| 吕晓军,汤笑笑,郑会玲.脐疗联合艾盐包改善经产妇产后宫缩痛的临床观察[J].浙江中医药大学学报,2021,45(5):560-564. |
| 脐疗联合艾盐包改善经产妇产后宫缩痛的临床观察 |
| Clinical Study of Navel Therapy Combined with Wormwood Salt Package to Improve Postpartum Contraction Pain |
| DOI：10.16466/j.issn1005-5509.2021.05.024 |
| 中文关键词: 宫缩痛 经产妇 艾盐包 脐疗 分时 疼痛视觉模拟评分 5-羟色胺 产后出血量 |
| 英文关键词: postpartum contraction pain multipara wormwood salt package navel therapy time sharing VAS 5-HT postpartum hemorrhage |
| 基金项目:浙江省中医药科技计划(2019ZB05) |
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| 中文摘要: |
| [目的]观察脐疗联合艾盐包减轻经产妇产后宫缩痛的疗效及对产后出血的影响。[方法]将浙江中医药大学附属第二医院产科2020年3月至10月足月分娩的218例经产妇随机分为4组，其中常规组和艾盐包组各53例，脐疗组和脐疗艾盐包组各56例，产后2h常规组给予产后常规护理，脐疗组在常规组基础上予脐疗，艾盐包组在常规组基础上予艾盐包治疗，脐疗艾盐包组在常规组基础上给予脐疗联合艾盐包治疗，以疼痛视觉模拟评分表(visual analogue scale，VAS)评价4组产妇治疗前及治疗后1、3、6、12、24h的疼痛程度，比较4组产妇治疗前及治疗后1、3、12h血清5-羟色胺(5-hydroxytryptamine，5-HT)水平的变化并观察产后24h内的阴道出血量。[结果]治疗前组间比较，4组VAS评分、血清5-HT水平差异无统计学意义(P＞0.05)；与常规组比较，治疗后1h脐疗组VAS评分和血清5-HT水平差异无统计学意义(P＞0.05)，艾盐包组和脐疗艾盐包组VAS评分和血清5-HT水平明显降低(P＜0.05)；与常规组比较，治疗后3h脐疗组、艾盐包组、脐疗艾盐包组VAS评分和血清5-HT水平明显下降(P＜0.05)；与常规组比较，治疗后12h艾盐包组VAS评分和5-HT水平差异无统计学意义(P＞0.05)，脐疗组和脐疗艾盐包组VAS评分和血清5-HT水平明显降低(P＜0.05)。4组患者产后24h内出血量比较差异无统计学意义(P＞0.05)。[结论]脐疗组和艾盐包组降低经产妇分娩后宫缩痛有明显疗效，但前者起效慢，后者持续时间短，二者联合使用能够起到互补作用，可有效减轻经产妇分娩后宫缩痛，降低5-HT水平，且对产后出血量无明显影响。 |
| 英文摘要: |
| [Objective] To observe the effect of navel therapy combined with wormwood salt package on postpartum hemorrhage and the reduction of postpartum contraction pain.[Methods] A total of 218 multiparae，who had full term delivery at Obstetrics Department of the Second Affiliated Hospital of Zhejiang Chinese Medical University from March to October 2020， were randomly divided into 4 groups. There were 53 cases in routine group and wormwood salt package group，separately; and 56 cases in navel therapy group and navel therapy wormwood salt package group，separately. After returning to the ward 2 hours after birth， patients in routine group were given postpartum routine nursing; patients in navel therapy group were given umbilicus sticking treatment on the basis of routine group; patients in wormwood salt package group were given wormwood salt package treatment on the basis of routine group; patients in navel therapy wormwood salt package group were given umbilicus sticking combined wormwood salt package treatment on the basis of routine group. Visual analogue scale(VAS) was used to evaluate the degree of pain in four groups before and 1， 3， 6， 12 and 24h after treatment; 5-hydroxytryptamine(5-HT) level was detected in four groups before and 1， 3 and 12h after treatment.[Results] Before treatment， the VAS score and serum 5-HT level of the four groups were not statistically different(P＞0.05). At 1h after treatment， there was no significant difference between routine group and navel therapy group in terms of the VAS score and serum 5-HT level(P＞0.05). However， the VAS score and serum 5-HT level in navel therapy group and navel therapy wormwood salt package group were significantly lower than that in routine group(P＜0.05). At 3h after treatment， VAS score and serum 5-HT level in navel therapy group， wormwood salt package group， and navel therapy wormwood salt package group were all significantly lower than that in routine group(P＜0.05). Compared with routine group， 12h after treatment， there was no significant difference in VAS score and serum 5-HT level in wormwood salt package group(P＞0.05)， but the VAS score and serum 5-HT level in navel therapy group and navel therapy wormwood salt package group were lower(P＜0.05). There was no statistical difference in postpartum hemorrhage in the 4 groups(P＞0.05).[Conclusion] The navel therapy and wormwood salt package have obvious effect in reducing postpartum contraction pain， but the former has slow effect and the latter lasts for a short period of time. The combination of the two therapies can effectively reduce postpartum contraction pain and reduce the level of 5-HT， but there was no significant effect on postpartum hemorrhage. |
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