摘要
目的:探究超声波治疗顺产后子宫复旧的临床效果。方法:选取2022年1月-2023年8月本院妇产科住院阴道分娩的产妇,采用非盲法随机分为观察组(n=51)和对照组(n=51)。两组均常规子宫复旧治疗,观察组加用超声波子宫复旧仪治疗。比较两组产后宫缩疼痛程度[视觉模拟评分法(VAS)评分]和治疗15d后子宫底下降高度,比较两组治疗前和治疗15d后产妇凝血功能和炎症水平,随访两组42d产后恶露情况和治疗中不良反应发生情况,治疗42d复查子宫情况。结果:治疗15 d后,观察组产后宫缩疼痛程度(3.91±0.59分)、血性恶露(6.66±1.72d)、浆液性恶露(30.98±2.15d)结束时间均低于对照组(5.02±0.88分、8.21±1.89d、35.27±2.23d),子宫底下降幅度(3.44±0.25 cm)高于对照组(2.93±0.37 cm),两组凝血功能和炎症指标均有所改善,且观察组改善幅度大于对照组(均P<0.05)。两组不良反应总发生率(11.8%、9.8%)无差异(P>0.05)。产后42d复查,观察组子宫大小小于对照组,子宫内膜厚度(7.18±0.71mm)大于对照组(6.62±0.63mm),存在宫腔内积液、残留物、子宫脱垂严重程度和子宫复旧不良发生率(7.8%)均低于对照组(23.5%)(均P<0.05)。结论:超声波子宫复旧治疗能有效降低产妇产后宫缩疼痛、产后恶露和不良反应,改善凝血功能和炎症水平,预防产后子宫复旧不良。
Objective:To explore the clinical effect of ultrasonic uterine involution therapy on the uterine involution of puerperas after natural delivery.Methods:From January 2022 to August 2023,the puerperas with vaginal delivery in the hospital were selected and were randomly divided into observation group(n=51)and control group(n=51)by non-blind method.The puerperas in the two groups were treated with routine treatment,and the puerperas in the experimental group were given ultrasonic uterine involution instrument additionally.The postpartum uterine contraction pain degree evaluated by visual analogue scale(VAS)score,the descend range of the uterine fundus after 15 days of treatment,and the levels of the coagulation function and the inflammation indexes before treatment and after 15 days of treatment of the puerperas were compared between the two groups.The lochia status in postpartum 42 days and the occurrence of the adverse reactions during treatment of the puerperas in the two groups were followed up.The uterus of the puerperas in the two groups were reviewed in the 42th day of treatment.Results:After 15 days of treatment,the postpartum uterine contraction pain score(3.91±0.59 points),the bloody lotion time(6.66±1.72 d)and the serosity lotion time(30.98±2.15 d)of the puerperas in the observation group were significantly lower than those(5.02±0.88 points,8.21±1.89d and 35.27±2.23d)of the puerperas in the control group.The descend range of the uterine fundus(3.44±0.25 cm)of the puerperas in the observation group was significantly more than that(2.93±0.37 cm)of the puerperas in the control group.The coagulation function and inflammatory indexes of the puerperas in the two groups after treatment had improved significantly,and the improvement degree of the puerperas in the observation group were significantly greater than those of the puerperas in the control group(all P<0.05).There was no significant difference in the total incidence of the adverse reactions(11.8%vs.9.8%)of the puerperas between the two groups(P>0.05).In the 42th day after delivery,the uterine size of the puerperas in the observation group was significantly smaller than that of the puerperas in the control group.The endometrial thickness(7.18±0.71mm)of the puerperas in the observation group was significantly higher than that(6.62±0.63mm)of the puerperas in the control group.The incidence of the adverse reaction(7.8%),such as the intrauterine effusion,the residue,the severity of uterine prolapse and the adverse uterine involution,of the puerperas in the observation group was significantly lower than that(23.5%)of the puerperas in the control group(all P<o.05).Conclusion:The ultrasonic uterine involution therapy for the puerperas with natural delivery can effectively reduce their postpartum uterine contraction pain,postpartum lochia and adverse reactions,improve their coagulation function and inflammation level,and which can prevent the postpartum poor uterine involution of the puerperas.
作者
赵冬雪
杨雪
程明
ZHAO Dongxue;YANG Xue;CHENG Ming(Jinniu District People's Hospital,Chengdu,Sichuan Province,610000)
出处
《中国计划生育学杂志》
2025年第3期616-620,共5页
Chinese Journal of Family Planning
基金
成都市医学科研课题(2023668)。
关键词
顺产
子宫复旧
超声波
子宫复旧
治疗效果
Natural delivery
Uterine involution
Ultrasonic wave
Uterine involution
Therapeutic effect
