中药熏洗对产后子宫恢复的护理效果分析 ?(1)
【摘要】 目的：浅析中药熏洗对产后子宫恢复的护理效果。方法：选取笔者所在医院2018年11月-2019年11月足月妊娠自然分娩产妇84例作为研究样本，采用随机数字表法将其分为对照组(42例)和试验组(42例)。对照组采用常规缩宫素治疗，试验组在对照组基础上加以中药熏洗。比较两组产妇子宫高度、产后出血量、血性恶露维持时间、宫缩痛维持时间。结果：两组护理前及护理第1天产后出血量、子宫高度比较，差异无统计学意义(P>0.05);护理第5天及第10天，试验组产后出血量及子宫高度均显著优于对照组，差异有统计学意义(P<0.05)。试验组血性恶露与宫缩痛维持时间均短于对照组，差异有统计学意义(P<0.05)。结论：中药熏洗有助产后子宫恢复，减少产后出血量，缩短产妇血性恶露与宫缩痛时间，临床疗效显著。
【关键词】 中药熏洗 产后子宫恢复 护理 分娩 宫缩痛
[Abstract] Objective： To analyze the nursing effects of TCM fumigation and washing on postpartum uterine recovery. Method： A total of 84 full-term pregnancy and natural delivery women in our hospital from November 2018 to November 2019 were selected as the research samples. They were divided into the control group (42 cases) and the experimental group (42 cases) by random number table method. The control group was treated with conventional oxytocin， and the experimental group was fumigated with TCM fumigation and washing on the basis of the control group. The uterine height， postpartum blood loss， the maintenance time of bloody lochia and uterine contraction pain were compared between the two groups. Result： There were no statistically significant differences in postpartum blood loss and uterine height between the two groups before and on the first day of nursing (P>0.05). On the 5th and 10th days of nursing， the postpartum blood loss and uterine height in the experimental group were significantly better than those in the control group， and the differences were statistically significant (P<0.05). The maintenance time of bloody lochia and uterine contraction pain in the experimental group were shorter than those in the control group， the differences were statistically significant (P<0.05). Conclusion： TCM fumigation and washing can help postpartum uterine recovery， reduce postpartum blood loss， and shorten the maintenance time of bloody lochia and uterine contraction pain.
子宫恢复是指产妇结束分娩后宫体由妊娠状态逐渐恢复为未孕状态的生理过程，子宫恢复主要包含宫体肌纤维缩复、子宫血管变化、子宫内膜再生、子宫下段与宫颈复旧等[1]。常规而言，女性妊娠期结束后的第10 天，子宫可逐渐缩复降入骨盆，分娩结束4～6周宫体可完全恢复[2]。当下，我国高龄产妇问题较为突出，由此导致的不良分娩結局发生率高，其中就包含子宫恢复不佳，即当产妇完成分娩，因妊娠所致的子宫体增大状态并未因胎儿娩出而有所恢复。子宫恢复不当常伴有不同程度的腹痛症状，并存在持续性的带血恶露，危害产妇身心健康，有损其生活质量，对此临床当予重视。中医为我国先人智慧结晶，近年来逐渐受到世界范围的广泛关注，在各类疾病的治疗领域发挥着独到价值。文献[3-4]指出，于分娩后产妇的子宫恢复护理阶段引入中医治疗理念，以中药熏洗改善患者子宫恢复效果显著。为论证上述观点可行性，笔者特纳入笔者所在医院84例足月妊娠自然分娩产妇作为研究样本进行研究，现报道如下。
1 资料与方法
1.1 一般资料
