循经艾灸结合低频脉冲电刺激治疗产后宫缩痛的临床效果

Clinical effect of meridian moxibustion combined with low frequency pulse electrical stimulation in the treatment of postpartum uterine contraction pain

目的研究循经艾灸结合低频脉冲电刺激治疗产后宫缩痛的临床效果。方法选择2020年6月至2021年6月收治的100例产后宫缩痛患者作为研究对象,根据随机抽签原则将其分为对照组和观察组,每组50例。对照组采用低频脉冲电刺激治疗,观察组在对照组基础上联合循经艾灸治疗。比较两组产后24、48 h出血量、疼痛程度;比较两组干预前、后的心理状态评分;比较两组最近1个月的睡眠质量;比较两组产后48 h的前列腺素F2α(PGF2α)及前列腺素E2(PGE2)水平。结果观察组产后24、48 h出血量少于对照组,差异具有统计学意义(P<0.05)。干预前,两组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,观察组的SAS、SDS评分均低于对照组,差异具有统计学意义(P<0.05)。观察组的睡眠质量、睡眠时间、睡眠障碍、日间功能评分及总分均低于对照组,差异具有统计学意义(P<0.05)。观察组产后24、48 h的视觉模拟评分法(VAS)评分低于对照组,差异具有统计学意义(P<0.05)。观察组的PGF2α水平低于对照组,PGE2水平高于对照组,差异具有统计学意义(P<0.05)。结论循经艾灸结合低频脉冲电刺激治疗产后宫缩痛的效果显著,能够有效降低患者的产后出血量,消除负面情绪,提高睡眠质量,减轻疼痛程度,值得临床推广应用。

Objective To study the clinical effect of meridian moxibustion combined with low frequency pulse electrical stimulation in the treatment of postpartum uterine contraction pain.Methods A total of 100 patients with postpartum uterine contraction pain admitted from June 2020 to June 2021 were selected as the study objects and divided into control group and observation group according to the principle of random drawing,with 50 cases in each group.The control group was treated with low frequency pulse electrical stimulation,and the observation group was treated with meridian moxibustion based on the control group.The amount of bleeding and the degree of pain at 24 and 48 h after delivery were compared between the two groups;the psychological status score of the two groups before and after intervention was compared;the sleep quality of the two groups in the last month was compared;the prostaglandin F2α(PGF2α)and prostaglandin E2(PGE2)levels at 48 h after delivery were compared between the two groups.Results The amount of bleeding in the observation group was less than that in the control group at 24 and 48 h after delivery,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)between the two groups(P>0.05);after intervention,the SAS and SDS scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The sleep quality,sleep duration,sleep disturbance,daytime functional scores and total score in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The visual analogue scale(VAS)score in the observation group was lower than that in the control group at 24 and 48 h after delivery,and the difference was statistically significant(P<0.05).The level of PGF2αin the observation group was lower than that in the control group,the level of PGE2 was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Meridian moxibustion combined with low frequency pulse electrical stimulation has a significant effect in the treatment of postpartum uterine contraction pain,it can effectively reduce the amount of bleeding,eliminate negative emotions,improve sleep quality and reduce the degree of pain,which is worthy of clinical promotion and application.