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耳针疗法对剖宫产初产妇产后康复的影响

[Effect of auricular acupuncture on postpartum rehabilitation of primipara with cesarean].

作者信息

Yang Gui-Yan, Chen Qiu-Zhu, Fu Hui-Yu, Chen Chui-Hai

机构信息

Department of Gynecology, Sanya City Maternal and Infant Health Care Hospital, Sanya 572000, Hainan Province, China.

出版信息

Zhongguo Zhen Jiu. 2019 Jul 12;39(7):717-20. doi: 10.13703/j.0255-2930.2019.07.010.

Abstract

OBJECTIVE

To explore the postoperative effect of auricular acupuncture on primipara with cesarean in order to promote postpartum rehabilitation.

METHODS

A total of 120 primiparas with cesarean were randomly divided into an observation group and a control group, 60 cases in each group. The routine treatment and care after surgery were given in the two groups. On the basis treatment, auricular acupuncture was applied at penqiang (TF), shenmen (TF), jiaogan (AH), pizhixia (AT), neishengzhiqi(TF), pi(CO), wei(CO) in the observation group, even-needling technique at all points. The needles were retained for 30 min, 3 times a day, the acupuncture was alternately every other day for 5 days continuously. The postpartum pain, anus exhaust time, incidence of postpartum hemorrhage, urinary retention and constipation, and postpartum average hospitalization day were recorded and compared between the two groups.

RESULTS

Twenty-seven cases of postpartum uterine contraction pain (45.0%), 25 cases of wound pain (41.7%), 19 cases of breast distending pain (31.7%) and 11 cases of muscle soreness (18.3%) in the observation group, which was significantly lower than 38 cases (63.3%), 36 cases (60.0%), 30 cases (50.0%) and 21 cases (35.0%) respectively in the control group (<0.05). The anus exhaust time in the observation group was earlier than that in the control group (<0.05), and the average hospitalization time was shorter than that in the control group (<0.05). The incidence of postpartum hemorrhage, urinary retention and constipation in the observation group was lower than that in the control group (<0.05).

CONCLUSION

Auricular acupuncture can effectively relieve postpartum pain in primipara with cesarean, promote postpartum exhaust and shorten hospitalization days, and reduce the incidence of postpartum complications such as postpartum hemorrhage, urinary retention and constipation, it is conducive to postpartum rehabilitation.

摘要

目的

探讨耳针疗法对剖宫产初产妇的术后效果,以促进产后康复。

方法

将120例剖宫产初产妇随机分为观察组和对照组,每组60例。两组均给予术后常规治疗及护理。在此基础上,观察组采用耳针针刺盆腔(TF)、神门(TF)、交感(AH)、皮质下(AT)、内生智牙(TF)、脾(CO)、胃(CO),各穴位均采用平补平泻手法。留针30分钟,每日3次,隔天交替针刺,连续5天。记录并比较两组产后疼痛情况、肛门排气时间、产后出血发生率、尿潴留及便秘发生率以及产后平均住院天数。

结果

观察组产后子宫收缩痛27例(45.0%)、伤口疼痛25例(41.7%)、乳房胀痛19例(31.7%)、肌肉酸痛11例(18.3%),均显著低于对照组的38例(63.3%)、36例(60.0%)、30例(50.0%)、21例(35.0%)(P<0.05)。观察组肛门排气时间早于对照组(P<0.05),平均住院时间短于对照组(P<0.05)。观察组产后出血、尿潴留及便秘发生率低于对照组(P<0.05)。

结论

耳针可有效缓解剖宫产初产妇产后疼痛,促进产后排气,缩短住院天数,降低产后出血、尿潴留及便秘等产后并发症的发生率,有利于产后康复。

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