产后腹部按摩对剖宫产术后胃肠功能恢复的疗效观察

Observation on clinical effects of abdominal massage in postpartum women on recovery of gastrointestinal function after cesarean section

目的评价产后腹部按摩促进剖宫产术后肛门排气的康复效果。方法选择50例剖宫产术后使用硬膜外镇痛的产妇为观察对象,随机分为2组(各25例),对照组行常规产后健康教育,治疗组在此基础上,于术后10 h后实施后腹部按摩1次。结果入组时,两组产妇临床基本资料无明显差异;治疗1次后,治疗组和对照组术后肛门排气时间〔(15.80±1.68)hvs(23.16±4.93)h,P<0.01〕及治疗组腹胀发生人数明显低于对照组,P<0.01,差异有统计学意义。结论产后腹部按摩可促进剖宫产术后产妇胃肠功能恢复,预防腹胀的发生。

Objective To evaluate the rehabilitation outcome of gastrointestinal function from abdominal massage after cesarean section.Methods Fifty women who underwent cesarean section and used epidural analgesia after operation were selected as subjects.They were randomly divided into two groups 25 cases in each group.The control group were given regular postpartum education,whereas,the study group were treated by abdominal massage at postoperative 10 hours as well as regular postpartum education.Results At the beginning,two groups of mothers had no significant differences in the clinical basic data.After treatment,both the time for passage of gas by anus((15.80±1.68)h vs(23.16±4.93)h,P<0.01)and the rate of abdominal distension(P<0.01)were significantly lower in study group than in control group.Conclusion Abdominal massage can decrease abdominal distension,and improve recovery of the gastrointestinal function after cesarean section.