Mu Li, Gao Hui, Zhao Mai-Liang, Ren Hong-Fen, Ma Hua-Shu
Derpartment of Surgery, Xingtai People's Hospital, Xingtai 054001, Hebei Province, China.
Derpartment of Emergency, Xingtai People's Hospital, Xingtai 054001, Hebei Province, China.
Zhongguo Zhen Jiu. 2019 Mar 12;39(3):259-62. doi: 10.13703/j.0255-2930.2019.03.010.
To explore the effect on the recovery of gastrointestinal function after cesarean section treated with transcutaneous electrical acupoint stimulation at Zusanli (ST 36) on the basis of routine treatment.
A total of 110 primiparas after cesarean section were randomized into an observation group and a control group, 55 cases in each one. The conventional treatment was applied in the two groups, after operation, transcutaneous electrical acupoint stimulation at Zusanli (ST 36) was used immediately in the observation group, the skin electrode of disposable anti-magnetic buckle was attached to Zusanli (ST 36) and the corresponding part of the inner lower leg, with disperse-dense wave, 30 Hz/60 Hz and 15-20 mA. The treatment was given for 30 min every time, once every 8 h, until the end of the first bowel movement. The recovery of gastrointestinal function after cesarean section (the restoring time of borborygmus, the time of first anal exsufflation and the first defecation time), the time of secretion of foremilk, complications (abdominal distension, abdominal pain, nausea etc.), hospital stays after operation and the satisfaction of primiparas after bowel movement were compared between the two groups.
The observation group was superior to the control group in the restoring time of borborygmus, the time of first anal exsufflation, the first defecation time and the time of secretion of foremilk (<0.01, <0.05). In the observation group, the incidence of postoperative complications such as abdominal pain, abdominal distension and nausea was 3.6% (2/55), which was lower than 16.4% (9/55) in the control group (<0.05). Compared with the control group, the observation group had shorter hospital stays (<0.01). The satisfaction of effect was 89.1% (49/55) in the observation group, which was superior to 72.7% (40/55) in the control group (<0.05).
Transcutaneous electrical acupoint stimulation at Zusanli (ST 36) can speed up the recovery of gastrointestinal function after cesarean section, reduce complications such as abdominal pain, abdominal distension, shorten hospital stays, promote patient nutrition intake and lactation, and improve comfort level and satisfaction of primiparas.
探讨在常规治疗基础上，足三里（ST 36）经皮穴位电刺激对剖宫产术后胃肠功能恢复的影响。
将110例剖宫产术后初产妇随机分为观察组和对照组，每组55例。两组均采用常规治疗，术后观察组立即采用足三里（ST 36）经皮穴位电刺激，将一次性抗磁扣皮肤电极贴于足三里（ST 36）及小腿内侧相应部位，采用疏密波，频率30 Hz/60 Hz，电流15～20 mA。每次治疗30分钟，每8小时1次，直至首次排便结束。比较两组剖宫产术后胃肠功能恢复情况（肠鸣音恢复时间、首次肛门排气时间、首次排便时间）、初乳分泌时间、并发症（腹胀、腹痛、恶心等）、术后住院时间及初产妇排便后满意度。
观察组在肠鸣音恢复时间、首次肛门排气时间、首次排便时间及初乳分泌时间方面均优于对照组（<0.01，<0.05）。观察组术后腹痛、腹胀、恶心等并发症发生率为3.6%（2/55），低于对照组的16.4%（9/55）（<0.05）。与对照组相比，观察组住院时间更短（<0.01）。观察组治疗效果满意度为89.1%（49/55），优于对照组的72.7%（40/55）（<0.05）。
足三里（ST 36）经皮穴位电刺激可加快剖宫产术后胃肠功能恢复，减少腹痛、腹胀等并发症，缩短住院时间，促进患者营养摄入及泌乳，提高初产妇舒适度及满意度。
