中医综合健康管理模式对产褥期恢复的影响

Effect of Traditional Chinese Medicine Comprehensive Health Management Model on Recovery of Postpartum Women

目的探讨中医综合健康管理模式对产妇产褥期恢复的干预作用。方法选取2023年1月—2023年8月在阳江市人民医院产科分娩的产妇60例,采用随机数字表法将其分为常规健康管理组和中医综合健康管理组,每组30例。2组均给予常规产后检查指导,开展产褥期护理、母乳喂养指导等一般健康指导,中医综合健康管理组在此基础上给予饮食药膳、情志、中医适宜技术、随访指导等健康指导,随访2组产妇临床症状、恶露情况、母乳喂养情况、心理状况(SAS评分、SDS评分)、健康知识知晓度等。结果中医综合健康管理组干预效果明显优于常规健康管理组(P<0.05),前者在产后42 d、3个月中医证候评分、SAS评分、SDS评分以及母乳喂养情况和婴儿皮肤护理方法等健康知识知晓度均较常规健康管理组更优(P<0.05)。结论中医综合健康管理模式对产妇产后身心恢复具有重要的促进作用,能明显缓解产后腹痛、腰酸等临床症状,促进产后子宫复旧,缓解产后焦虑、抑郁等不良情绪,消除潜在隐患,从而达到促进、改善产妇健康的目的。

Objective To explore the intervention effect of TCM comprehensive health management model on recovery of postpartum women.Methods From January 2023 to August 2023,60 postpartum women who delivered in Yangjiang People’s Hospital were selected.They were randomly divided into routine health management group and TCM comprehensive health management group,with 30 cases in each group.Both groups were given routine postpartum examination guidance,and general health guidance such as postpartum care and breastfeeding guidance was provided.On this basis,the TCM comprehensive health management team gave health guidance such as medicated food,emotional guidance,appropriate techniques of TCM,follow⁃up guidance,and so on.Follow up the clinical symptoms,lochia situation,breastfeeding situation,psychological status(SAS score,SDS score),and health knowledge awareness of two groups of postpartum women.Results The intervention effect of the TCM comprehensive health management group is significantly better than that of the conventional health management group(P<0.05).The former is superior to the conventional health management group in terms of TCM symptom scores,SAS scores,SDS scores,as well as health knowledge awareness such as breastfeeding status and infant skin care methods at 42 days and 3 months postpartum(P<0.05).Conclusion TCM comprehensive health management model plays an important role in promoting the physical and mental recovery of postpartum women.It can significantly alleviate clinical symptoms such as postpartum abdominal pain and back pain,promote postpartum uterine recovery,alleviate postpartum anxiety,depression and other negative emotions,eliminate potential hazards,and achieve the goal of promoting and improving maternal health.