Gustafson Jamie L, Dong Fanglong, Duong Jennifer, Kuhlmann Zachary C
University of Kansas School of Medicine-Wichita, Department of Obstetrics and Gynecology.
Western University of Health Sciences, Pomona, California.
Kans J Med. 2018 May 18;11(2):1-19. eCollection 2018 May.
A potential non-pharmacologic way to reduce postoperative pain and bleeding is using an abdominal binder during postoperative recovery. This study aims to determine the effect an elastic abdominal binder has on postoperative pain and hemorrhage after cesarean delivery.
A randomized, single-site, pilot trial was conducted at two prenatal care clinics and an academic hospital in Kansas. Beginning in April 2013, 60 patients were enrolled if delivering via cesarean. Participants were randomized to receive an abdominal binder or to a control group (did not use binder). Pain levels were reported by questionnaire one day after surgery using a 0 to 10 scale, with 10 being the worst pain. Patient characteristics and blood loss were assessed by medical record review.
Of the 56 patients completing the study, 29 (51.8%) were randomized to the binder group and 27 (48.2%) were randomized to the control group. The binder group reported significantly lower pain score (p = 0.019) and average pain score (p = 0.024). There was no difference in body mass index, age, previous surgery, infant birth weight, estimated blood loss, and average dose of pain medication during the first 24 hours after the cesarean delivery between the two groups. There was no difference in pre- and post-operative hemoglobin levels by treatment group (p = 0.406).
Abdominal binders may be associated with improved postoperative pain scores but did not affect postoperative hemorrhage.
术后恢复期间使用腹部束带是一种潜在的非药物减轻术后疼痛和出血的方法。本研究旨在确定弹性腹部束带对剖宫产术后疼痛和出血的影响。
在堪萨斯州的两家产前护理诊所和一家学术医院进行了一项随机、单中心的试点试验。从2013年4月开始，60例剖宫产分娩的患者被纳入研究。参与者被随机分为接受腹部束带组或对照组（不使用束带）。术后一天通过问卷报告疼痛程度，采用0至10分制，10分为最严重疼痛。通过病历审查评估患者特征和失血量。
在完成研究的56例患者中，29例（51.8%）被随机分配到束带组，27例（48.2%）被随机分配到对照组。束带组报告的疼痛评分显著更低（p = 0.019）和平均疼痛评分更低（p = 0.024）。两组在剖宫产术后24小时内的体重指数、年龄、既往手术史、婴儿出生体重、估计失血量和平均止痛药剂量方面无差异。治疗组术前和术后血红蛋白水平无差异（p = 0.406）。
腹部束带可能与术后疼痛评分改善有关，但不影响术后出血情况。
