文章摘要
暖宫止痛穴位贴在经阴道分娩产妇子宫复旧中的疗效评估
Efficacy Evaluation of Warm Uterus Analgesic Acupoint Patches in Postpartum Uterine Involution of Vaginal Delivery Mothers
投稿时间:2025-01-13  修订日期:2025-01-13
中文关键词: 暖宫止痛穴位贴  初产妇 经阴道分娩  子宫复旧
英文关键词: Warm Uterus Analgesic Acupoint Patches  Primipara  Transvaginal delivery  involution of uterus
基金项目:
作者单位邮编
胡仙清* 温州市人民医院,温州市妇幼保健院,温州医科大学温州市第三临床学院妇产科 325000
林祥 温州市人民医院,温州市妇幼保健院,温州医科大学温州市第三临床学院中医科 
倪菲菲 温州市人民医院,温州市妇幼保健院,温州医科大学温州市第三临床学院妇产科 
胡艳君 温州市人民医院,温州市妇幼保健院,温州医科大学温州市第三临床学院妇产科 
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中文摘要:
      目的:探讨暖宫止痛穴位贴在经阴道分娩产妇子宫复旧中的疗效。方法:回顾性调取2023年1月至2024年6月在我院分娩的产妇临床资料,按治疗方法不同,分为对照组38例和暖宫止痛穴位组41例。对照组采用常规治疗,暖宫止痛穴位贴组采用暖宫止痛穴位贴治疗。对两组产妇产后子宫复旧高度,产后超声团块发生率,产后子宫收缩疼痛时间与产后恶露持续时间,晚期产后出血发生情况进行评估。结果:暖宫止痛穴贴位组产后48h子宫复旧程度大于对照组(-3(-2~-4),-2(-1~-3),P < 0.05);暖宫止痛穴位贴组产后48h超声团块发生率低于对照组(22/41,29/38,P < 0.05);暖宫止痛穴位贴组产后子宫收缩疼痛时间(5.34±1.28,7.66±1.67,P <0.05)与产后恶露持续时间均明显短于对照组(14.20±1.54,21.18±1.41,P <0.05)。暖宫止痛穴位贴组晚期产后出血发生人数与对照组无明显差异(1/41,0/38,P > 0.05)。结论:暖宫止痛穴位贴在经阴道分娩产妇子宫复旧中有助于子宫复旧,促使子宫大小与宫底高度恢复,缩短产后子宫收缩疼痛与恶露持续时间。
英文摘要:
      Objective: To explore the therapeutic effects of warming and analgesic acupoint patches on uterine involution in postpartum women after vaginal delivery. Methods: Retrospective data of postpartum women who delivered at our hospital from January 2023 to June 2024 were collected. The women were divided into two groups based on treatment methods: a control group with 38 cases and a warming and analgesic acupoint group with 41 cases. The control group received conventional treatment, while the warming and analgesic acupoint patch group was treated with warming and analgesic acupoint patches. Both groups were evaluated for the degree of uterine involution, the incidence of postpartum ultrasound masses, the duration of postpartum uterine contraction pain, and the duration of postpartum lochia, as well as the occurrence of late postpartum hemorrhage. Results: The degree of uterine involution in the warming and analgesic acupoint patch group at 48 hours postpartum was greater than that of the control group (-3 (-2~-4) vs. -2 (-1~-3), P < 0.05); the incidence of ultrasound masses at 48 hours postpartum in the warming and analgesic acupoint patch group was lower than that of the control group (22/41 vs. 29/38, P < 0.05); the duration of postpartum uterine contraction pain (5.34±1.28 vs. 7.66±1.67, P < 0.05) and the duration of postpartum lochia were significantly shorter in the warming and analgesic acupoint patch group than in the control group (14.20±1.54 vs. 21.18±1.41, P < 0.05). There was no significant difference in the number of occurrences of late postpartum hemorrhage between the warming and analgesic acupoint patch group and the control group (1/41 vs. 0/38, P > 0.05). Conclusion: Warming and analgesic acupoint patches are beneficial for uterine involution in postpartum women after vaginal delivery, promoting the recovery of uterine size and fundal height, and shortening the duration of postpartum uterine contraction pain and lochia.
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