社区产褥期妇女中西医结合健康管理模式的研究

Study of the health management mode of integration of traditional Chinese and Western medicine for the puerperal women in the community

目的:探索对产褥期妇女采用中西医结合健康管理模式的效果。方法:将2015年2月—2017年1月纳入管理的产褥期妇女300例,按所在居委分为干预组和对照组各150例。对照组给予常规产后管理,干预组是在对照组基础上给予中西医结合健康管理。比较两组产褥期妇女乳腺管通畅情况,子宫复旧情况以及抑郁评分。结果:干预组产褥期妇女的乳腺管通畅率明显高于对照组(96.7%比89.3%,P<0.001)。干预组产后42 d产褥期妇女的子宫大小三径之和为(153.28±16.46)mm,小于对照组的(168.75±16.24)mm,差异有统计学意义(P<0.001)。干预组产褥期妇女抑郁评分为(2.47±2.74)分,低于对照组的(6.35±4.60)分,差异有统计学意义(P<0.001)。结论:中西医结合健康管理模式能有效促进产褥期妇女的产后身心恢复,其方法简便、有效、安全,值得在社区中推广应用。

Objective:To explore the effect of adopting the health management mode of integration of traditional Chinese and Western medicine for the puerperal women.Methods:Three hundred women with puerperium who were included in the management from February 2015 to January 2017 were divided into an intervention group with 150 patients,and a control group with 150 patients according to their neighborhood committees.In the control group,women in the postpartum period were given routine postpartum management and in the intervention group,the women in the puerperium were given the health management of integration of Chinese and Western medicine based on the control group.The patency of mammary duct,uterine involution and depression scores in puerperal women of the two groups were compared.Results:The patency rate of mammary ducts in the intervention group was significantly higher than that in the control group(96.7%vs.89.3%,P<0.001).The uterus size sum of three diameters of the women in the intervention group were(153.28±16.46)mm,which was lower than that in the control group(168.75±16.24)mm,and the difference was statistically significant(P<0.001).The depression score in the intervention group was(2.47±2.74),which was lower than that in the control group(6.35±4.60),and the difference was statistically significant(P<0.001).Conclusion:The health management mode of integration of traditional Chinese and Western medicine can effectively promote the physical and mental recovery of puerperal women after childbirth,whose method is simple,effective and safe,which is worthy of popularization and application in the community.