低频电脉冲技术联合新生化颗粒对剖宫产术后患者子宫复旧的影响

The influence of low frequency electrical impulse combined with new biochemical granules on uterine recovery after cesarean section

目的观察低频电脉冲技术联合新生化颗粒对剖宫产术后患者子宫复旧的影响。方法将70例剖宫产妇随机分为对照组和观察组,每组35例。对照组在剖宫产后常规护理并予缩宫素治疗,观察组在对照组治疗基础上加用新生化颗粒治疗。2组均42 d后统计临床疗效,并观察产妇宫底高度、产后血性恶露量、产后血性恶露持续时间、恶露干净、体重指数(BMI)及恶露类型情况。结果观察组总有效率高于对照组,差异有统计学意义(P<0.05)。2组术后宫底高度均随时间延长而减小,观察组术后第1、3、5天宫底高度与对照组比较差异均有统计学意义(P<0.05)。观察组产后血性恶露量与对照组比较差异有统计学意义(P<0.05);观察组产后血性恶露持续时间与对照组比较差异有统计学意义(P<0.05);2组产后第42天恶露干净情况比较差异有统计学意义(P<0.05)。观察组产后第5天及第42天子宫三径和小于对照组,差异有统计学意义(P<0.05)。产后第42天对照组、观察组宫腔积液发生率比较,差异有统计学意义(P<0.05)。观察组产后第42天BMI低于本组剖宫产前(P<0.05);且与对照组比较差异有统计学意义(P<0.05)。2组剖宫产术后第5天恶露类型比较差异有统计学意义(P<0.05),对照组多为血性恶露,观察组多为浆液恶露。结论低频电脉冲技术联合新生化颗粒能促进剖宫产妇子宫康复,减少产后出血量,缩短恶露干净时间,促进产后尽早恢复,提高产妇生活质量。

Objective To observe the effects of low frequency electrical impulse combined with new biochemical granules on uterine recovery after cesarean section. Methods Seventy parturients who underwent cesarean section were randomly divided into control group and observation group,with 35 parturients in each group. The parturients in control group were treated by routine care combined with oxytocin,however,the parturients in observation group,on the basis of control group,were treated by new biochemical granules. After 42-day treatment,the curative effects,height of uterine fundus,postpartum lochia rubra volume,postpartum lochia rubra duration,lochia rubra clean time,body mass index（ BMI） and lochia type were observed and compared between two groups. Results The total effective rate was 88. 57% in observation group and71. 43% in control group,there was a significant difference between two groups（ P〈0. 05）. There was a significant difference in height of uterine fundus at 1 day,3 days and 5 days after cesarean section between two groups（ P〈0. 05）. There were significant differences in postpartum lochia rubra volume,postpartum lochia rubra duration,lochia rubra clean time on 42 days after delivery between the two groups（ P〈0. 05）. There was significant difference in uterine size on 5 d,42 d after delivery between two groups（ P〈0. 05）,moreover,there was significant difference in incidence rate of uterine cavity effusion on 42 d after delivery between two groups（ P〈0. 05）. In addition the BMI on 42 d after delivery in observation group was significantly lower than that before uterine-incision delivery（ P〈0. 05）,moreover,there was a significant difference between two groups（ P〈0. 05）. Besides lochia rubra was more found in control group,and lochia serosa was more found in observation group,there was a significant difference in lochia type on 5 d after delivery between two groups（ P〈0. 05）. Conclusion The low frequency electrical impulse combined with new biochemical granules can promote uterine recovery of parturients after cesarean section,decrease postpartum hemorrhage volume,shorten lochia clean time and improve the life quality of parturients.