Department of Obstetrics, Shijiazhuang Obstetrics and Gynecology Hospital, Shijiazhuang 050000, Hebei Province, China.
J Healthc Eng. 2021 Nov 24;2021:6143421. doi: 10.1155/2021/6143421. eCollection 2021.
The study aims to explore the effect of low-frequency electric pulse technique combined with carboprost methylate suppositories on recovery of gastrointestinal function and postoperative complications of patients with scarred uterus undergoing secondary cesarean section (C-section). The clinical data of 120 patients with scarred uterus undergoing secondary C-section treated in our hospital from February 2019 to February 2020 were retrospectively analyzed, and the patients were equally divided into experimental and control groups according to their admission order, where each group included 60 patients. After the operation, patients in the control group received routine nursing and conducted breastfeeding, and carboprost methylate suppositories were used for postoperative hemostasis. Those in the experimental group received low-frequency electric pulse technique for comprehensive treatment to compare their coagulation function indicators, recovery of gastrointestinal function, incidence rates of postoperative complications, and involution of uterus. No significant between-group differences in patients' general information such as gestational weeks, gravidity, and number of times receiving C-section were observed ( > 0.05). Compared with the control group after the operation, patients in the experimental group obtained significantly better coagulation function indicators ( < 0.001) and presented better gastrointestinal function recovery ( < 0.001), significantly lower incidence rates of postpartum hemorrhage, retention of urine, deep venous thrombosis of lower limb, rupture of uterus, and endometrial cavity fluid ( < 0.05), and significantly better involution of uterus ( < 0.001). In conclusion, combining low-frequency electric pulse technique with carboprost methylate suppositories can lower the incidence rates of postoperative complications for patients with scarred uterus undergoing secondary C-section, improve their coagulation function, promote the recovery of gastrointestinal function, and present the desirable involution of uterus, which should be promoted in practice.
本研究旨在探讨低频脉冲电技术联合卡前列甲酯栓对瘢痕子宫再次剖宫产患者胃肠功能恢复及术后并发症的影响。回顾性分析 2019 年 2 月至 2020 年 2 月我院收治的 120 例瘢痕子宫再次剖宫产患者的临床资料，根据入院顺序将患者分为实验组和对照组，每组 60 例。术后对照组患者给予常规护理并进行母乳喂养，术后采用卡前列甲酯栓进行止血，实验组患者采用低频脉冲电技术进行综合治疗，比较两组患者的凝血功能指标、胃肠功能恢复情况、术后并发症发生率及子宫复旧情况。两组患者的孕周、孕次、剖宫产次数等一般资料比较，差异无统计学意义（>0.05）。与对照组术后相比，实验组患者的凝血功能指标明显更好（<0.001），胃肠功能恢复更好（<0.001），产后出血、尿潴留、下肢深静脉血栓形成、子宫破裂、宫腔积血的发生率明显更低（<0.05），子宫复旧明显更好（<0.001）。结论：低频脉冲电技术联合卡前列甲酯栓可降低瘢痕子宫再次剖宫产患者术后并发症的发生率，改善患者的凝血功能，促进胃肠功能恢复，子宫复旧理想，值得临床推广。
