| Backgroud:Cesarean section is a effective method to solve the difficult birth and save the lives of some maternals and perinatals, In recent years, As advances in perinatal medicine, caesarean section rate has shown a rising trend, with the increase in the number of caesarean section, postoperative complications increasingly evident, How to reduce complications after cesar--ean section, and promote rapid recovery after childbirth, improve maternal quality of life, become an important issue facing the maternity workers. However, the recovery of gastrointestinal function after cesarean section cesarean section as the initial part of the overall rehabilitation has important clinical significance. Recovery of gastrointestinal function can promote early maternal feeding, improve the nutritional and enhance the body resistance, ease of perioperative adverse maternal mood and promote milk secretion, promote uterine involution, and promote wound healing, reduce abdominal visceral adhesions and other diseases the occurrence of increased maternal quality of life. At present, domestic and foreign scholars attach great importance at the study of promoting the recovery of gastrointestinal function after cesarean section, Western medicine has not found a good response, but in this regard Chinese medicine has accumulated rich experience, but still not the best treatment.Objective:To research the safety and clinical effect on Aucpiont Sticking at "ZuSanLi" with magnolia cream to promote the recovery of gastrointestinal function after cesarean section.Methods:According to the case study of prospective randomized controlled trial design of case study methods, were included in August 2009 to February 2010 in Guangzhou University of Traditional Chinese Medicine subsidiary maternity Children's Hospital 150 cas.es of cesarean section with time selecting operation, which were randomly divided into treatment group and control group two. The control group is taken the conventional treatment and nursing after cesarean section, that is to to shrink uterine therapy, prevention of infection therapy, fluid supplement therapy etc, and do not use any drugs affecting gastrointestinal motility. treatment group basis in thecontrol group, is taken Acupiont Sticking at ZuSanLi point with wagnolia cream within 30 minutes after cesarean section, Replace medication every 6 hours 1 until defecation, we will observ and record borborygmus returning to normal time, the first exhaust time, the first defecation time, and measure abdominal circumference, record the occurrence of abdominal distension 4 hour after surgery. Using the statistical software SPSS13.0 database to obtain the result through statistics analysis adopting the t and x2 test.Result:During the experiment, two groups of subjects were not serious complications such as int ileus, good recovery of gastrointestinal function, the control group 1 cases were out of Experiment due to appearⅡgrade abdominal distention. About borborygmus returning time, the treatment group was 16.42±5.41h, the control group was 19.68±4.69h;about the first exhaust time, the treatment group was 25.78±7.14h,control group was 30.92±7.28h, about the first defecation time, the treatment group was 58.81±10.54h, the control group was 66.71±9.48h, In three side, such as the borborygmus returning time, the first exhaust time, the first defecation time, the treatment group compared with the control group, the treatment group is significantly shorter, the comparison between the two groups In the above three areas were significantly different (P<0.05), And both groups after 48h,72h, 96h three different time points, the number of cases to recover the normal gastrointestinal function were compared by chi-square test, P<0.05, difference was statistically significant, indicating the treatment group returned to normal gastrointestinal function time earlier than the control group.on the Abdominal distention occurrence of between after cesarean section, the treatment group had 3 patients of abdominal distention, the rate was 4%, while the control group,11 cases of abdominal distention, with a proportion of 14.67%, between the two groups by chi-square test, P<0.05, About borborygmus difference statistical significance.Conclusion:acupiont sticking therapy at "ZuSanLi" with magnolia cream can promote the recovery of gastrointestinal function after cesarean section, and acupoint application group can reduce the incidence of abdominal distention, prevent ileus, intestinal adhesion, or other complications, thus it can promote the overall rehabilitation of patients after cesarean section. |
PDF Full Text Request