蔣樹琴
[摘要] 目的 探討對(duì)經(jīng)產(chǎn)婦產(chǎn)后宮縮疼痛鎮(zhèn)痛中實(shí)施低頻脈沖電刺激的護(hù)理效果。方法 方便選取該院產(chǎn)科120例經(jīng)產(chǎn)婦(2018年10月—2019年5月間)納入研究,用計(jì)算機(jī)進(jìn)行隨機(jī)分組:對(duì)照組(n=60,常規(guī)護(hù)理)、治療組(n=60,低頻脈沖電刺激干預(yù)),分析產(chǎn)婦產(chǎn)后宮底高度、治療后宮縮疼痛緩解程度及惡露排出狀況。結(jié)果 治療組產(chǎn)后24 h、48 h、72 h宮底高度下降程度(1.1±0.3)cm、(3.9±0.4)cm、(7.4±0.4)cm與對(duì)照組組間對(duì)比更高(0.3±0.4)cm、(1.6±0.3)cm、(4.1±0.3)cm(t=12.394、35.631、51.123,P<0.05);治療組產(chǎn)后24 h、48 h、72 h NRS評(píng)分(5.9±0.2)分、(3.2±0.3)分、(1.3±0.2)分與對(duì)照組(7.5±0.3)分、(5.8±0.3)分、(3.7±0.4)分組間對(duì)比更低(t=34.374、47.469、41.569,P<0.05);治療組產(chǎn)后24 h、48 h、72 h惡露排出量(30.5±5.3)mL、(48.5±5.2)mL、(60.4±5.8)mL與對(duì)照組(26.5±5.4)mL、(42.1±4.6)mL、(51.5±4.9)mL組間對(duì)比更高(t=4.095、7.141、9.080,P<0.05)。 結(jié)論 對(duì)經(jīng)產(chǎn)婦產(chǎn)后宮縮疼痛鎮(zhèn)痛中實(shí)施低頻脈沖電刺激護(hù)理可有效減輕宮縮痛,促進(jìn)子宮復(fù)舊及惡露排出。
[關(guān)鍵詞] 經(jīng)產(chǎn)婦;產(chǎn)后宮縮疼痛;鎮(zhèn)痛;低頻脈沖電刺激;子宮復(fù)舊
[中圖分類號(hào)] R714? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1674-0742(2020)03(a)-0166-03
Nursing of Low-frequency Pulse Electrical Stimulation for Postpartum Contraction Pain
JIANG Shu-qin
Department of Obstetrics, Xinghua People's Hospital,X inghua, Jiangsu Province, 225700 China
[Abstract] Objective To explore the nursing effect of low-frequency pulse electrical stimulation on postpartum contraction pain and analgesia in postpartum women. Methods 120 obstetric women in the obstetric department (from October 2018 to May 2019) were convenient selected in the study and randomly divided by computer: control group (n=60, routine care), treatment group (n=60, low-frequency pulse electricity stimulation intervention), analysis of maternal postpartum height, post-treatment contraction pain relief and lochia discharge status. Results The degree of decrease in uterine fundus height was (1.1±0.3) cm, (3.9±0.4) cm, (7.4±0.4) cm compared with the control group (0.3±0.4) cm, (1.6±0.3) cm, (4.1±0.3) cm of 24 hours, 48 h, and 72 h postpartum(t=12.394, 35.631, 51.123,P<0.05); NRS scores (5.9±0.2) points, (3.2±0.3) points(1.3±0.2), compared with the control group (7.5±0.3), (5.8±0.3), and (3.7±0.4), the comparison between the groups was lower(t= 34.374, 47.469, 41.569,P<0.05); the treatment group's lochia discharge at 24 h, 48 h, and 72 h after delivery (30.5±5.3) mL, (48.5±5.2) mL, (60.4±5.8) mL and the control group (26.5±5.4) mL, (42.1±4.6) mL, (51.5±4.9) mL was higher(t=4.095, 7.141, 9.080,P<0.05). Conclusion The implementation of low-frequency pulsed electrical stimulation in postpartum contraction pain and analgesia can effectively reduce contraction pain, promote uterine rehabilitation and discharge of lochia.
