温针灸联合耳穴压豆对二次剖宫产术后肠功能恢复的影响

The effect of warming acupuncture combined with ear bean method on promoting the recovery of intestinal function after the second cesareansection

目的:观察温针灸联合耳穴压豆促进二次剖宫产术后肠功能恢复的疗效。方法:采用随机、对照试验,将2015年10月至2017年10月在我院产科住院行二次剖宫产符合纳入标准的产妇,分为对照组和治疗组。术后对照组予以剖宫产术后常规处理,即加强宫缩,预防感染、补液维持水电解质及酸碱平衡等处理,不使用任何影响胃肠动力的药物,而治疗组在对照组基础上,术后30分钟内予以温针灸及耳穴压豆。观察并记录肠鸣音恢复正常时间、首次排气时间、首次排便时间,并且测量腹围,记录腹胀发生情况。所得数据以SPSS13.0统计软件分析,采取t检验及x2检验。结果:两组患者在肠鸣音恢复正常时间、首次排气时间、首次排便时间比较有明显差异(P<0.05)。结论:温针灸联合耳穴压豆促进二次剖宫产术后肠功能恢复的疗效显著。本研究基于治未病的理念,在二次剖宫产术后早期应用中医传统疗法促进胃肠功能的恢复,预防术后并发症的发生,从而推动产后整体快速康复,符合中医"治未病"思想,为产后康复开辟了新途径,具有创新性。温针灸联合耳穴压豆用于二次剖宫产术后早期促进肠蠕动恢复,发挥了经络腧穴对人体的双重调节功能,减少或避免应用西药而产生的药物毒副作用,使产妇尽早进饮食,及早开奶,促进母乳喂养。

To observe the effect of warming acupuncture combined with ear bean method on promoting the recovery of intestinal function after the second cesareansection Methods： One hundred and sixty-four Parturient after the second cesarean sectionwere divided into two groups. All the puerperaafter operationgiventhe treatment of strengthening uterine contraction, preventing infection, rehydration, maintaining water electrolyte and acid-base balance.82 cases in treatment group 30 minutes after operationwere treated extra treatmentwith Warm acupuncture and ear bean method.Observing and recording the recovery time of bowel sounds, the first exhaust time, first defecation time.The data were analyzed by SPSS13.0 statistical software, and T test and X2 test were adopted.Results： Two groups of patients in the recovery time of bowel sounds, the first exhaust time, first defecation time were significantly different（P0.05）.Conclusion：It has excellent effectiveness in the treatment ofwarming acupuncture combined with ear bean method on promoting the recovery of intestinal function after the second cesarean section.