significant differences in VAS scores between the two groups at 1 hour after anesthesia subsided postoperatively and 3 days after intervention(P＞0.05).At 3 days after intervention,there were no statistically significant differences in uterine descent height and the sum of three uterine diameters between the two groups(P＞0.05).There were also no statistically significant differences in initial lactation time and lactation volume at 3 days after intervention between the two groups(P＞0.05).Conclusion Huolongguan therapy has a significant effect in promoting intestinal function recovery after cesarean section,which is more conducive to accelerating postoperative intestinal function recovery and reducing the incidence of gastrointesti-nal symptoms such as abdominal distension,abdominal pain,nausea,and vomiting.It has high safety with no significant impact on maternal pain,uterine involution,and lactation,and is worthy of clinical promotion.
维普
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