穴位热敷联合穴位按摩对阴道分娩产妇出现产后子宫收缩痛的影响

Effect of Acupoint Hot Compress Combined with Acupoint Massage on Postpartum Uterine Contraction Pain of Parturients in Vaginal Delivery

目的:探讨穴位热敷联合穴位按摩在阴道分娩产妇中的应用效果。方法:选择2020年2月—2022年4月96例于织金县中医医院行阴道分娩的产妇,按随机数表法将其分为两组。对照组(48例)实施常规护理,观察组(48例)在对照组基础上实施穴位热敷联合穴位按摩护理,两组均持续随访2个月。对比两组产后子宫收缩痛、子宫底下降幅度、子宫体积、产后24 h出血量、子宫复旧情况、护理满意度。结果:观察组产后72 h子宫收缩痛评分低于对照组,差异有统计学意义(P<0.05)。观察组产后72 h子宫底下降幅度大于对照组,产后7 d子宫体积小于对照组,差异有统计学意义(P<0.05)。观察组产后24 h出血量少于对照组,子宫复旧时间、恶露持续时间均短于对照组,恶露排出量少于对照组,差异有统计学意义(P<0.05)。观察组护理满意度为95.83%,高于对照组的83.33%,差异有统计学意义(P<0.05)。结论:穴位热敷联合穴位按摩护理在阴道分娩产妇中有较好的应用效果,利于减轻产后子宫收缩痛,加快子宫复旧速度,减少产后24 h出血量,提高护理满意度。

Objective:To explore the application effect of acupoint hot compress combined with acupoint massage of parturients in vaginal delivery.Method:A total of 96 parturients who had vaginal delivery in Zhijin County Hospital of Traditional Chinese Medicine from February 2020 to April 2022 were selected,they were divided into two groups according to random number table method.The control group(48 cases)received routine nursing,and the observation group(48 cases)received acupoint hot compress combined with acupoint massage nursing on the basis of the control group.Both groups were followed up for 2 months.The pain of postpartum uterine contraction,the decrease of uterine floor,uterine volume,postpartum 24 h blood loss,uterine rehabilitation and nursing satisfaction were compared between the two groups.Result:The pain score of postpartum uterine contraction at 72 h after delivery in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The decrease of uterine floor at 72 h after delivery in the observation group was greater than that in the control group,and the uterine volume at 7 d after delivery was smaller than that in the control group,the differences were statistically significant(P<0.05).The postpartum 24 h blood loss in the observation group was less than that in the control group,the uterine rehabilitation time and lochia duration were shorter than those in the control group,and the lochia output was less than that in the control group,the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was 95.83%,which was higher than 83.33%of the control group,the difference was statistically significant(P<0.05).Conclusion:Acupoint hot compress combined with acupoint massage nursing has a good application effect in vaginal delivery,which is conducive to reducing postpartum uterine contraction pain,accelerating the speed of uterine rehabilitation,reducing postpartum 24 h blood loss,and improving nursing satisfaction.