[1]严燕,王晓玲,张文卿,等.艾灸穴位护理联合参神枣艾汤加味对剖宫产术后气虚血瘀证产妇胃肠功能障碍的影响[J].西部中医药,2025,38(02):152-155.[doi:10.12174/j.issn.2096-9600.2025.02.34]
　YAN Yan,WANG Xiaoling,ZHANG Wenqing,et al.Influence of Moxibustion Combined with Modified Shenshen Zaoai Tang on Gastrointestinal Dysfunction in Cases After Caesarean Section of Qi Deficiency and Blood Stagnation Pattern[J].Western Journal of Traditional Chinese Medicine,2025,38(02):152-155.[doi:10.12174/j.issn.2096-9600.2025.02.34]
点击复制

艾灸穴位护理联合参神枣艾汤加味对剖宫产术后气虚血瘀证产妇胃肠功能障碍的影响()
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年02期
页码:
152-155
栏目:
特色医疗
出版日期:
2025-02-15

文章信息/Info

Title:
Influence of Moxibustion Combined with Modified Shenshen Zaoai Tang on Gastrointestinal Dysfunction in Cases After Caesarean Section of Qi Deficiency and Blood Stagnation Pattern
作者:
严燕1, 王晓玲1, 张文卿2, 余小琴1
1.六安市中医医院，安徽 六安 237006
2.安徽省皖北卫生职业学院，安徽 宿州 234000
Author(s):
YAN Yan1, WANG Xiaoling1, ZHANG Wenqing2, YU Xiaoqin1
1.Lu’an Hospital of Traditional Chinese Medicine of Anhui Province, Lu’an 237006, China
2.North Anhui Health Vocational College, Suzhou 234000, China
关键词:
剖宫产; 胃肠功能; 气虚血瘀证; 艾灸; 参神枣艾汤
Keywords:
cesarean section; gastrointestinal function; deficiency and blood stasis pattern; moxa-moxibustion
分类号:
R271.43
DOI:
10.12174/j.issn.2096-9600.2025.02.34
文献标志码:
B
摘要:
目的观察艾灸足三里、中脘穴联合参神枣艾汤加味对剖宫产术后气虚血瘀证产妇胃肠功能障碍的改善效果。 方法将80例行子宫下段剖宫产分娩的足月妊娠产妇按随机数字表法分为对照组和治疗组各40例。对照组采取术后常规治疗措施，治疗组在对照组基础上采取艾灸足三里、中脘穴护理联合参神枣艾汤加味治疗，两组连续治疗3天。比较两组产妇症状体征改善时间（首次肛门排气、排便以及肠鸣音恢复时间）、胃肠功能障碍评分、临床疗效以及不良反应发生情况。 结果治疗组产妇首次肛门排气排便及肠鸣音恢复时间均短于对照组（P＜0.01）；两组产妇胃肠功能障碍评分均降低（P＜0.01），治疗组降低程度更明显（P＜0.01）；总有效率治疗组［97.50%（39/40）］高于对照组［80.00%（32/40）］（P＜0.01）；不良反应总发生率治疗组［7.50%（3/40）］低于对照组［27.50%（11/40）］（P＜0.01）。 结论艾灸足三里、中脘穴护理联合参神枣艾汤加味治疗剖宫产术后气虚血瘀证产妇胃肠功能障碍疗效优于常规治疗，且能降低不良反应发生率。
Abstract:
ObjectiveTo investigate the effects of moxibustion of Zusanli (ST36) and Zhongwan (RN12) combined with modified Shenshen Zaoai Tang on gastrointestinal dysfunction in Qi deficiency and blood stasis type of patients after cesarean section (CS). MethodsEighty patients who underwent CS were allocated to the control group and the treatment group according to random number table method with 40 cases in each group. The control group accepted postoperative conventional therapeutic measures, moxibustion of Zusanli and Zhongwan combined with modified Shenshen Zaoai Tang was administered to the treatment group, both groups were treated for three consecutive days. To compare the time to the improvement of the symptom and body signs (the time of first anal exhaust, defecation and borborygmus), the scores of gastrointestinal dysfunction, clinical effects and the incidence of adverse reaction between both groups. ResultsThe treatment group was shorter than the control group in the time of first anal exhaust, defecation and borborygmus (P<0.01); the scores of gastrointestinal dysfunction were reduced in the two groups (P<0.01), and the decrease of the treatment group was more apparent (P<0.01); total effective rate of the treatment group was [97.50%(39/40)], higher than [80.00%(32/40)] of the control group (P<0.01); the incidence of adverse reaction of the treatment group was [7.50%(3/40)], lower than [27.50%(11/40)] of the control group (P<0.01). ConclusionMoxibustion of Zusanli and Zhongwan combined with modified Shenshen Zaoai Tang is better than conventional therapy in the treatment of gastrointestinal dysfunction in Qi deficiency and blood stasis type of patients after CS, and it could reduce the incidence of adverse reaction.

