艾灸治疗剖宫产术后腹胀的效果观察

Effect observation of moxibustion in the treatment of abdominal distension after caesarean section

目的探讨艾灸治疗剖宫产术后腹胀的效果,为剖宫产术后产妇的腹胀问题提供优质护理处理方案。方法选取本院妇产科2012年3月~2013年2月行剖宫产术的160例初产妇,设为对照组,采用常规产科的治疗及护理措施;选取本院妇产科2013年3月~2014年2月行剖宫产术的176例初产妇,设为研究组,在对照组的基础上予以艾灸治疗。治疗48 h后,观察并记录两组产妇的腹胀情况及排气时间。结果研究组术后腹胀程度轻于对照组,差异有统计学意义（P〈0.05）。研究组排气时间及肠鸣音恢复时间均短于对照组,差异有统计学意义（P〈0.05）。研究组总有效率为95.5%,对照组为85.0%,差异有统计学意义（P〈0.05）。结论艾灸治疗剖宫产术后相较于传统护理方案,能有效缩短排气时间并促进胃肠道蠕动,利于早期营养摄入,取得较为良好的临床疗效。

Objective To explore the effect of moxibustion on treating abdominal distension after caesarean section so as to provide optimal nursing regimen for postoperative abdominal distension in puerperae. Methods One hundred and sixty primiparae undergone caesarean section from March 2012 to February 2013 in department of gynecology and obstetrics in our hospital were selected as control group,they were provided with regular treatment and nursing measures. One hundred and seventy-six primiparae who accepted caesarean section also in our department from March 2013 to February 2014 were chosen as research group,moxibustion was added on the basis of the control group.After 48-hour treatment,the abdominal distension and time of exhaust in the two groups were observed and recorded. Results The degree of postoperative abdominal distension in the research group was milder compared with that in the control group,the difference was significant （P〈0.05）.Time of exhaust and borborygmus recovery were both shorter than those in the control group,the difference was significant （P〈0.05）.The total effective rate in the research group reached 95.5%,while in the control group,it was 85.0%,with a statistical difference （P〈0.05）. Conclusion Compared with the conventional nursing measures after caesarean section,moxibustion can effectively shorten the time of exhaust and promote peristalsis of gastrointestinal tract.It is beneficial for nutrition intake at an early stage and obtains a favorable effect in clinic.