穴位按摩联合穴位贴敷对减轻剖宫产术后疼痛的效果观察.docVIP

精品论文 参考文献 穴位按摩联合穴位贴敷对减轻剖宫产术后疼痛的效果观察 王月玲 　　（东阿县中医医院 山东 聊城 252200） 　　【摘要】 目的：探讨穴位按摩联合穴位贴敷对减轻剖宫产术后疼痛的效果。方法：对我院2014年1月至2015年1月期间接受诊治的80例剖宫术产妇，按照手术先后顺序随机分为两组各40例，对照组给予常规健康指导，观察组于手术后6小时即给予足三里、三阴交、阴谷、曲泉穴进行穴位按摩联合中药穴位贴敷进行治疗，观察两组产妇术后疼痛减轻的临床效果。结果：观察组在各时间段上的疼痛评分明显低于对照组，差异有统计学意义（P＜0.001）。结论：穴位按摩联合穴位贴敷可有效地减轻剖宫产术后疼痛。 　　【关键词】剖宫产术后；穴位按摩；中药穴位贴敷；疼痛 　　【中图分类号】R248 【文献标识码】A 【文章编号】2095-1752（2015）09-0019-03 　　Point massage combined with Acupoint Application on relieving pain effect observed after cesarean section Wang Yueling. The Hospital of Traditional Chinese Medicine of Dong e County, Shandong Province, Liaocheng 252200, China 　　【Abstract】Objective: Discussion on the acupuncture point massage combined with acupoint sticking on pain after cesarean section reduction effect. Methods:80 cases of cesarean section in our hospital during 2014 January of the maternal to 2015 January, were randomly divided into two groups, each of 40 cases, the control group was given conventional health education, the observation group in 6 hours after operation is given Zusanli, Sanyinjiao,Yingu,Ququan point massage combined with traditional Chinese medicine acupoint sticking treatment. Results:In the observation group, each time the pain scores were significantly lower than those in the control group, the difference was statistically significant (Plt; 0.001). Conclusion:Acupuncture point massage combined with acupoint application can effectively relieve the pain after cesarean section. 　　【Key words】After cesarean section; Acupoint massage; Acupoint application; Pain 　　剖宫产术后剧烈疼痛会使产妇烦躁不安，减少术后活动，影响其产后康复及母乳喂养[1]。我国剖宫产率远远高于世界卫生组织倡导的10%～15%的水平[2]。PCIA通过静脉给药以产生镇静和镇痛作用，常见的副作用有恶心呕吐，肛门排气延迟等[3-4]，使产妇对自控镇痛法产生怀疑或失望[5]。为了有效缓解剖宫产术后疼痛，我科采用了穴位按摩联合中药穴位贴敷，效果满意, 现报告如下。 　　1.资料与方法 　　1.1 临床资料 　　选取2014年1月—2015年1月行剖宫术产妇80例，随机分为观察组和对照组各40例。观察组年龄21～44岁,平均30岁；对照组年龄18～41岁，平均29岁。均在硬膜外麻醉下行子宫下段新式剖宫产术，手术切口均为横切口。产妇入选标准: ①神志清楚，能正常表达和交流；②术前产妇知情同意并配合参与研究者。排除标准：①妊娠合并静脉炎、胆石症、肾结石等疾病的患者；②有严重产科并发症、慢性疼痛者；③产妇不