目的 探讨中药穴位贴敷配合TDP灯照射对剖宫产术后胃肠功能恢复的影响.方法 160例择期行剖宫产术的产妇,按随机数字表法分为治疗组和对照组,各80例,对照组给予常规治疗及护理,治疗组在对照组基础上加予中药贴敷神阙穴,足三里穴位,配合TDP灯照射神阙穴.观察2组产妇术后肠鸣音恢复、肛门排气、排便发生情况,及腹痛腹胀发生情况.结果 治疗组术后肠鸣音恢复、肛门排气、排便均早于对照组,差异有统计学意义(P<0.05).治疗组术后4 d腹痛腹胀发生率为5.00％(4/80),低于对照组的16.25％(13/80),差异有统计学意义(P<0.05).治疗组临床疗效总有效率为95.00％(76/80),高于对照组的83.75％(67/80),差异有统计学意义(P<0.05).结论 中药穴位贴敷配合TDP灯照射能有效促进剖宫产术后胃肠功能早日恢复.%Objective To investigate the effect of acupoint application and TDP special electromagnetic waves therapy on maternal gastrointestinal function after caesarean section. Methods A total of 160 puerperae with caesarean section were randomly divided into the treatment group and the control group, with 80 cases in each group. Both two groups received routine treatment and postpartum care on maternal gastrointestinal function. The acupoint application and TDP special electromagnetic waves therapy were carried out in the treatment group. The time to borborygmus recovery, anal exsufflation and defecation, as well as incidence of abdominal distension and pain, were compared between two groups. Results The proportion of puerperae with time to borborygmus recovery, anal exsufflation and defecation less than 24 hours were higher in the treatment group than those in the control group (P<0.05). the incidence of abdominal distension and pain was 5.00％(4/80) in the treatment group and was 16.25％(13/80) in the control group, with a significant difference(P<0.05). The overall efficacy rate of nursing intervention on gastrointestinal function was higher in the treatment group than that of controls (95.00％ vs. 83.75％, P<0.05). Conclusion Acupoint application and TDP special electromagnetic waves therapy can improve the rehabilitation of maternal gastrointestinal function after caesarean section.
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