韩姜沐足在促进剖宫产后康复的效果观察

Effect Observation of the Han Jiang Foot Massage in Promoting the Rehabilitation after Cesarean Section

目的:探讨韩姜沐足在促进剖宫产后产妇康复的临床护理效果。方法:选取怀集县人民医院2015年10月至2016年3月住院剖宫产后的产妇400例,分为对照组和观察组各200例,对照组采取常规剖宫产后护理措施,观察组在采用常规剖宫产后护理措施的基础上24 h后开始实施韩姜沐足2次/d、30 min/次,连续4 d,比较两组产妇产后48 h子宫收缩良好率、48 h乳汁充足率、72 h阴道出血量及产后的平均住院日情况。结果:观察组48 h子宫收缩良好率90.0%、乳汁充足率88.5%、72 h阴道出血量(21.02±3.08)m L、产后平均住院时间(5.67±1.02)d,对照组48 h子宫收缩良好率75.0%、乳汁充足率74.0%、72 h阴道出血量(30.93±7.64)m L、产后平均住院时间(7.81±2.15)d,两组比较,观察组均优于对照组,差异具有统计学意义(P<0.05)。结论:在剖宫产后实施韩姜沐足能促进子宫收缩、恶露的排出和乳汁的分泌,减少出血量和缩短住院天数。

Objective To investigate the Clinical nursing effect of the Han Jiang foot massage in promoting the rehabilitation after cesarean section. Methods 400 puerpera of receiving the Cesarean section in our Gynaecology and Obstetrics Department were selected. The subjects were divided into control group and test group, 200 cases each group. The control group adopted routine cesarean section postpartum nursing measures. On the basis of routine cesarean section nursing measures in the experimental group, the experimental group began to implement the Han Jiang foot massage after 24h, two times a day, 30 minutes each time, 4 consecutive days. Compared the two groups of maternal postpartum with the 48h uterine contraction rate, the 48h milk adequacy ratio, the 72h vaginal bleeding volume, and the average length of stay in hospital. Results In the experimental group, the 48h uterine contraction rate was 90.0 %, the 48h milk sufficiency rate was 88.5 %, the 72h vaginal bleeding volume was 21.02 ± 3.08ml, the average length of stay in hospital was 5.69 ±1.72d. In the control group, the 48h uterine contraction rate was 75.0 %, the 48h milk sufficiency rate was 148（74.0）, the 72h vaginal bleeding volume was 30.93 ± 7.64 ml, the average length of stay in hospital was 7.51±2.05d. The difference of the two groups was statistically significant （P 〈 0.01）. Conclusion The implementation of Han Jiang foot massage can promote the contraction of the uterus after cesarean section, lochia discharge and milk secretion, reduce the amount of bleeding and shorten the days of hospitalization.