首页|火龙罐促进剖宫产术后产妇肠道功能恢复的效果观察

火龙罐促进剖宫产术后产妇肠道功能恢复的效果观察

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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。
Observation on the effect of Huolongguan therapy in promoting postpartum intestinal function recovery after cesarean section
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.

Huolongguan therapyCesarean sectionIntestinal functionRecoveryTraditional Chinese medicine nursing

罗杨柳、上官凤娇、黄燕虹

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泉州市中医院产科,福建泉州 362000

泉州市中医院骨伤科,福建泉州 362000

泉州市中医院心血管科,福建泉州 362000

火龙罐 剖宫产 肠道功能 恢复 中医护理

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(24)