大黄、芒硝中药贴敷对产妇剖宫产术后腹部切口愈合和疼痛的影响

目的 探讨大黄、芒硝中药贴敷治疗对经剖宫产术后产妇腹部切口的愈合和疼痛的影响.方法 选取2014年11月-2015年11月期间该院妇产科采取剖宫产术进行分娩的产妇96例,应用区组随机分组法将其分为对照组与观察组,各48例.对照组实施常规术后治疗,观察组在对照组的基础上实施中药贴敷,在经中药贴敷治疗前后采用温哥华瘢痕评估表对其切口愈合程度进行评估,采用视觉模拟评价量表对两组产妇切口疼痛感进行评估,并观察记录两组产妇切口处发生感染、液化等术后并发症情况.结果 两组产妇术后经护理后,观察组VSS量表评分为(3.8 ±1.6)分,显著低于对照组的(5.5 ±2.7)分,且2周内观察组切口为甲级愈合例数多于对照组;观察组的愈合不良结局总例数要显著低于对照组(P<0.05);观察组VAS评分为(3.7 ±2.4)分,显著低于对照组的(5.8 ±3.0)分(P<0.05).另外,对照组住院时间明显长于观察组,观察组产妇的满意率显著高于对照组(P<0.05).结论 采用大黄、芒硝中药贴敷治疗的方法可以促进经剖宫产术后腹部切口的愈合,减少术后切口愈合不良情况的发生,减缓愈合过程所带来的疼痛感,提高舒适度.

Effects of traditional Chinese medicine plaster(Rhubarb,Glauber's salt)on abdominal wound healing and pain after cesarean section

Objective To investigate the effect of traditional Chinese medicine plaster therapy on the healing of abdominal incision and pain after cesarean section. Methods From November 2014 to November 2015,6 cases of pregnant women in our hospital were selected for delivery by cesarean section.The method of random grouping was divided into two groups,the control group and the observation group,48 cases in each group.The control group was given routine treatment,while the observation group was treated with traditional Chinese medicine on the basis of the control group.After treatment,the wound healing was evaluated by the Vancouver scar assessment scale.The visual analogue scale was used to evaluate the pain perception of the two groups of women.The incidence of infection,liquefaction and other postoperative complications in two groups were observed and recorded. Results After the two groups of care,the implementation of traditional Chinese medicine plaster care observation group of the VSS scale score(3.8±1.6) points,significantly lower than the control group(5.5±2.7) points(P<0.05).Thehealing number of observation group incision for gradelower than the control groupin the two weeks.The VAS score in the observation group was(3.7±2.4) points,which was significantly lower than that of the control group(5.8±3.0) points(P<0.05).In addition,the implementation comparison of traditional Chinese medicine betweenthe two groups wassticking therapy after the hospitalization time and maternal satisfaction rate of the control group,the hospitalization time was longer than the length of stay in the observation group,the difference was statistically significant(P<0.05);and from the two groups after the treatment of maternal satisfaction,the maternal satisfaction rate of observation group was significantly higher than that in the control group(P<0.05). Conclusions The application of traditional Chinese medicine plaster can promote the healing of abdominal incision after cesarean section,reduce the incidence of poor wound healing,slow down the healing process of the pain,and improve the comfort.