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中药保留灌肠联合腹部推拿用于产后便秘的效果观察

Effect of Chinese Medicinal Retention Enema Combined with Abdominal Massage on Postpartum Constipation

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目的:观察中药保留灌肠联合腹部推拿在产后便秘的应用效果.方法:将我院2023年1~12月收治的产后便秘患者78例随机分为观察组和对照组,每组39例.对照组患者采用一次性医用排便清肠器灌肠联合腹部推拿治疗,观察组患者采用中药保留灌肠联合腹部推拿治疗,比较2组患者症状缓解时间和排便恢复正常时间、便秘症状积分以及2 d、4 d、6 d时的舒适度评分变化情况.结果:观察组患者症状缓解时间及排便恢复正常时间均明显短于对照组(P<0.05).治疗前2组患者便秘症状积分比较差异无统计学意义(P>0.05);治疗后2组患者便秘症状积分均低于治疗前,且观察组低于对照组(P<0.05).观察组患者2 d、4 d、6 d舒适度评分均高于对照组(P<0.05).结论:中药保留灌肠联合腹部推拿用于产后便秘效果显著,可有效改善便秘症状,提高患者舒适度.
Objective To observe the effect of Chinese medicinal retention enema combined with abdomi-nal massage on postpartum constipation.Methods Total 78 patients with postpartum constipation ad-mitted to our hospital from January to December 2023 were randomly divided into observation group and control group,with 39 cases in each group.The control group was treated with disposable medical intestinal clearer enema combined with abdominal massage,while the observation group was treated with Chinese medicinal retention enema combined with abdominal massage.Symptom relief time,defecation recovery time,constipation symptom scores and comfort scores of the 2nd,4th and 6th days were compared between the two groups.Results Symptom relief time and defecation recovery time in the observation group were significantly shorter than those in the control group(P<0.05).Before treatment,there was no sig-nificant difference in constipation symptom scores between the two groups(P>0.05).After treatment,constipation symptom scores of the two groups were lower than before treatment,which were lower in the observation group than in the control group(P<0.05).The comfort scores of the observation group were higher than those of the control group on the 2nd,4th and 6th days(P<0.05).Conclusion Chinese medicinal retention enema combined with abdominal massage is effective for postpartum constipation,which can effectively relieve the symptoms of constipation and improve the comfort of patients.

Postpartum constipationChinese medicinal retention enemaAbdominal massage

王迪

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山东省聊城市东昌府区妇幼保健院(山东 聊城 252000)

产后便秘 中药保留灌肠 腹部推拿

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(4)
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