低强度超声对二胎产后子宫收缩痛影响.docVIP

低强度超声对二胎产后子宫收缩痛的影响 　　[摘要] 目的 探讨低强度超声对产后子宫收缩痛的影响。 方法 2016年1～11月期间随机选择300例二胎足月自然分娩后的产妇。其中146例为治疗组，154例为对照组，两组之间统计学无差异，治疗组于分娩8 h后，由护士用低超声治疗仪对患者子宫覆盖区进行按摩治疗，2次/d，20 min/次。连续3 d；对照组不做任何处置。通过让患者自身感受子宫收缩痛的强度变化填写疼痛等级表。 结果 产后第3天评估治疗组优于对照组，其中，治疗组87.67%（128/146）无明显子宫收缩痛感觉。对照组仅35.71%（55/154）的产妇无明显子宫收缩疼痛感觉，两组之间差异有统计学意义（P0.05）。 结论 低强度超声治疗可以减轻二胎产后子宫收缩痛。 　　[关键词] 低强度超?；子宫收缩痛；疼痛等级；子宫复旧仪 　　[中图分类号] R719.8 [文献标识码] B [文章编号] 1673-9701（2018）03-0050-03 　　Effect of low intensity ultrasound on postpartum uterine contraction pain of the second pregnancy 　　ZHAO Yan GUO Yi LIU Xiuying 　　Dalian Women and Childrens Hospital， Dalian 116033， China 　　[Abstract] Objective To observe the effect of low intensity ultrasound on postpartum uterine contraction pain. Methods From January to November 2016， 300 puerpera who underwent full-term natural delivery of the second pregnancy were randomly selected. Among them， 146 cases were assigned to the treatment group and 154 cases were assigned to the control group. There was no statistical difference between the two groups. The nurses carried out massage treatment in uterine coverage area by low ultrasound device 8 hours after delivery in the treatment group， twice/day， 20 minutes/time for 3 days continuously. The control group was not given any treatment. The pain scale was filled by the patients through their feeling on the changes in the intensity of uterine contractions. Results According to the evaluation on the third day after delivery，the treatment group was better than the control group. Among them， 87.67%（128/146） in the treatment group had no significant uterine contraction pain. In the control group，only 35.71%（55/154） had no obvious uterine contraction pain. The difference between the two groups was statistically significant（P0.05）. Conclusion Low-intensity ultrasound treatment can reduce the postpartum uterine contraction pain of the second pregnancy. 　　[Key words] Low-intensity ultrasound； Uterine contraction pain； Pain degree； Uterus invo