Effect of Chinese Medicine Application Combined with Percutaneous Acupoint Electrical Stimulation on Improving Intestinal Function after Cesarean Section

Abstract

Abstract: Objective To investigate the effect of traditional Chinese medicine application combined with percutaneous acupoint electrical stimulation on improving intestinal function after cesarean section. Methods Primiparas who planned to undergo cesarean section operation in the Obstetrics Department of Zaozhuang Maternal and Child Health Hospital from January 2019 to December 2022 were selected as the research objects. They were randomly divided into control group and intervention group, with 50 cases in each group. The control group was treated with traditional Chinese medicine application, while the intervention group was treated with traditional Chinese medicine application combined with percutaneous acupoint electrical stimulation. The recovery time of intestinal function, gastrointestinal function symptoms, nursing satisfaction rate and other indicators of the two groups were analyzed. Results After intervention, compared with the control group, the anal exhaust time, bowel sound recovery time and first anal defecation time in the intervention group were shorter (P<0.05). After intervention, the incidence and severity of abdominal distension in the intervention group were significantly lower than those in the control group (P<0.05). After intervention, the nursing satisfaction rate of the intervention group was significantly higher than the control group (P<0.05). After the intervention, the physical function, role function, cognitive function, social function and overall health status score increased in two groups, and the intervention group was significantly higher than the control group (P<0.05). After the intervention, the symptom domain score in two groups decreased, and the intervention group was significantly lower than the control group (P<0.05). Conclusion Traditional Chinese medicine application combined with percutaneous acupoint electrical stimulation plays a positive role in improving intestinal function after cesarean section. It can shorten the time of anal exhaust, the time of intestinal sound returning to normal and the time of first anal defecation, reduce the incidence and severity of abdominal distension, improve patients' satisfaction and quality of life.

Key words: TCM application, Percutaneous acupoint electrical stimulation, Caesarean section, Intestinal function

CLC Number:

MENG De-xia, LV Ran-ran. Effect of Chinese Medicine Application Combined with Percutaneous Acupoint Electrical Stimulation on Improving Intestinal Function after Cesarean Section[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(18): 19-23.

References

[1] 计娟利,张立环.探讨产后再孕安全教育对剖宫产术后产妇再次妊娠选择的影响[J].解放军护理杂志,2018,35(12):36-38.
[2] AYALEW M, MENGISTIE B, DHERESSA M, el at. Magnitude of Cesarean Section Delivery and Its Associated Factors Among Mothers Who Gave Birth at Public Hospitals in Northern Ethiopia: Institution-Based Cross-Sectional Study[J]. J Multidiscip Healthc,2020,13(1):1563-1571.
[3] 张强,杨莉,李权,等.1例剖宫产术后巨大腹膜外血肿的临床诊治分析[J].重庆医学,2019,48(21):159-160.
[4] 田香红. 中药贴敷方案对剖宫产术后胃肠功能恢复的效果评价——评《中医妇科外治法》[J].中国国境卫生检疫杂志,2021,44(5):I0001.
[5] 刘瑞,裴金霞,张冬冬,等.小茴香联合大黄穴位贴敷对剖宫产术后排气和肠蠕动恢复的影响观察[J].浙江中医杂志,2020,596(11):805.
[6] 李晓瑜,张永顺,管莉文,等.经皮穴位电刺激联合耳穴压豆治疗妇科腹部术后胃肠功能障碍的临床观察[J].广州中医药大学学报,2021,9(1):1893-1898.
[7] 张为远.剖宫产手术的专家共识解读(2014)[C]//中华医学会杂志社指南与进展巡讲(产科)暨第四届两江母胎医学论坛论文汇编.2014.
[8] 戴钟英. 剖宫产术后晚期出血与剖宫产术式及操作技巧[J].实用妇产科杂志,2001,17(3):128-129.
[9] 谭敏华. 子午流注低频穴位治疗对妇科腹腔镜术后患者胃肠功能恢复的观察[J].中医临床研究,2019,19(10):135-139.
[10] 谭健娜,谭玲玲,周佩英.中药热奄包联合穴位按摩对腹部手术后并发腹胀及疼痛干预效果的影响[J].国际护理学杂志,2020,39(16):2976-2979.
[11] 江敏俊,徐一峰.生活质量量表(QLQ-C30)在乳腺癌患者生活质量中的研究[J].上海精神医学,2006,18(5):302-305.
[12] 宗璐,李春芳,黄谱,等.高龄产妇剖宫产产后出血高危因素分析及术中预防措施探讨[J].中国妇幼健康研究,2017,28(12):1671-1674.
[13] ZHOU D, HU B, HE S, et al.Transcutaneous Electrical Acupoint Stimulation Accelerates the Recovery of Gastrointestinal Function after Cesarean Section: A Randomized Controlled Trial[J]. Evid Based Complement Alternat Med,2018,18(3):7341920.
[14] 陆丽娟,唐悦.中药穴位贴敷对剖宫产术后胃肠功能恢复的影响[J].结直肠肛门外科,2021,27(S02):28-29.
[15] 范学明,章放香,黄玲,等.经皮穴位电刺激对全麻腹腔镜结直肠癌根治术患者术后肠粘膜损伤的影响[J].中华麻醉学杂志,2019,39(1):52-55.
[16] 周敏,蔡懿婷,庞文璟.穴位贴敷联合经皮穴位电刺激对腹腔镜术后胃肠蠕动功能的影响[J].中国医学物理学杂志,2021,38(3):350-354.
[17] 田伟千,张杰,胡澄,等.经皮穴位电刺激对胃肠外科手术术后镇痛及胃肠功能的影响[J].实用临床医药杂志,2021,25(16):57-60.
[18] 田伟千,胡澄,杨光.经皮穴位电刺激对胃肠外科全麻手术患者麻醉复苏的影响[J].针刺研究,2021,46(11):963-966.