选取笔者所在医院2018年11月-2019年11月足月妊娠自然分娩产妇84例作为研究样本，纳入标准：(1)于笔者所在医院接受孕期检查及分娩者;(2)成年者(年龄>18岁);(3)妊娠次数≤3次;(4)自然分娩者。排除标准：(1)分娩伴大出血者;(2)认知功能障碍或精神类疾病者;(3)妊娠期合并症;(4)无法全程配合本次研究者。采用随机数字表法将所有产妇分为对照组和试验组，各42例。对照组年龄22～35岁，平均(28.48±2.56)岁;31例初产妇，11例经产妇。试验组年龄23～36岁，平均(29.26±2.88)岁;30例初产妇，12例经产妇。两组基线资料比较差异无统计学意义(P>0.05)，有可比性。患者均知晓本次研究内容并自愿参与研究，且签署知情同意书。, http://www.100md.com(彭桂云)
【关键词】 中药熏洗 产后子宫恢复 护理 分娩 宫缩痛
[Abstract] Objective： To analyze the nursing effects of TCM fumigation and washing on postpartum uterine recovery. Method： A total of 84 full-term pregnancy and natural delivery women in our hospital from November 2018 to November 2019 were selected as the research samples. They were divided into the control group (42 cases) and the experimental group (42 cases) by random number table method. The control group was treated with conventional oxytocin， and the experimental group was fumigated with TCM fumigation and washing on the basis of the control group. The uterine height， postpartum blood loss， the maintenance time of bloody lochia and uterine contraction pain were compared between the two groups. Result： There were no statistically significant differences in postpartum blood loss and uterine height between the two groups before and on the first day of nursing (P>0.05). On the 5th and 10th days of nursing， the postpartum blood loss and uterine height in the experimental group were significantly better than those in the control group， and the differences were statistically significant (P<0.05). The maintenance time of bloody lochia and uterine contraction pain in the experimental group were shorter than those in the control group， the differences were statistically significant (P<0.05). Conclusion： TCM fumigation and washing can help postpartum uterine recovery， reduce postpartum blood loss， and shorten the maintenance time of bloody lochia and uterine contraction pain.
子宫恢复是指产妇结束分娩后宫体由妊娠状态逐渐恢复为未孕状态的生理过程，子宫恢复主要包含宫体肌纤维缩复、子宫血管变化、子宫内膜再生、子宫下段与宫颈复旧等[1]。常规而言，女性妊娠期结束后的第10 天，子宫可逐渐缩复降入骨盆，分娩结束4～6周宫体可完全恢复[2]。当下，我国高龄产妇问题较为突出，由此导致的不良分娩結局发生率高，其中就包含子宫恢复不佳，即当产妇完成分娩，因妊娠所致的子宫体增大状态并未因胎儿娩出而有所恢复。子宫恢复不当常伴有不同程度的腹痛症状，并存在持续性的带血恶露，危害产妇身心健康，有损其生活质量，对此临床当予重视。中医为我国先人智慧结晶，近年来逐渐受到世界范围的广泛关注，在各类疾病的治疗领域发挥着独到价值。文献[3-4]指出，于分娩后产妇的子宫恢复护理阶段引入中医治疗理念，以中药熏洗改善患者子宫恢复效果显著。为论证上述观点可行性，笔者特纳入笔者所在医院84例足月妊娠自然分娩产妇作为研究样本进行研究，现报道如下。
1 资料与方法
1.1 一般资料
选取笔者所在医院2018年11月-2019年11月足月妊娠自然分娩产妇84例作为研究样本，纳入标准：(1)于笔者所在医院接受孕期检查及分娩者;(2)成年者(年龄>18岁);(3)妊娠次数≤3次;(4)自然分娩者。排除标准：(1)分娩伴大出血者;(2)认知功能障碍或精神类疾病者;(3)妊娠期合并症;(4)无法全程配合本次研究者。采用随机数字表法将所有产妇分为对照组和试验组，各42例。对照组年龄22～35岁，平均(28.48±2.56)岁;31例初产妇，11例经产妇。试验组年龄23～36岁，平均(29.26±2.88)岁;30例初产妇，12例经产妇。两组基线资料比较差异无统计学意义(P>0.05)，有可比性。患者均知晓本次研究内容并自愿参与研究，且签署知情同意书。, http://www.100md.com(彭桂云)