中医穴位按摩联合五音疗法对自然分娩产妇产后康复及心理状态的影响

Effects of Traditional Chinese Medicine Acupoint Massage Combined with Five-Tone Therapy on Postpartum Rehabilitation and Psychological State of Natural Childbirth Women

目的探讨中医穴位按摩联合五音疗法在自然分娩产妇产后康复中的应用效果.方法选择2020年6月—2021年8月于我院自然分娩的72例产妇为研究对象,按随机数字表法分为两组,每组36例.对照组采用常规产后康复干预,观察组在此基础上采用中医穴位按摩联合五音疗法,两组均干预14 d并随访至产后1个月.对比两组的产后康复情况、产后泌乳情况及心理状态.结果观察组产后24 h的阴道出血量为(92.98±15.24)mL,少于对照组,子宫纳入骨盆时间、恶露持续时间及首次泌乳时间分别为(10.48±1.77)d、(14.06±2.05)d、(22.42±6.85)h,均短于对照组,组间差异有统计学意义(P<0.05).观察组的产后泌乳情况优于对照组,差异有统计学意义(P<0.05).观察组干预后的焦虑自评量表、抑郁自评量表评分分别为(45.25±3.05)分、(47.11±2.60)分,均低于对照组,组间差异有统计学意义(P<0.05).结论中医穴位按摩联合五音疗法在自然分娩产妇中具有较好的应用效果,利于促进产后康复,改善乳汁分泌情况及产妇心理状态.

Objective To explore the effect of traditional Chinese medicine acupoint massage combined with five-tone therapy in postpartum rehabilitation of natural childbirth puerperae.Methods A total of 72 puerperae who delivered naturally in our hospital from June 2020 to August 2021 were selected and were divided into two groups according to the random number table method,with 36 cases in each group.The control group was treated with routine postpartum rehabilitation inter-vention,and the observation group was treated with TCM acupoint massage combined with five-tone therapy on this basis.Both groups were treated for 14 days and followed up to 1 month postpartum.The postpartum recovery,postpartum lactation and psychological state were compared between the two groups.Results The 24 h postpartum vaginal bleeding in the observation group was(92.98±15.24)mL,less than that in the control group,the time of uterus into the pelvis,lochia duration and first lactation time were(10.48±1.77)d,(14.06±2.05)d,(22.42±6.85)h,respectively,were shorter than those in the control group,the differences between the groups were statistically significant(P<0.05).The postpartum lactation in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).The scores of self-rating anxiety scale and self-rating depression scale in the observation group after intervention were(45.25±3.05)points and(47.11±2.60)points,respectively,lower than those in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion Traditional Chinese medicine acupoint massage combined with five-tone therapy has a good application effect in natural parturient women,which is beneficial to promote postpartum rehabilitation,improve milk se-cretion and maternal psychological state.