Abstract:

Objective　To explore the prevention of abdominal distension after cesarean section based on traditional Chinese medicine (TCM) external treatment technology. Methods　A total of 1 000 cases of cesarean section in Xindu District Maternal and Child Health Hospital from May 2020 to September 2021 were numbered according to the order of treatment, and were randomly grouped by SPSS software, who were divided into a control group and a treatment group with 500 cases in each group. The control group was (28.26±3.95) years old, and the treatment group was (29.30±4.28) years old. The control group was given contractions, fluid supplementation, turning over, and other conventional treatment, and the treatment group was added with fennel heat package on the basis of conventional treatment. The safety and efficacy of intervention were compared between the two groups, and the gastrointestinal function of the effective parturients was followed up. t test and χ² test were used. Results　There were no systemic reactions or local skin adverse reactions in the two groups after treatment intervention. The postoperative bowel sound recovery time [(15.47±2.14) h], the first anal exhaust time [(17.32±2.75) h], and the first defecation time [(50.12±4.62) h] in the treatment group were shorter than those in the control group [(21.25±2.32) h, (25.75±2.78) h, and (58.64±5.55) h], and the abdominal distension score [(1.35±0.63) points] and TCM syndrome efficacy score of gastrointestinal diseases [(7.39±2.59) points] were significantly lower than those in the control group [(3.20±0.74) points and (19.64±4.16) points], with statistically significant differences (t=41.434, 49.168, 26.326, 43.886, and 55.294; all P<0.05). The incidence of complications in the treatment group [0.00% (0/500)] was significantly lower than that in the control group [1.40% (7/500)], with a statistically significant difference (χ²=7.049, P=0.008). The length of hospital stay in the treatment group was (3.9±0.7) d, which was significantly shorter than that in the control group [(7.2±1.4) d], with a statistically significant difference (t=47.143, P<0.001). Follow-up showed that the treatment effects in the effective parturients of the two groups were good, and there was no recurrence or adverse reactions. Conclusion　Based on TCM external treatment technology, the use of TCM heat package to prevent abdominal distension after cesarean section has significant therapeutic effect and high safety, and can shorten the parturients' length of hospital stay and save the costs, which is worthy of promotion.

Key words:

Caesarean section, Abdominal distension, Traditional Chinese medicine heat package

摘要：

目的　探究基于中医外治技术预防剖宫产术后腹胀的中药热奄包。方法　2020年5月至2021年9月成都市新都区妇幼保健院的1 000例剖宫产产妇，将全部入院患者按就诊顺序编号，采用SPSS软件进行随机化分组，分成对照组与治疗组，每组500例。对照组年龄（28.26±3.95）岁，治疗组年龄（29.30±4.28）岁。对照组予以缩宫、液体补充、翻身等常规治疗，治疗组在常规治疗基础上加用茴香热奄包。对比分析两组产妇干预治疗的安全性、疗效，并对已显效的产妇进行胃肠功能情况的随访观察。采用t检验、χ²检验。结果　两组产妇治疗干预后皆未出现全身性反应及局部皮肤不良反应。治疗组产妇术后肠鸣音恢复时间［（15.47±2.14）h］、肛门首次排气时间［（17.32±2.75）h］、首次排便时间［（50.12±4.62）h］均短于对照组［（21.25±2.32）h、（25.75±2.78）h、（58.64±5.55）h］，腹胀评分［（1.35±0.63）分］、胃肠疾病中医证候疗效评分［（7.39±2.59）分］均明显低于对照组［（3.20±0.74）分、（19.64±4.16）分］，差异均有统计学意义（t=41.434、49.168、26.326、43.886、55.294，均P<0.05）。治疗组产妇并发症发生率［0.00%（0/500）］明显低于对照组［1.40%（7/500）］，差异有统计学意义（χ²=7.049，P=0.008）。治疗组产妇术后住院时间为（3.9±0.7）d，明显短于对照组的（7.2±1.4）d，差异有统计学意义（t=47.143，P<0.001）。随访显示，两组治疗已显效产妇治疗效果较好，均未出现复发及不良反应状况。结论　基于中医外治技术使用中药热奄包预防剖宫产术后腹胀干预治疗效果显著，且安全性高，能缩短产妇住院时间，节省费用，值得推广。

关键词:

剖宫产, 腹胀, 中药热奄包