四磨汤配合排气方穴位贴敷用于剖宫产术后胃肠功能恢复的临床应用

The application of the Simao decoction plus acupoint application of the Paiqi therapy on gastrointestinal function after cesarean section

目的:探讨四磨汤配合排气方穴位贴敷应用于剖宫产术后患者中的效果。方法:将于我院行剖宫产术的60例患者按照治疗方法不同分为对照组与观察组,每组均为30例。对照组患者术后给予常规治疗;观察组于常规治疗基础上采用四磨汤配合排气方穴位贴敷治疗。记录两组患者术后肠鸣音恢复正常时间、首次排气与排便时间,记录两组患者术后腹胀人数和并发症情况。结果:观察组患者术后肠鸣音恢复正常时间(15.88±5.33)h,明显短于对照组(19.74±4.72)h,P<0.05;首次排气时间为(24.96±7.52)h,明显短于对照组(30.89±7.39)h,P<0.05;首次排便时间为(57.49±9.62)h,明显短于对照组(65.82±9.58)h,P<0.05。观察组术后腹胀发生率为3.3%(1/30),明显低于的20.0%(6/30),χ2=4.043,P=0.044。两组患者术后均未发生肠梗阻等严重性并发症。结论:四磨汤配合排气方穴位贴敷应用于剖宫产术后患者中可有助于促进患者胃肠功能恢复,减少腹胀发生,避免并发症的发生。

Objective:To investigate the effect of the Simo decoction(四磨汤)plus acupoint application of the Paiqi therapy(排气方)on patients after cesarean section.Methods:60 patients were divided into the control group and the observation group according to different treatment methods,30 cases in each.The control group was given routine treatment.The observation group was treated with the Simo decoction plus acupoint application of the Paiqi therapy more.The times of bowel sounds normal,the first exhaust and defecation,the number of bloating and complications were recorded in both groups.Results:The times of bowel sounds normal in the observation group was(15.88±5.33)hours,and significantly shorter than(19.74±4.72)hours in the control group,P<0.05;the first exhaust time was(24.96±7.52)hours,and significantly shorter than(30.89±7.39)hours in the control group,P<0.05;the first defecation time was(57.49±9.62)hours,and significantly shorter than(65.82±9.58)hours in the control group,P<0.05.The incidence of abdominal distension in the observation group was 3.3%(1/30),and significantly lower than 20.0%(6/30)in the control group,χ2=4.043,P=0.044.No serious complications such as intestinal obstruction occurred in both groups.Conclusion:The Simo decoction plus acupoint application of the Paiqi therapy can promote the recovery of gastrointestinal function,reduce bloating and avoid complications.