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目的:探讨艾慈灸穴位敷贴在促进剖宫产产妇术后低体温及胃肠功能恢复中的应用。方法:将200例剖宫产产妇随机分为对照组和观察组各100例。对照组给予常规术后护理,观察组给予艾慈灸穴位敷贴护理。比较两组术后体温变化、肠鸣音恢复时间、肛门排气时间、排便时间、腹胀发生率及血清胃动素水平。结果:术后30、60 min,观察组体温复常率分别为73.0%、100.0%,对照组分别为38.0%、85.0%,观察组术后体温复常情况显著优于对照组(P<0.05)。观察组术后肠鸣音恢复时间、肛门排气时间、排便时间及腹胀发生率分别为(16.1±3.8)、(25.7±4.2)、(55.8±6.9)h以及6.0%,对照组分别为(23.6±4.5)、(40.8±6.3)、(73.2±11.7)h及28.0%,组间比较差异有统计学意义(P<0.05)。术后1、3 d,观察组血清胃动素水平分别为(289.6±54.3)、(335.3±14.9)ng/L,对照组分别为(206.5±35.6)、(269.6±19.7)ng/L,观察组血清胃动素水平显著高于对照组(P<0.05)。结论:剖宫产术后采用艾慈灸穴位敷贴护理,可有效促进低体温恢复,改善胃肠功能。
Objective: To investigate the application of acupuncture-moxibustion acupoint sticking in promoting postoperative hypothermia and gastrointestinal function recovery after cesarean section. Methods: 200 cases of cesarean section women were randomly divided into control group and observation group of 100 cases. The control group was given routine postoperative care, and the observation group was given Ai Ci moxibustion treatment. Postoperative changes in body temperature, bowel sounds recovery time, anal exhaust time, defecation time, incidence of bloating and serum motilin levels were compared between the two groups. Results: At 30 and 60 minutes after operation, the body temperature normalization rates in the observation group were 73.0% and 100.0% respectively, while those in the control group were 38.0% and 85.0% respectively. The postoperative body temperature abnormalities in the observation group were significantly better than those in the control group ). Postoperative bowel sounds recovery time, anus exhaust time, defecation time and incidence of bloating in the observation group were (16.1 ± 3.8), (25.7 ± 4.2), (55.8 ± 6.9) h and 6.0%, respectively 23.6 ± 4.5), (40.8 ± 6.3), (73.2 ± 11.7) h and 28.0%, respectively. There was significant difference between the two groups (P <0.05). The levels of serum motilin in the observation group were (289.6 ± 54.3) and (335.3 ± 14.9) ng / L on the 1st and 3rd postoperative day, respectively, and those in the control group were (206.5 ± 35.6) and (269.6 ± 19.7) ng / L, The level of serum motilin in observation group was significantly higher than that in control group (P <0.05). Conclusion: Cesarean section after using acupuncture moxibustion application of acupuncture points, can effectively promote hypothermia recovery, improve gastrointestinal function.