相似文献/References:

[1]周源芝,王文艳,董养珍.孕期健康教育对剖宫产率的影响[J].西部中医药,2012,25(09):102.
　ZHOU Yuan-zhi,WANG Wen-yan,DONG Yang-zhen.Effect of Health Education during Gestation on the Rate of Cesarean Section[J].Western Journal of Traditional Chinese Medicine,2012,25(02):102.
[2]邵壮,郭伟,李鲁,等.新斯的明足三里穴位注射对老年食管癌患者术后胃肠功能恢复的影响[J].西部中医药,2014,27(02):114.
　SHAO Zhuang,GUO Wei,LI Lu,et al.Influence of Acupoint Injection with Neostigmine at ZuSanLi on the Recovery of Gastrointestinal Function of Senile Patients after the Surgery of Esophageal Cancer[J].Western Journal of Traditional Chinese Medicine,2014,27(02):114.
[3]杨晓菊,裴永胜.益母草注射液联合缩宫素在剖宫产术中及术后出血中的应用效果观察[J].西部中医药,2014,27(07):91.
　YANG Xiaoju,PEI Yongsheng.Observation on the Application of YiMuCao Injection and Oxytocin to Bleeding in and after the Surgery of Cesarean Section[J].Western Journal of Traditional Chinese Medicine,2014,27(02):91.
[4]柳青梅.舒适护理在剖宫产产妇术后护理中的应用[J].西部中医药,2014,27(08):140.
[5]刘芸,胡月玲.手术室开展优质护理服务对剖宫产产妇术后康复和泌乳功能的影响[J].西部中医药,2014,27(10):155.
[6]杨莉.中西医结合护理对急诊阑尾切除术后胃肠道功能恢复的影响[J].西部中医药,2015,28(05):136.
[7]杨亚玲.甘温除热法治疗剖宫产术后发热56例[J].西部中医药,2015,28(06):102.[doi:2015/6/16 0:00:00]
[8]封德梅,许新艳,李琦,等.常规护理联合口服健脾通气合剂对剖宫产术后患者胃肠功能的影响[J].西部中医药,2015,28(08):171.
[9]何利,李雪莲.优质护理干预对老年患者空肠输注肠内营养支持及胃肠功能恢复的影响[J].西部中医药,2015,28(10):122.
[10]陈小江,张耀军,周文举.增液胃肠复原汤对腹部手术后胃肠功能的影响[J].西部中医药,2016,29(02):105.
　CHEN Xiaojiang,ZHANG Yaojun,ZHOU Wenju.Influence of ZengYe WeiChang FuYuan Tang on Gastrointestinal Function of the Patients after Abdominal Operation[J].Western Journal of Traditional Chinese Medicine,2016,29(02):105.

备注/Memo

备注/Memo:
严燕（1986—），女，主管护师。研究方向：妇产科护理管理及临床护理。Email：514907381@qq.com。新疆维吾尔自治区自然科学基金（2018D01C210）。 安徽省教育厅自然科学研究重点项目（KJ2021A1568）。
更新日期/Last Update: 2025-02-15