中医护理干预促进剖宫产术后肛门排气的效果分析

目的分析中医护理干预促进剖宫产术后肛门排气的效果。方法以2016年12月20日~2017年8月12日作为研究阶段,共纳入研究对象1000例,均为接受剖宫产术患者,采用随机数字表法分为对照组(n=500)和治疗组(n=500),对照组采用常规护理模式,治疗组采用中医护理干预,比较两组护理效果。结果治疗组腹胀发生2例(0.40%),对照组腹胀25例(5.00%),差异有统计学意义(P0.05)。两组首次肛门排气时间、首次排便时间、肠鸣音恢复时间比较差异具有统计学意义(P0.05)。两组护理前SAS、SDS评分差异不显著(P0.05),经过护理后,对照组SAS(48.61±3.78)分、SDS(46.55±3.05)分与治疗组SAS(34.64±4.31)分、SDS(30.56±2.48)分比较差异有统计学意义(P0.05)。治疗组护理满意率99.20%高于对照组84.40%,差异有统计学意义(P0.05)。结论针对接受剖宫产术的产妇采用中医护理干预可有效降低腹胀的发生,实现术后肛门排气时间的提前,有效改善产妇焦虑、抑郁情绪状态,提高护理满意度,值得临床推广与应用。

Effect of traditional Chinese medicine nursing intervention on anal exhaustion after cesarean section

Objective To analyze the effect of traditional Chinese medicine nursing intervention on anal exhaustion after cesarean section. Methods A total of 1000 patients undergoing cesarean section from December 20th, 2016 to August 12th, 2017 were included in the study. They were randomly divided into control group (n=500) and observation group (n=500). The control group was given the conventional nursing mode, and the treatment group was treated with the TCM nursing intervention. The nursing effects of the two groups were compared. Results Abdominal distension occurred in 2 patients (0.40%) in the treatment group and 25 patients (5.00%) in the control group, and difference between two groups was significant (P<0.05). There were statistically significant differences in the first anal exhaust time, first defecation time, bowel sound recovery time between the treatment group and the control group(P<0.05). There was no significant difference in SAS and SDS scores between the two groups before care, P>0.05. After nursing, there was significant difference between the SAS (48.61±3.78),SDS (46.55±3.05) of the control group and the SAS (34.64±4.31), SDS (30.56±2.48 ) of study group(P<0.05). The nursing satisfaction rate in the treatment group was 99.20%, higher than that in the control group 84.40%, and the difference was statistically significant (P<0.05). Conclusion The use of TCM nursing interventions for puerperas who underwent cesarean section can effectively reduce the occurrence of abdominal distension, achieve anterior postoperative anal exhaustion time, effectively improve the maternal anxiety, depression and emotional satisfaction, improve nursing satisfaction, which is worthy of clinical promotion and application.