[Key words] Postpartum women; Postpartum contraction pain; Analgesia; Low frequency pulse electrical stimulation; Uterine rehabilitation
綜上所述,對(duì)經(jīng)產(chǎn)婦產(chǎn)后宮縮疼痛鎮(zhèn)痛中實(shí)施低頻脈沖電刺激護(hù)理可有效減輕宮縮疼痛,促進(jìn)子宮復(fù)舊,增加產(chǎn)婦舒適度,促進(jìn)惡露排出,有效減輕經(jīng)產(chǎn)婦產(chǎn)后身心痛苦,緩解腰酸背痛,促進(jìn)產(chǎn)婦產(chǎn)后恢復(fù)。且實(shí)施低頻脈沖電刺激護(hù)理安全、簡(jiǎn)單、易于操作、較藥物鎮(zhèn)痛風(fēng)險(xiǎn)小、無(wú)不良反應(yīng),可減輕護(hù)理人員工作負(fù)擔(dān),經(jīng)濟(jì)有效。
[參考文獻(xiàn)]
[1]? 鐘美蓉,郭昱君,黃芬.穴位按摩結(jié)合情志護(hù)理在減輕經(jīng)產(chǎn)婦產(chǎn)后宮縮疼痛、促進(jìn)康復(fù)中的作用[J].醫(yī)學(xué)理論與實(shí)踐,2018,31(24):3776-3777.
[2]? 辛鳳.針刺三陰交、陰陵泉穴對(duì)治療二胎產(chǎn)后宮縮痛的療效觀察[J].中國(guó)醫(yī)療器械信息,2017,23(14):113-114.
[3]? 黃曉麗,馮麗萍,何惠優(yōu).探討TDP治療儀照射關(guān)元穴緩解縮宮素引發(fā)產(chǎn)后宮縮痛的療效[J].中國(guó)臨床護(hù)理,2018,10(3):231-234.
[4]? 劉陸梅.超聲脈沖電導(dǎo)經(jīng)皮給藥在產(chǎn)后康復(fù)的療效觀察[J].山西職工醫(yī)學(xué)院學(xué)報(bào),2016,26(6):30-32.
[5]? 韓煒,蔣維,侯靈彤,等.經(jīng)產(chǎn)婦自然分娩后壓力性尿失禁電刺激治療的臨床效果分析[J].中國(guó)煤炭工業(yè)醫(yī)學(xué)雜志,2017, 20(6):632-635.
[6]? 何慶鳳,何映嫻,張春燕,等.低頻脈沖對(duì)經(jīng)產(chǎn)婦子宮康復(fù)水平的影響[J].齊齊哈爾醫(yī)學(xué)院學(xué)報(bào),2017,38(8):991-992.
[7]? 沈慧英.低頻脈沖治療儀對(duì)產(chǎn)婦產(chǎn)后康復(fù)的效果[J].按摩與康復(fù)醫(yī)學(xué),2016,7(2):111-112.
[8]? 劉月輝,田磊.中藥穴位貼敷聯(lián)合特定電磁波治療儀治療產(chǎn)后宮縮痛臨床觀察[J].河北中醫(yī),2017,39(7):1093-1095.
[9]? 黃優(yōu)華,丘馳,盧瓊芳.產(chǎn)后宮縮痛應(yīng)用低頻脈沖電刺激治療的效果觀察[J].臨床合理用藥雜志,2018,11(11):146-147.
[10]? 秦廣華.產(chǎn)后康復(fù)治療儀低頻脈沖電療法對(duì)產(chǎn)后子宮恢復(fù)的療效觀察[J].雙足與保健,2018,27(18):29-30.
[11]? 祁丹鋒,汪歡歡,李瓊,等.中藥穴位貼敷聯(lián)合宮縮素對(duì)產(chǎn)后子宮復(fù)舊及宮縮痛的影響[J].新中醫(yī),2017,49(3):141-142.
[12]? 聶韓禎,秦鳳芝.卡前列素氨丁三醇聯(lián)合脈沖電刺激預(yù)防高危因素所致產(chǎn)后出血的療效研究[J].菏澤醫(yī)學(xué)專科學(xué)校學(xué)報(bào),2016,28(2):15-17,23.
(收稿日期:2019-12-09)