Analysis of the influence of acupoint application of traditional Chinese medicine on postpartum uterine involution in cesarean section women
Objective To analyze the influence of acupoint application of traditional Chinese medicine on postpartum uterine involution in cesarean section women.Methods A total of 60 cases of cesarean section were randomly divided into a control group and an observation group,with 30 cases in each group.The control group received postpartum routine nursing,and the observation group was treated with acupoint application of traditional Chinese medicine on the basis of the control group.The distance from the middle point of the superior margin of pubic symphysis to the base of uterus,the amount of lochia,the lochia type and the bloody lochia duration were compared between the two groups.Results On the postpartum day and postpartum day 1,there was no statistically significant difference between the two groups in distance from the middle point of the superior margin of pubic symphysis to the base of uterus(P>0.05).On postpartum days 2,3 and 4,the distance from the middle point of the superior margin of pubic symphysis to the base of uterus in the observation group were(12.14±0.66),(10.16±0.57)and(8.31±0.41)cm,which were shorter than those of(14.07±0.50),(13.61±0.76)and(10.94±0.67)cm in the control group.The differences were statistically significant(P<0.05).On the postpartum day,there was no statistically significant difference in amount of lochia between the two groups(P>0.05).On postpartum days 1,2,3 and 4,the amount of lochia in the observation group were(34.84±0.60),(22.87±0.83),(13.62±0.74)and(5.76±0.81)ml,which were less than those of(36.29±0.72),(29.59±0.70),(21.81±0.68)and(13.61±0.73)ml in the control group,and the differences were statistically significant(P<0.05).The proportion of bloody lochia of 13.3%in the observation group was lower than that of 53.3%in the control group;the proportion of serous lochia of 70.0%in the observation group was higher than that of 43.3%in the control group;the bloody lochia duration of(5.61±1.23)d in the observation group was shorter than that of(8.34±1.83)d in the control group;the differences were statistically significant(P<0.05).There was no statistically significant difference in the proportion of lochia alba between the two groups(P>0.05).Conclusion Acupoint application of traditional Chinese medicine after cesarean section is effective,which is conducive to rapid recovery of the uterus,reduce postpartum amount of lochia,shorten the duration of lochia,effectively avoid the occurrence of incomplete uterine rehabilitation,and significantly improve the maternal prognosis,which can be used for reference.
Acupoint application of traditional Chinese medicineCesarean sectionUterine involutionAmount of lochiaBloody lochiaUterine retractionSerous lochia