摘要
目的探讨推拿按摩结合中药足浴对剖宫产产妇胃肠功能恢复及产褥期疾病发生的影响。方法选择2017年2月至2018年12月期间本院收治的剖宫产产妇150例,随机分为对照组和研究组各75例。对照组产妇产后进行常规产后饮食、形体恢复及新生儿喂养等指导,研究组则在此基础上于产后24h进行推拿按摩持续4周,同时产后3d进行中药足浴,持续1周。两组均随访至产后56d,观察两组术后胃肠功能恢复情况、产褥期疾病发生率及恢复效果。结果研究组产后腹胀消失、初次进食、首次排气和肠鸣音恢复、初次排便时间均低于对照组,差异有统计学意义(P<0.05);研究组产褥期疾病发生率为12.00%,低于对照组的25.33%,差异有统计学意义(P<0.05);研究组产后子宫三径和、腰围、臀围及体重指数分别为(15.03±1.68)cm、(73.01±3.87)cm、(88.94±3.60)cm、(23.33±2.12)kg/m 2,均分别低于对照组的(17.98±1.97)cm、(77.42±3.65)cm、(95.58±4.65)cm、(25.95±2.11)kg/m 2,差异有统计学意义(P<0.05)。结论推拿按摩结合中药足浴可促进剖宫产产妇胃肠功能恢复,降低产褥期疾病发生几率,利于产妇产后恢复。
Objective To investigate the effects of massage and traditional Chinese medicine foot bath on gastrointestinal function recovery and puerperal disease in cesarean section.Methods A total of 150 cesarean section women who were admitted to our hospital from February 2017 to December 2018 were randomly divided into two groups,with 75 in each group.The control group underwent regular postpartum diet,physical recovery and neonatal feeding in the postpartum period.On the basis of this,the research group performed massage at 24 hours postpartum for 4 weeks,and the traditional Chinese medicine foot bath 3 days after birth for one week.Both groups were followed up to 56 days after delivery,and the recovery of gastrointestinal function,the incidence of puerperal disease and the recovery effect were observed.Results The time of postpartum abdominal distension disappeared,the first time of eating,the first time to exhaust,peristaltic sound recovery time and the first time to defecate were lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of puerperal disease in the study group was 12.00%,which was lower than that of the control group which was 25.33%,the difference was statistically significant(P<0.05).The three-diameter,waist circumference,hip circumference and body mass index of the study group were(15.03±1.68)cm,(73.01±3.87)cm,(88.94±3.60)cm,(23.33±2.12)kg/m 2,which were lower than those of the control group,which were(17.98±1.97)cm,(77.42±3.65)cm,(95.58±4.65)cm,(25.95±2.11)kg/m 2,the difference were statistically significant(P<0.05).Conclusion Massage combined with traditional Chinese medicine foot bath can promote the recovery of gastrointestinal function in cesarean section,reduce the incidence of puerperal disease,and facilitate maternal postpartum recovery.
作者
杨柳
耿玉华
范志敏
段茹
张艳
YANG Liu;GENG Yu-hua;FAN Zhi-min;DUAN Ru;ZHANG Yan(Department of Obstetrics,The Third Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450000,China)
出处
《青岛医药卫生》
2019年第6期409-412,共4页
Qingdao Medical Journal
关键词
剖宫产
推拿按摩
中药足浴
胃肠功能
产褥期疾病
Cesarean section
Massage
Traditional Chinese medicine foot bath
Gastrointestinal function
Puerperal disease
