摘要
目的:探讨产后子宫按摩对产妇身心康复临床价值。方法:收集2013年4月至2016年5月110例产妇临床资料,分成两组,每组55例,对照组常规护理,观察组在对照组基础上予子宫按摩等综合护理,观察不同护理后对产妇疼痛情况、子宫和形体恢复情况、焦虑抑郁量表变化情况。结果:观察组产后2d切口痛、宫缩痛、躯体痛评分分别为(2.36±1.03)分、(1.78±0.95)分、(1.78±0.95)分,产后4d则分别为(1.11±0.74)分、(1.01±0.44)分、(0.78±0.36)分,显著低于同时期对照组,两组比较差异显著(P<0.05);观察组产后24h、48h、72h子宫底高度分别为(16.44±3.23)cm、(9.87±2.36)cm、(6.12±1.05)cm,显著低于同时期对照组(P<0.05),产后6周观察组体质指数、腰围、臀围、腹部皮褶指数(22.12±2.34)kg/m^2、(71.22±3.24)cm、(80.54±4.24)cm、(2.12±0.35)cm,显著低于对照组(P<0.05);观察组产后3d HAMA、HAMD评分分别为(18.34±4.23)分、(11.61±2.51)分,产后7d则分别为(12.78±2.31)分、(5.74±1.02)分,显著低于同时期对照组(P<0.05)。结论:产后子宫按摩能促进产妇产后身心康复,且简单实用,安全性高。
Objectives： To investigate the clinical value of postpartum uterine massage intervention on physical and mental rehabilitation. Methods： From April 2013 to May 2016,the clinical data of 110 puerperas was collected and divided into 2 groups,with 55 cases in each group. The control group was given conventional nursing,and the observation group was given uterine massage comprehensive nursing based on conventional nursing. The pain,uterine and body recovery,anxiety and depression scale changes of puerpera were observed. Results： On the 2 d postpartum,incision pain,uterine contraction pain and body pain score of observation group were（ 2. 36 ±1. 03）,（ 1. 78 ± 0. 95） and（ 1. 78 ± 0. 95）. On the 4 d postpartum,they were respectively（ 1. 11 ± 0. 74）,（ 1. 01 ± 0. 44） and（ 0. 78 ± 0. 36）,which were significantly lower than these of control group at the same time,with significant differences（ P〈0. 05）. The observation group uterine height at 24 h,48 h,72 h postpartum were respectively（ 16. 44 ± 3. 23） cm,（ 9. 87 ± 2. 36） cm and（ 6. 12 ± 1. 05） cm,which were significantly lower than these in control group（ P〈0. 05）. On the 6 weeks postpartum,BMI,waist circumference,hip circumference and abdominal skinfold index in observation group were（ 22. 12 ± 2. 34） kg/m^2,（ 71. 22 ± 3. 24） cm,（ 80. 54± 4. 24） cm,and（ 2. 12 ± 0. 35） cm,which were significantly lower than these in control group（ P〈0. 05）.The HAMD and HAMA scores of observation group on the 3 d postpartum were respectively（ 18. 34 ± 4. 23） and（ 11. 61 ± 2. 51）,and on the 7 d postpartum were（ 12. 78 ± 2. 31） and（ 5. 74 ± 1. 02）,which was significantly lower than these in control group（ P〈0. 05）. Conclusion： Postpartum uterine massage can promote postpartum physical and mental rehabilitation,which is simple and practical with high safety.
出处
《中国性科学》
2018年第2期131-133,共3页
Chinese Journal of Human Sexuality
基金
陕西省西安市卫生科研项目(2012007)
关键词
产后子宫按摩
产妇
身心康复
临床价值
Postpartum uterine massage
Puerpera
Physical and psychological rehabilitation
Clinical value
