促肠温通方子午流注穴位贴敷促进剖宫产术后康复效果分析
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R473.71

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Efficacy Analysis of Point Application with Cuchang Wentong Prescription Based on Midnight-Noon Ebb-Flow in Promoting Post-Cesarean Rehabilitation
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    摘要:

    目的:观察促肠温通方子午流注穴位贴敷在促进剖宫产术后康复方面的临床效果。方法:回顾性 分析2023年6月—2024年6月于浙江省舟山医院产科行剖宫产术的80例产妇的临床资料,根据不同的治疗方 法分为对照组和观察组各40例。2组均给予剖宫产术后快速康复(ERAC) 措施,观察组加用促肠温通方子午 流注穴位贴敷疗法。2组均连续干预5天。观察胃肠功能恢复时间,术后1天、3天、5天评定疼痛视觉模拟评 分法(VAS) 评分、测量子宫宫底高度,记录术后恶心呕吐(PONV)、腹胀等并发症的发生情况,统计发生 率、评估PONV程度。结果:观察组首次排气、排便时间及肠鸣音恢复时间均短于对照组(P<0.05)。随着治 疗时间的延长,VAS评分、子宫宫底高底均呈下降趋势(P<0.05)。术后3天,2组VAS评分及子宫宫底高度 均较术后1天下降(P<0.05)。术后5天,2组VAS评分及子宫宫底高度均较术后3天下降(P<0.05)。观察组术 后3天、5天的VAS评分及子宫宫底高度均低于同期对照组(P<0.05)。术后5天,观察组PONV程度轻于对照 组(P<0.05)。观察组PONV、腹胀发生率及并发症总发生率均低于对照组(P<0.05)。结论:将促肠温通方子 午流注穴位贴敷用于剖宫产术后产妇,可促进胃肠功能的快速恢复,减轻术后疼痛,促进子宫缩复,减少 PONV、腹胀等并发症的发生。

    Abstract:

    Abstract: Objective: To observe the clinical effect of point application with Cuchang Wentong Prescription based on midnight-noon ebb-flow in promoting post-cesarean rehabilitation. Methods: A retrospective analysis was conducted on the clinical data of 80 parturients who underwent cesarean section at the Department of Obstetrics, Zhoushan Hospital, Zhejiang Province, from June 2023 to June 2024 were divided into the control group and the observation group according to different treatment methods, with 40 cases in each group. Both groups received Enhanced Recovery After Cesarean (ERAC) measures, while the observation group additionally received the point application with Cuchang Wentong Prescription based on midnight-noon ebb-flow. Both groups were continuously intervened for five days. The recovery time of gastrointestinal function was observed, and the Visual Analogue Scale (VAS) scores of pain and uterine fundal height were assessed on the 1st,3rd,and 5th days postoperatively. The occurrence of complications such as postoperative nausea and vomiting (PONV) and abdominal distension was recorded, and the incidence rates and severity of PONV were evaluated. Results:The first exhaust,defecation time,and bowel sound recovery time in the observation group were shorter than those in the control group (P<0.05). Both VAS scores and uterine fundal height showed progressive declines with extended treatment duration (P<0.05). On the 3rd day postoperatively,the VAS scores and uterine fundal height in both groups were decreased when compared with those on the 1st day (P<0.05). On the 5th day postoperatively, the VAS scores and uterine fundal height in both groups were decreased when compared with those on the 3rd day (P<0.05). The VAS scores and uterine fundal height in the observation group on the 3rd and 5th days were lower than those in the control group at the same time points (P<0.05). On the 5th day postoperatively, the severity of PONV in the observation group was milder than that in the control group (P<0.05). The incidence rates of PONV and abdominal distension, and the total complication rate in the observation group were lower than those in the control group (P<0.05). Conclusion: The point application with Cuchang Wentong Prescription based on midnight-noon ebb-flow in post-cesarean parturients can promote the recovery of gastrointestinal function, alleviate postoperative pain, facilitate uterine involution, and reduce the occurrence of complications such as PONV and abdominal distension.

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顾凯芬,刘海英.促肠温通方子午流注穴位贴敷促进剖宫产术后康复效果分析[J].新中医,2025,57(10):136-140

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  • 在线发布日期: 2025-05-27
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