摘要
目的:探究“生化汤”裁减热敷干预经阴道分娩产妇对其产后宫缩痛及子宫复旧的影响。方法:选取2022年1月~12月厦门市妇幼保健院收治的84例产妇作为研究对象,随机分为对照组与观察组各42例。对照组根据产妇情况予以缩宫素注射进行常规治疗,观察组在对照组的基础上采用“生化汤”裁减热敷的方式进行干预。比较干预3 d后两组患者产后恢复疗效,比较干预前(产后4 h)、干预3 d后宫缩痛水平[中文简版McGill疼痛问卷(SF-MPQ)]、子宫复旧情况以及血流指标差异,记录产后4 w内产妇不良情况发生率。结果:干预3 d后,观察组疗效优于对照组(P<0.05);干预3 d后,两组产妇宫缩痛水平评分、子宫三径以及子宫高度、血流指标均较干预前低,且观察组上述评分低于对照组,差异有统计学意义(P<0.05);干预后4 w内,两组产妇尿潴留、恶露不绝、腹痛的不良情况发生率比较差异无统计学意义(P>0.05)。结论:对经阴道分娩产妇产后进行“生化汤”裁减热敷干预后,可有效改善产妇宫缩痛水平与血流指标情况,利于产妇子宫复旧,降低产妇产后不良情况发生率。
Objective To investigate the effect of"Shenghua Tang"reduction hot compress intervention on postpartum uterine contractions and uterine involution in women undergoing vaginal delivery.Method 84 postpartum women admitted to our outpatient department from January 2022 to December 2022 were selected as the study subjects,and they were divided into a control group(n=42)and an observation group(n=42)using a stratified randomization method.The control group received routine treatment with oxytocin injection based on the condition of the postpartum women,while the observation group received intervention by reducing hot compress with"Shenghua Tang"on the basis of the control group.Compare the efficacy of postpartum recovery between the two groups of patients after 3 days of intervention,compare the level of uterine contraction pain before intervention(4 hours postpartum)and after 3 days of intervention[Chinese Simplified McGill Pain Questionnaire(SF-MPQ)],uterine involution,and differences in blood flow indicators,and record the incidence of adverse events in postpartum women within 4 weeks.Results After 3 days of intervention,the therapeutic effect of the observation group was better than that of the control group(P<0.05);The uterine contraction pain level score,uterine diameter,uterine height,and blood flow indicators of the two groups of postpartum women were lower than before intervention,and the above scores in the observation group were lower than those in the control group(P<0.05);Within 4 weeks after the intervention,there was no statistical difference in the incidence of adverse conditions of urinary retention,lochia and abdominal pain between the two groups(P>0.05).Conclusion After using"Shenghua Tang"to reduce hot compress intervention in postpartum women undergoing vaginal delivery,it can effectively improve the level of uterine contractions,facilitate uterine involution,improve blood flow indicators,and reduce the incidence of postpartum adverse events.
作者
吴丽丽
陈景海
张艳红
黄华花
WU Li-Li;CHEN Jing-Hai;ZHANG Yan-Hong(Gynecology of traditional Chinese medicine,Xiamen maternal and child health hospital,Xiamen 361003,Fujian,China)
出处
《吉林医学》
CAS
2024年第7期1663-1666,共4页
Jilin Medical Journal
基金
福建省高校人文社会科学研究基地传统本草文化传承研究中心开放基金[项目编号:XMMC-CMC202009]。
关键词
生化汤
热敷
阴道分娩
宫缩痛
子宫复旧
Shenghua Tang
Hot compress
Vaginal delivery
Uterine contractions pain
Uterine involution
