雷火灸配合中草药洗浴在产后康复中的应用效果

Application effect of thunder fire moxibustion combined with Chinese herbal bath in postpartum rehabilitation

目的探讨雷火灸配合中草药洗浴在产后康复中的应用效果。方法选取2020年11月至2022年10月赣南医学院附属兴国医院内单胎经阴道分娩的初产妇62例为研究对象,采用随机数字表法分为对照组(n=31)和研究组(n=31)。对照组进行雷火灸治疗,研究组在对照组基础上配合中草药洗浴。比较两组患者的产后康复效果、宫缩持续时间、首次排尿时间、产后恶露量、泌乳始动时间、产后出血量、泌乳量及子宫复旧情况。结果研究组的产后康复总有效率高于对照组,差异有统计学意义(P<0.05)。研究组产后宫缩持续时间短于对照组,首次排尿时间和泌乳始动时间早于对照组,产后3d恶露量低于对照组,差异有统计学意义(P<0.05)。两组产后3d出血量低于产后1d,泌乳量高于产后1d,差异有统计学意义(P<0.05);研究组的产后3d出血量低于对照组,泌乳量高于对照组,差异有统计学意义(P<0.05)。研究组产后7d子宫三径乘积低于对照组,宫底平均下降速度高于对照组,差异有统计学意义(P<0.05)。两组的并发症总发生率比较,研究组低于对照组,差异有统计学意义(P<0.05)。结论产后康复中采用雷火灸配合中草药洗浴,可缩短患者宫缩时间,促进排尿与恶露,提升泌乳始动时间与泌乳量,帮助子宫及早复旧,加快产后康复进程。

Objective To explore the application effect of thunder fire moxibustion combined with Chinese herbal bath in postpartum rehabilitation.Methods A total of 62 parturients in Xingguo Hospital Afiliated to Gannan Medical College from November 2020 to October 2022 were selected as the study objects,they were divided into control group(n=31)and study group(n=31)by random number table method.The control group was treated with thunder fire moxibustion,and the study group was combined with Chinese herbal bath on the basis of the control group.The postpartum recovery effect,contraction duration,first urination time,postpartum lochia volume,lactation initiation time,postpartum bleeding volume,lactation volume and uterine relapse were compared between the two groups.Results The total effective rate of postpartum rehabilita-tion in the study group was higher than that in the control group,the difference was statistically significant(P<0.05).The du-ration of postpartum contraction in the study group was shorter than that in the control group,the first urination time and lactation start time were earlier than that in the control group,and the lochia volume 3 days after delivery was lower than that in the control group,the differences were statistically significant(P<0.05).The blood loss on day 3 after delivery was lower than that on day I after delivery,and the milk yield was higher than that on day 1 after delivery,the differences were statistically significant(P<0.05).The postpartum blood loss at 3 days in the study group was lower than that in the control group,and the milk yield was higher than that in the control group,the differences were statistically significant(P<0.05).The product of three diameters of uterus in the study group was lower than that in the control group at the time of discharge,and the average descending speed of fundal was higher than that in the control group,the differences were statistically significant(P<0.05).The total complication rate of the two groups was lower in the study group than in the control group,the difference was statistically significant(P<0.05).Conclusion The use of thunderfire moxibustion combined with Chinese herbal bath in postpartum rehabilitation can shorten the contraction time of parturients,promote urination and lochia,increase the start time and milk volume of lactation,help the uterus to recover early,and speed up the postpartum rehabilitation process.