中药足浴联合四磨汤在剖宫产术后胃肠功能障碍患者中的应用效果

Application effect of traditional Chinese medicine foot bath combined with Simo Decoction in patients with gastrointestinal dysfunction after cesarean section

目的探讨中药足浴联合四磨汤在剖宫产术后胃肠功能恢复中的应用效果。方法选取2022年3月至2023年6月茂名市妇幼保健院收治的100例剖宫产术后胃肠功能障碍患者作为研究对象,按照随机数字表法分为参照组(50例)与试验组(50例),患者均行产后常规干预,参照组采用中药足浴疗法,试验组采用中药足浴联合四磨汤方法。比较两组患者的胃肠功能指标恢复时间、产褥期相关疾病发生率、WHO生存质量测定量表(WHOQOL-BREF)评分、胃肠功能评分。结果干预后,试验组的肠鸣音恢复、排气、排便、食欲恢复等胃肠功能指标恢复时间短于参照组,试验组产褥期相关疾病总发生率、胃肠功能评分均低于参照组,差异有统计学意义(P<0.05)。试验组干预后的WHOQOL-BREF量表评分高于参照组,差异有统计学意义(P<0.05)。结论中药足浴联合四磨汤可改善剖宫产术后产妇的胃肠功能,并且还可降低产褥期相关疾病的发生率。同时,此种治疗方案的应用安全性高,可提高产妇的生活质量,改善其预后,值得在临床推广应用。

Objective To investigate the application effect of traditional Chinese medicine foot bath combined with Simo Decoction in the recovery of gastrointestinal function after cesarean section.Methods A total of 100 patients with gastrointestinal dysfunction after cesarean section treated in Maoming Maternal and Child Health Hospital from March 2022 to June 2023 were selected as research objects,and they were divided into the reference group(50 cases)and the experimental group(50 cases)according to random number table method.All patients received postpartum routine intervention,and the reference group received traditional Chinese medicine foot bath therapy,the experimental group received foot bath combined with Simo Decoction.The recovery time of gastrointestinal function index,incidence of puerperal-related diseases,the World Health Organization quality of life(WHOQOL-BREF)score and gastrointestinal function score of the two groups were compared.Results After intervention,the recovery time of gastrointestinal function indexes such as bowel sound recovery,exhaust gas,defecation and appetite recovery in experimental group were shorter than those in reference group,and the total incidence of puerperal-related diseases and gastrointestinal function scores in experimental group were lower than those in reference group,with statistical significances(P<0.05).The WHOQOL-BREF scores of experimental group after intervention were higher than those of reference group,and the differences were statistically significant(P<0.05).Conclusion Traditional Chinese medicine foot bath combined with Simo Decoction can improve the gastrointestinal function of the parturients after cesarean section,and also reduce the incidence of puerperal diseases.At the same time,the application of this treatment plan is safe,can improve the quality of life of parturient women,improve their prognosis,and is worthy of clinical application.