中药穴位贴敷护理对产后子宫复旧的影响分析

Analysis on the Influence of Chinese Herbs Acupoint Application Nursing on Postpartum Uterine Involution

目的探讨中药穴位贴敷护理对产后子宫复旧的影响。方法选取2017年1月—12月妇产科接收的150例产妇,平均分为2组,其中对照组75例,对患者实施常规产后护理;观察组75例,在对患者进行常规产后护理的基础上实施中药穴位贴敷护理,分析护理效果。结果 2组患者产后当天和产后1天的子宫缩复情况对比差异无统计学意义(P> 0. 05),从产后第2天开始至产后第4天,观察组患者的子宫缩复情况均明显优于对照组患者,差异具有统计学意义(P <0. 05)。产后第1天,2组患者的恶露量对比差异无统计学意义(P> 0. 05)。从产后第2天至产后第4天,观察组患者的恶露量明显低于对照组患者,差异具有统计学意义(P <0. 05)。观察组患者产后4天的血性恶露比例明显小于对照组患者,浆性恶露比例和白色恶露比例,明显高于对照组患者,差异具有统计学意义(P <0. 05)。观察组患者血性恶露持续时间明显短于对照组患者,差异具有统计学意义(P <0. 05)。观察组患者产后4天的子宫长径、前后径和横径均明显低于对照组患者,差异具有统计学意义(P <0. 05)。结论在对剖宫产后的产妇进行护理时,在对产妇进行常规护理的基础上实施中药穴位贴敷护理能够获得更好的护理效果,能够促进产妇子宫的快速恢复,有效减少产妇产后的恶露量,恶露持续时间明显缩短,能够有效防止产妇产后复旧不良的情况,显著改善产妇的预后,值得在临床上进行广泛的推广与应用。

To explore the effect of acupoint application nursing on postpartum uterine involution. Methods 150 cases of parturients received in obstetrics and gynecology of our hospital from January 2017 to December 2017 were divided into two groups,of which 75 cases in the control group were treated with routine postpartum care and 75 cases in the observation group were treated with Chinese herbs acupoint application nursing on the basis of the control group. The nursing effect was analyzed. Results There was no significant difference in uterine contraction between the two groups after postpartum and 1 day postpartum（P〈0. 05）. From second day postpartum to fourth day after postpartum,the uterine contraction of the patients in the observation group was obviously superior to those of the control group,and the difference was statistically significant（P〈0. 05）. In the first day after delivery,there was no significant difference in lochia volume between the two groups（P〈0. 05）. From second day postpartum to fourth day postpartum,the lochia volume of the observation group was significantly lower than that of the control group,and the difference was statistically significant（P〈0. 05）. In the observation group,the proportion of bloody lochia on fourth day after postpartum was significantly lowers than that of the control group. The proportion of pulp lochia and white lochia of the observation group was significantly higher than that in the control group,and the difference was statistically significant（P〈0. 05）. The duration of bloody lochia in the observation group was significantly shorter than that in the control group（P〈0. 05）. The length,anteroposterior diameter and transverse diameter of the uterus in the observation group were significantly lower than those in the control group on the fourth day after delivery（P〈0. 05）. Conclusion In the nursing of parturients after cesarean section,the application of traditional Chinese medicine acupoint application nursing on the basis of routine nursing of parturient can get better nursing effect,can promote the rapid recovery of the womb,reduce the amount of puerpera＇s postpartum lochia effectively,shorten the duration of the lochia obviously,and can effectively prevent the production. The situation of postpartum involution is significantly improved,and it is worthy of extensive promotion and application in clinic.